The Impact of Physical Activities on Male Fertility: A Systematic Review
DOI:
https://doi.org/10.12775/QS.2025.38.58251Keywords
urology, male ferility, exercises, testosterone level, semen qualityAbstract
Background
Semen quality appears to have declined over the past decades but reasons for this decline are unresolved. It may seem that an increase in the share of a sedentary lifestyle, at least due to the way of working or spending free time, and a decrease in the share of physical exercises during everyday activities may have an impact on this.
The objective of this study was to evaluate the relationship of physical activity, special types of physical activity and sedentary lifestyle with sperm parameters in a population of men. Another issue discussed is the negative impact of exercise on fertility, as well as injuries in the perineal region—some of which directly affect organs, surrounding tissues (such as nerves), and regulatory mechanisms like hypothalamic-pituitary-gonadal axis.
Materials and Methods
This study was conducted as a comprehensive literature review based on scientific articles and research papers accessed through two primary databases: PubMed and Google Scholar. Relevant articles were selected using predefined keywords and phrases related to the study's topic. The search was limited to articles published in English between 1991 and 2023 to ensure the relevance and accuracy of the data. Duplicates, non-peer-reviewed sources, and studies lacking methodological transparency were excluded. The collected data were analyzed and synthesized to provide an up-to-date overview of the topic.
Conclusion
The authors argue that the generally positive impact of exercise on male fertility can be demonstrated on many levels. However, moderation in training load is necessary, as excessive training volume can lead to hormonal regulation issues or simply result in injury in the groin area.
References
[1] Pointis G, Fiorini C, Defamie N, Segretain D. Gap junctional communication in the male reproductive system. Biochim Biophys Acta. 2005;1719(1-2):102-116. doi:10.1016/j.bbamem.2005.09.017
[2] Hughes IA, Lim HN, Martin H, et al. Developmental aspects of androgen action. Mol Cell Endocrinol. 2001;185:33-41.
[3] Schlegel PN, Sigman M, Collura B, et al. Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline Part I. J Urol. 2021;205(1):36-43. doi:10.1097/JU.0000000000001521
[4] Lotti F, Maggi M. Ultrasound of the male genital tract in relation to male reproductive health. Hum Reprod Update. 2015 Jan-Feb;21(1):56-83.
[5] Gottardo F, Kliesch S., World Health Organization. [Semen analysis: spermiogram according to WHO 2010 criteria]. Urologe A. 2011 Jan;50(1):101-8.
[6] Abdollahzadeh Soreshjani S, Ashrafizadeh M. Effects of exercise on testosterone level, heat shock protein, and fertility potential. Rev Clin Med. 2018;5(4):141-145.
[7] Ahtiainen JP, Lehti M, Hulmi JJ, et al. Recovery after heavy resistance exercise and skeletal muscle androgen receptor and insulin-like growth factor-I isoform expression in strength-trained men. J Strength Cond Res. 2011;25(3):767-777.
[8] Charro MA, Aoki MS, Coutts AJ, Araújo RC, Bacurau RF. Hormonal, metabolic, and perceptual responses to different resistance training systems. J Sports Med Phys Fitness. 2010;50:229-234.
[9] Crewther B, Cronin J, Keogh J, Cook C. The salivary testosterone and cortisol response to three loading schemes. J Strength Cond Res. 2008;22(1):250-255.
[10] Turgut A, Varol S, Yazıcı A, Günay M. The effect of resistance exercises on testosterone. J Eurasia Sport Sci Med. 2021;3(1):1-9.
[11] Hackney AC. Effects of endurance exercise on the reproductive system of
men: the “exercise-hypogonadal male condition”. J Endocrinol Invest. 2008;
31(10):932–8.
[12] Kraemer WJ, Ratamess NA. Hormonal responses and adaptations to resistance
exercise and training. Sports Med (Auckland, NZ). 2005;35(4):339–61.
[13] Jóźków P, Rossato M. The Impact of Intense Exercise on Semen Quality. Am J Mens Health. 2017;11(3):654-662. doi:10.1177/1557988316669045
[14] du Plessis SS, Kashou A, Vaamonde D, Agarwal A. Is there a link between exercise and male factor infertility? Open Reprod Sci J. 2011;3:105-113.
[15] Jung A, Strauss P, Lindner HJ, Schuppe HC. Influence of moderate
cycling on scrotal temperature. Int J Androl 2008; 31(4): 403-7.
[16] Jung A, Leonhardt F, Schill WB, Schuppe HC. Influence of the
type of undertrousers and physical activity on scrotal temperature.
Humreprod (Oxford, England) 200; 20(4): 1022-7.
[17] Gaskins AJ, Afeiche MC, Hauser R, et al. Paternal physical and sedentary activities in relation to semen quality and reproductive outcomes among couples from a fertility center. Hum Reprod. 2014;29(11):2575-2582. doi:10.1093/humrep/deu212
[18] De Souza MJ, Arce JC, Pescatello LS, Scherzer HS, Luciano AA. Gonadal hormones and semen quality in male runners: a volume threshold effect of endurance training. Int J Sports Med. 1994;15(7):383-391. doi:10.1055/s-2007-1021075
[19] Safarinejad MR, Azma K, Kolahi AA. The effects of intensive, long-term treadmill running on reproductive hormones, hypothalamus-pituitary-testis axis, and semen quality: a randomized controlled study [retracted in: J Endocrinol. 2022 Apr 05;253(2):Z1. doi: 10.1530/JOE-22-0900]. J Endocrinol. 2009;200(3):259-271. doi:10.1677/JOE-08-0477
[20] Gaskins AJ, Mendiola J, Afeiche MA, et al. Physical activity and television watching in relation to semen quality in young men. Br J Sports Med. 2015;49(4):265-270. doi:10.1136/bjsports-2012-091644.
[21] Tartibian B, Maleki BH. Correlation between seminal oxidative stress biomarkers and antioxidants with sperm DNA damage in elite athletes and recreationally active men. Clin J Sport Med. 2012;22(2):132-139. doi:10.1097/JSM.0b013e31823f310a.
[22] Krechowiecki A, Czerwiński F. Outline of Human Anatomy. Szczecin: PZWL Medical Publishing; 2004.
[23] NIH Consensus Development Panel on Impotence. NIH Consensus Conference: Impotence. JAMA. 1993;270(1):83-90.
[24] Sommer F, Schwarzer U, Klotz T, Caspers HP, Haupt G, Engelmann U. Erectile dysfunction in cyclists. Is there any difference in penile blood flow during cycling in an upright versus a reclining position?. Eur Urol. 2001;39(6):720-723. doi:10.1159/000052533
[25] Silbert PL, Dunne JW, Edis RH, Stewart-Wynne EG. Bicycling induced pudendal nerve pressure neuropathy. Clin Exp Neurol 1991; 28: 191-6.
[26] Leibovitch I, Mor Y. The vicious cycling: bicycling related urogenital disorders. Eur Urol 2005; 47(3):277-86; discussion 86-7.
[27] Marceau L, Kleinman K, Goldstein I, McKinlay J. Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS). Int J Impot Res. 2001;13(5):298-302. doi:10.1038/sj.ijir.3900733
[28] Moore KL, Agur AMR, Dalley AF. Clinically Oriented Anatomy. Philadelphia, PA: LWW; ISBN: 1451119453.
[29] Frauscher F, Klauser A, Stenzl A, Helweg G, Amort B, Zur Nedden D. US findings in the scrotum of extreme mountain bikers. Radiology 2001; 219(2): 427-31.
[30] World Health Organization Task Force. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. Fertil Steril. 1992;57(6):1289-1293.
[31] Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA. 1989;262(17):2395-2401. doi:10.1001/jama.262.17.2395
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Copyright (c) 2025 Albert Kapla, Alicja Černohorská, Daria Bednarczyk, Julia Białeta, Karolina Siembab, Katarzyna Rowińska, Michalina Jurkiewicz, Wiktor Garbarczyk, Wiktoria Pysiewicz, Agnieszka Napieralska
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