Cannabis and Male Fertility: A Systematic Review

Nelson Vergel

Founder, ExcelMale.com
Introduction:
With cannabis consumption on the rise, and use prominent among males of reproductive age, it is essential to understand the potential impact of cannabis on male fertility. Here we review the literature regarding cannabis’ effects on male fertility.


Materials and Methods:
A literature search was conducted using PubMed/MEDLINE to identify relevant studies examining the effects of cannabis on male fertility. Relevant studies were identified and reviewed.

Results:
The strongest evidence for cannabis-induced alterations in male fertility is in the category of semen parameters. Research supports a role for cannabis in reducing sperm count and concentration, inducing abnormalities in sperm morphology, reducing sperm motility and viability, and inhibiting capacitation and fertilizing capacity. Animal models demonstrate a role for cannabis in testicular atrophy and reduced libido and sexual function, but these results have not yet been replicated in human studies. Studies examining hormonal changes suggest inconclusive effects on testosterone levels, lowered luteinizing hormone (LH) levels, and unchanged follicle stimulating hormone (FSH) levels.

Conclusions:
Current research suggests that cannabis may negatively impact male fertility. Further studies are needed to validate that robust findings in animal models will carry over into human experience. Clinicians should be aware of these potential effects in prescribing medical marijuana therapies to men of reproductive age, and should consider degree of cannabis use as a possible component of a complete male infertility workup.

Source:American Urological Association
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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