Global decline in semen quality: ignoring the developing world introduces selection bias
Raywat Deonandan, Marya Jaleel
Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
Abstract: Multiple studies from around the world have suggested that semen quality is declining globally. However, all studies suffer from variable semen sampling criteria, selection bias with respect to the types of men volunteering to participate, and a bias with respect to a tendency to examine only samples from high-income countries. This heterogeneity in approaches, especially given the undersampling of rural and less affluent men from low-income countries, calls into question researchers' claims of universally declining semen norms.
Keywords: human semen, quality, global, developing world
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]