A Systematic Review on the Investigation of SARS-CoV-2 in Semen

Daniel C Gonzalez,1 Kajal Khodamoradi,1 Raghav Pai,1 Kristopher Guarch,2 Zachary M Connelly,3 Emad Ibrahim,1 Himanshu Arora,1 Ranjith Ramasamy1 1Department of Urology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA; 2Florida International University, Miami, FL 33199, USA; 3Loui...

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Main Authors: Gonzalez DC, Khodamoradi K, Pai R, Guarch K, Connelly ZM, Ibrahim E, Arora H, Ramasamy R
Format: Article
Language:English
Published: Dove Medical Press 2020-12-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://www.dovepress.com/a-systematic-review-on-the-investigation-of-sars-cov-2-in-semen-peer-reviewed-article-RRU
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author Gonzalez DC
Khodamoradi K
Pai R
Guarch K
Connelly ZM
Ibrahim E
Arora H
Ramasamy R
author_facet Gonzalez DC
Khodamoradi K
Pai R
Guarch K
Connelly ZM
Ibrahim E
Arora H
Ramasamy R
author_sort Gonzalez DC
collection DOAJ
description Daniel C Gonzalez,1 Kajal Khodamoradi,1 Raghav Pai,1 Kristopher Guarch,2 Zachary M Connelly,3 Emad Ibrahim,1 Himanshu Arora,1 Ranjith Ramasamy1 1Department of Urology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA; 2Florida International University, Miami, FL 33199, USA; 3Louisiana State University Health Shreveport, Shreveport, LA 71103, USA; 4The Interdisciplinary Stem Cell Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USACorrespondence: Ranjith RamasamyDepartment of Urology, Miller School of Medicine, University of Miami, 1120 NW 14th St, #1551, Miami, FL 33136, USATel +1 (305)-243-7200Email Ramasamy@miami.eduBackground: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a virus that is present in most bodily fluids. However, whether SARS-CoV-2 is present in the semen remains underexplored. Thus, we systematically reviewed the existing studies on the presence of SARS-CoV-2 in semen.Methods: A literature search of the PubMed, Embase, Cochrane, Web of Science, Google Scholar, and Ovid databases was performed for articles from the dates of their inception to August 2020 using the following keywords: COVID-19, SARS-CoV2, seminal, semen, and sperm. After excluding non-human studies and articles that were not in the English language, we identified 19 relevant studies. The full text of the articles were reviewed and a total of eight articles remained after applying our selection criteria.Results: After reviewing the presence of SARS-CoV-2 in the eight different studies using semen samples, only one reported the presence of the virus. Six out of 160 total semen samples with SARS-CoV-2 positive demonstrated the presence of viral RNA, of which 2 were from males in the recovery phase and 4 from the acute phase of the infection.Conclusion: The novel nature of SARS-CoV-2 has limited the number and size of studies on semen. Nevertheless, the current literature, while limited, has confirmed the presence of SARS-CoV-2 in semen in one out of the eight reported studies and totaling 4.3% of the population screened. Taken together, the risk of the presence of SARS-CoV-2 in semen appears to be extremely low and likely negligible in recovered men. Future studies need to focus on whether complete viral particles can be seen in semen and the possibility of sexual transmission.Keywords: COVID-19, coronavirus, semen, semen parameters
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spelling doaj.art-48413abfb90e429e80c4ed471630c2f92022-12-21T21:27:19ZengDove Medical PressResearch and Reports in Urology2253-24472020-12-01Volume 1261562159839A Systematic Review on the Investigation of SARS-CoV-2 in SemenGonzalez DCKhodamoradi KPai RGuarch KConnelly ZMIbrahim EArora HRamasamy RDaniel C Gonzalez,1 Kajal Khodamoradi,1 Raghav Pai,1 Kristopher Guarch,2 Zachary M Connelly,3 Emad Ibrahim,1 Himanshu Arora,1 Ranjith Ramasamy1 1Department of Urology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA; 2Florida International University, Miami, FL 33199, USA; 3Louisiana State University Health Shreveport, Shreveport, LA 71103, USA; 4The Interdisciplinary Stem Cell Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USACorrespondence: Ranjith RamasamyDepartment of Urology, Miller School of Medicine, University of Miami, 1120 NW 14th St, #1551, Miami, FL 33136, USATel +1 (305)-243-7200Email Ramasamy@miami.eduBackground: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a virus that is present in most bodily fluids. However, whether SARS-CoV-2 is present in the semen remains underexplored. Thus, we systematically reviewed the existing studies on the presence of SARS-CoV-2 in semen.Methods: A literature search of the PubMed, Embase, Cochrane, Web of Science, Google Scholar, and Ovid databases was performed for articles from the dates of their inception to August 2020 using the following keywords: COVID-19, SARS-CoV2, seminal, semen, and sperm. After excluding non-human studies and articles that were not in the English language, we identified 19 relevant studies. The full text of the articles were reviewed and a total of eight articles remained after applying our selection criteria.Results: After reviewing the presence of SARS-CoV-2 in the eight different studies using semen samples, only one reported the presence of the virus. Six out of 160 total semen samples with SARS-CoV-2 positive demonstrated the presence of viral RNA, of which 2 were from males in the recovery phase and 4 from the acute phase of the infection.Conclusion: The novel nature of SARS-CoV-2 has limited the number and size of studies on semen. Nevertheless, the current literature, while limited, has confirmed the presence of SARS-CoV-2 in semen in one out of the eight reported studies and totaling 4.3% of the population screened. Taken together, the risk of the presence of SARS-CoV-2 in semen appears to be extremely low and likely negligible in recovered men. Future studies need to focus on whether complete viral particles can be seen in semen and the possibility of sexual transmission.Keywords: COVID-19, coronavirus, semen, semen parametershttps://www.dovepress.com/a-systematic-review-on-the-investigation-of-sars-cov-2-in-semen-peer-reviewed-article-RRUcovid-19coronavirussemensemen parameters
spellingShingle Gonzalez DC
Khodamoradi K
Pai R
Guarch K
Connelly ZM
Ibrahim E
Arora H
Ramasamy R
A Systematic Review on the Investigation of SARS-CoV-2 in Semen
Research and Reports in Urology
covid-19
coronavirus
semen
semen parameters
title A Systematic Review on the Investigation of SARS-CoV-2 in Semen
title_full A Systematic Review on the Investigation of SARS-CoV-2 in Semen
title_fullStr A Systematic Review on the Investigation of SARS-CoV-2 in Semen
title_full_unstemmed A Systematic Review on the Investigation of SARS-CoV-2 in Semen
title_short A Systematic Review on the Investigation of SARS-CoV-2 in Semen
title_sort systematic review on the investigation of sars cov 2 in semen
topic covid-19
coronavirus
semen
semen parameters
url https://www.dovepress.com/a-systematic-review-on-the-investigation-of-sars-cov-2-in-semen-peer-reviewed-article-RRU
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