Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease affecting patients of reproductive age. Although HS shares risk factors with male infertility, only 1 epidemiological study has evaluated this association. To further evaluate this potential association, findings on semen and hormonal analysis, testicular ultrasound, and the International Index of Erectile Function (IIEF-15) were compared between 28 men attending a tertiary HS clinic during the period April 2019 to April 2021, and 44 healthy controls, spouses of infertile women undergoing semen evaluation before in vitro fertilization. Patients with HS were divided based on the absence or presence of gluteal and genital lesions. Patients with HS were younger than controls (median 27 vs 34 years, p < 0.0004) and had a higher proportion of smokers (86% vs 33%, p < 0.0001). Semen parameters in patients with gluteal-genital lesions, specifically those with severe scrotal involvement necessitating surgery, were lower than the WHO reference values and significantly lower than in patients without gluteal-genital lesions and controls. Erectile dysfunction was reported by 93% of patients with HS. These findings suggest that spermatogenesis and sexual function may be impaired in young men with HS. Therefore, multidisciplinary management of HS should include their evaluation to identify patients who might benefit from semen cryopreservation and sexual treatment.
Acta dermato-venereologica. 2023 Nov 17*** epublish ***
Paz Lotan, Yossef Haim Taieb, Shira Barmatz, Shira Fisch-Gilad, Adam Dalal, Jen Barak-Levitt, Anat Stein, Eran Altman, Jack Baniel, Shay Golan, Emmilia Hodak, Alexander Diment, Eli Atar, Ohad Shoshany, Yoel Shufaro, Shany Sherman
Department of Urology, Rabin Medical Center, Petach Tikva, and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. ., Division of Dermatology, Rabin Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel., Division of Dermatology, Rabin Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel and The Department of Dermatology, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel., Department of Dermatology, Emek Medical Center, Afula, Israel., Andrology and Sperm Bank Service, Rabin Medical Center and The Infertility and IVF Unit, Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Department of Urology, Rabin Medical Center, Petach Tikva, and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Department of Radiology, Rabin Medical Center, Petach Tikva, and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.