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Hum. Reprod. Advance Access originally published online on September 9, 2004
Human Reproduction 2004 19(12):2845-2848; doi:10.1093/humrep/deh510
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Human Reproduction vol. 19 no. 12 © European Society of Human Reproduction and Embryology 2004; all rights reserved

Semen parameters of a semen donor before and after infection with human immunodeficiency virus type 1: Case report

E. van Leeuwen1,4, M. Cornelissen2, J.W. de Vries1, S.H. Lowe3, S. Jurriaans2, S. Repping1 and F. van der Veen1

1 Center for Reproductive Medicine, Department of Obstetrics and Gynecology, 2 Department of Human Retrovirology and 3 Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

4 To whom correspondence should be addressed at. Academic Medical Center, Obstetrics and Gynecology, H4-205, Postbus 22660, 1100 DD Amsterdam, The Netherlands. Email: e.vanleeuwen{at}amc.uva.nl

Semen samples from a donor who seroconverted for human immunodeficiency virus type 1 (HIV-1) during the period that he was donating at our clinic were stored before and after infection. Semen analysis was done on all of these samples before cryopreservation. Retrospectively, both qualitative and quantitative HIV-1 testing was performed on the cryopreserved semen samples to determine the time of primary HIV-1 infection. After HIV-1 infection, semen volume, sperm motility and the percentage of spermatozoa with normal morphology were reduced compared with the same parameters before HIV-1 infection. HIV-1 RNA was intermittently detectable in semen. HIV-1 infection led to a reduction in semen volume, sperm motility and normal sperm morphology in this donor. However, the clinical significance of these findings is unclear. A longitudinal cohort study on the effects of HIV-1 infection on semen quality is necessary to confirm these findings.

Key words: HIV-1/HIV RNA/semen donor/semen quality/seroconversion


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