WEDNESDAY, July 23 (HealthDay News) -- Eating half a serving of
soy food a day lowers sperm concentrations and may play a role in
male infertility, particularly in obese men, Harvard University
researchers report.
The reason for this relationship between soy and sperm count
isn't clear. However, researchers speculate that soy increases
estrogen activity, which may have a negative affect on sperm
production and also interfere with other hormonal signals.
"There have been a lot of interest in estrogen and isoflavones
in particular and a potential relationship to fertility and other
reproductive disorders," said lead researcher Dr. Jorge Chavarro, a
research fellow in the department of nutrition at the Harvard
School of Public Health.
Research in animals has shown that isoflavones and estrogen can
have a potentially negative affect on reproduction, including
decreased fertility, Chavarro said. However, there is very little
evidence of how these findings apply to humans, he said.
The new research, he added, lends support to how results of
animal studies apply to humans. But Chavarro considers the findings
preliminary and inconclusive. "It's way too early to say stop
eating soy foods," he said. "It's not time to worry about whether
you're eating too much soy. There's not enough information to
conclusively say that. "
His report was published in the July 24 online edition of the
journal
Human Reproduction.
For the study, Chavarro and colleagues collected data on 99 men
who attended a fertility clinic for evaluation. The men were asked
about how much of 15 soy-based foods they ate in the past three
months.
The foods men were asked about included tofu, tempeh, tofu or
soy sausages, bacon, burgers, soy milk, cheese, yogurt, ice cream
and other soy products like roasted nuts and energy bars.
Because different foods have different levels of isoflavones,
half a serving of soy is equal to about one cup of soy milk or one
serving of tofu or soy burgers every other day, Chavarro noted.
Chavarro's team found that men who ate the most soy had 41
million fewer sperm per milliliter of semen compared with men who
did not eat soy foods. Normal sperm counts range between 80 million
and 120 million per milliliter, according to a press release from
the journal, a monthly publication of the European Society for
Human Reproduction and Embryology.
In addition, the researchers found that the link between soy and
sperm concentration was stronger among overweight and obese men.
Overweight and obese men produce more estrogen than thinner men,
and soy may increase those estrogen levels even further, they
speculated.
Moreover, the link between soy and sperm concentration was
strongest in men with higher sperm concentrations. Men who have
normal or high sperm counts may be more susceptible to soy foods
than men with low sperm counts, Chavarro said.
Infertility expert Dr. Hossein Sadeghi-Nejad, an associate
professor of urology at UMDNJ New Jersey Medical School and
Hackensack University Medical Center, agreed that soy may be one
factor affecting fertility, especially in overweight and obese
men.
"When patients are overweight, the fat tissue converts male
hormones to more female hormones," Sadeghi-Nejad said. "So, it is
possible that the combination of this estrogenic source [soy] and
the extra internal estrogen that is caused by the conversion of
androgen to estrogen through the fat has a more deleterious effect
in that group of patients."
In addition, Sadeghi-Nejad noted that although sperm counts
decreased most among men who have the highest counts, that should
not affect fertility, since sperm counts were still in the normal
range.
"But this is a good reminder that if you have an overweight
patient, with abnormal semen parameters, and a very high soy
intake, it may be wise for them to decrease this factor,"
Sadeghi-Nejad said.
More information
For more about obesity and infertility, visit the
Obesity Action Coalition.
>