Testicular Function After Immune‐Checkpoint Inhibitors Treatment

ICI treatment may be associated with minimal spermatogenic dysfunction, as reflected by modest reductions in sperm output and increased serum FSH levels, despite preserved serum LH and testosterone concentrations, but mostly due to a rare (4% prevalence) case of autoimmune orchitis. The unpredictability of these effects supports routine fertility preservation counselling in young men before ICI initiation.

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Institutions

Publication Details

Journal
Clinical Endocrinology
Published
2025-07-14
DOI
https://doi.org/10.1111/cen.70001
Citations
1
Primary Topic
Sperm and Testicular Function
Type
article
Field-Weighted Citation Impact
1.70

Funders

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article

Testicular Function After Immune‐Checkpoint Inhibitors Treatment

David J. Handelsman, Georgina Venetia Long, Sue Sleiman, Andrea Boutros et al.
1 citations
Clinical Endocrinology
Sperm and Testicular Function
1.70
article

Testicular Function After Immune‐Checkpoint Inhibitors Treatment

David J. Handelsman, Georgina Venetia Long, Sue Sleiman, Andrea Boutros, Feyrous Bacha, Ting Zhang, Veena Jayadev, Alexander M. Menzies, Amanda Idan
article en
1 citations

Abstract

ICI treatment may be associated with minimal spermatogenic dysfunction, as reflected by modest reductions in sperm output and increased serum FSH levels, despite preserved serum LH and testosterone concentrations, but mostly due to a rare (4% prevalence) case of autoimmune orchitis. The unpredictability of these effects supports routine fertility preservation counselling in young men before ICI initiation.

Clinical EndocrinologyVol. 103(5)
The University of Sydney (AU), Concord Hospital (US), Royal North Shore Hospital (AU), Concord Repatriation General Hospital (AU), Melanoma Institute Australia (AU), Northern Sydney Local Health District (AU), Ospedale Policlinico San Martino (IT), Anzac Research Institute (AU)
University of Sydney, National Health and Medical Research Council
Good health and well-being
Openalex Percentile: Top 15%
Sperm and Testicular Function
1.70
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Testicular Function After Immune‐Checkpoint Inhibitors Treatment — David J. Handelsman, Georgina Venetia Long, et al. · Clinical Endocrinology (2025) | TGRS Research Map | TGRS