Hsiao · European urology focus 2018 · narrative mini-review · n=?

Adverse Effects of Cannabis on Male Reproduction.

Cited 42 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative mini-review synthesizing literature without systematic search or meta-analytic methods.

PubMed 30146239 · doi:10.1016/j.euf.2018.08.006 · record verified 2026-08-26

What was done

Narrative mini-review examining published literature on the effects of cannabis consumption on male reproductive markers, sex hormone production, sperm production, sperm function, and the endocannabinoid system.

What was found

The abstract reports no numbers or statistical metrics. Qualitatively, current evidence regarding cannabis effects on male reproductive hormone production is contradictory, but most reviewed studies associate cannabis use with decreased sperm concentrations.

Why it matters

Provides clinical context on how cannabis exposure relates to semen parameters to aid clinicians in counseling infertile couples and reproductive-aged men.

Limits

The abstract provides no quantitative data, effect sizes, or study counts. As a narrative mini-review, it lacks systematic search methodology and reflects an evidence base with conflicting findings regarding hormonal outcomes.

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