Assessing fertility health: A comparative analysis of serum and seminal plasma levels of key biomarkers in fertile and infertile males

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Research Paper 08/07/2025
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Assessing fertility health: A comparative analysis of serum and seminal plasma levels of key biomarkers in fertile and infertile males

O. Deepa, L. krishnavignesh, Smisha Sridev, A. Mahalakshmipriya, M. Poongothai, V. M. Thomas
Int. J. Biosci. 27(1), 156-171, July 2025.
Copyright Statement: Copyright 2025; The Author(s).
License: CC BY-NC 4.0

Abstract

Although the exact procedure of male sterility is unclear, it is a rapidly developing restorative study. Half of infertile couples worldwide suffer from male reproductive failure. The World Health Organization’s recommendation for standardized sperm testing will improve analytical accuracy by addressing bias in sperm quality assessment. As a result, little is understood about the biochemical elements found in seminal serum and plasma, where they come from, and how they work physiologically in the male reproductive system.  Understanding levels of these pivotal biomarkers in serum and seminal plasma may be a valuable insight into the factors that decide male fertility and help aid in the development of targeted diagnostics and treatment strategies. Sperm motility in 26 fertile men and 50 infertile men was studied in this research about serum and semen levels of several components. Extensive investigation on semen parameters and their relationship with blood biochemical parameters revealed that fertile individuals exhibit normative values in semen volume, concentration, motility, and morphology along with normal plasma concentrations of essential elements like calcium, magnesium, zinc, iron, and fructose, indicating favorable nutritional and metabolic conditions for reproductive health. Conversely, deviations from these normative levels in infertile individuals suggest impaired sperm health and function. The complete investigation’s statistically significant data were validated by ANOVA analysis. The results indicated that seminal plasma magnesium remained substantial (P<0.05) and that serum magnesium and calcium levels remained meaningly advanced in the fertile collection related with the infertile cluster. Reasons for male infertility will soon be discovered and addressed thanks to technological breakthroughs and creative thinking; therefore, the introduction of noninvasive and diagnostic biomarkers is essential for the near future of treatments.

Abd Elhady MS, Kandil AH, Albalat WM. 2021. Trace element’s role in male infertility: Review article. The Egyptian Journal of Hospital Medicine 85(2), 3678–3681.

Abd Elhady MS, Kandil AH, Albalat WM. 2021. Trace element’s role in male infertility: Review article. The Egyptian Journal of Hospital Medicine 85(2), 3678–3681.

Abdul-Rasheed OF. 2010. Association between seminal plasma copper and magnesium levels with oxidative stress in Iraqi infertile men. Oman Medical Journal 25(3), 168.

Akhter MS, Hamali HA, Iqbal J, Mobarki AA, Rashid H, Dobie G, Laghbi OS. 2021. Iron deficiency anemia as a factor in male infertility: Awareness in health college students in the Jazan Region of Saudi Arabia. International Journal of Environmental Research and Public Health 18(24), 12866.

Assidi M. 2022. Infertility in men: Advances towards a comprehensive and integrative strategy for precision theranostics. Cells 11(10), 1711.

Aydemir B, Kiziler AR, Onaran I, Alici B, Ozkara H, Akyolcu MC. 2006. Impact of Cu and Fe concentrations on oxidative damage in male infertility. Biological Trace Element Research 112, 193–203.

Babakhanzadeh E, Nazari M, Ghasemifar S, Khodadadian A. 2020. Some of the factors involved in male infertility: A prospective review. International Journal of General Medicine 13, 29–41.

Bassey IE, Essien OE, Udoh AE, Imo IU, Effiong IO. 2013. Seminal plasma selenium, calcium, magnesium and zinc levels in infertile men. (Incomplete citation details – please provide journal, volume, pages, and year).

Bieniek JM, Drabovich AP, Lo KC. 2016. Seminal biomarkers for the evaluation of male infertility. Asian Journal of Andrology 18(3), 426–433.

Chao HH, Zhang Y, Dong PY, Gurunathan S, Zhang XF. 2023. Comprehensive review on the positive and negative effects of various important regulators on male spermatogenesis and fertility. Frontiers in Nutrition 9, 1063510.

Chia SE, Ong CN, Chua LH, Ho LM, Tay SK. 2000. Comparison of zinc concentrations in blood and seminal plasma and the various sperm parameters between fertile and infertile men. Journal of Andrology 21(1), 53–57.

Colagar AH, Marzony ET, Chaichi MJ. 2009. Zinc levels in seminal plasma are associated with sperm quality in fertile and infertile men. Nutrition Research 29(2), 82–88.

De Jonge C, Barratt CL. 2019. The present crisis in male reproductive health: An urgent need for a political, social, and research roadmap. Andrology 7(6), 762–768.

Drabovich AP, Saraon P, Jarvi K, Diamandis EP. 2014. Seminal plasma as a diagnostic fluid for male reproductive system disorders. Nature Reviews Urology 11(5), 278–288.

Du Plessis SS, Agarwal A, Mohanty G, Van der Linde M. 2015. Oxidative phosphorylation versus glycolysis: What fuel do spermatozoa use?. Asian Journal of Andrology 17(2), 230–235.

Eroglu M, Sahin S, Durukan B, Ozakpinar OB, Erdinc N, Turkgeldi L, Karateke A. 2014. Blood serum and seminal plasma selenium, total antioxidant capacity and coenzyme Q10 levels in relation to semen parameters in men with idiopathic infertility. Biological Trace Element Research 159(1), 46–51.

Fallah A, Mohammad-Hasani A, Colagar AH. 2018. Zinc is an essential element for male fertility: A review of Zn roles in men’s health, germination, sperm quality, and fertilization. Journal of Reproduction & Infertility 19(2), 69–76.

Fawcett WJ, Haxby EJ, Male DA. 2000. Magnesium: Physiology and pharmacology. Survey of Anesthesiology 44(2), 97.

Feng RX, Lu JC, Zhang HY, Lü NQ. 2015. A pilot comparative study of 26 biochemical markers in seminal plasma and serum in infertile men. BioMed Research International 2015(1), 805328.

Gabrielsen JS, Lamb DJ, Lipshultz LI. 2018. Iron and a man’s reproductive health: The good, the bad, and the ugly. Current Urology Reports 19, 1–7.

Gavella M, Lipovac V. 1998. In vitro effect of zinc on oxidative changes in human semen. Andrologia 30(6), 317–323.

Giahi L, Mohammadmoradi S, Javidan A, Sadeghi MR. 2016. Nutritional modifications in male infertility: A systematic review covering 2 decades. Nutrition Reviews 74(2), 118–130.

Gonzales GF, Villena A. 2001. True corrected seminal fructose level: A better marker of the function of seminal vesicles in infertile men. International Journal of Andrology 24(5), 255–260.

Hamad AWR, Al-Daghistani HI, Shquirat WD, Abdel-Dayem M, Al-Swaifi M. 2014. Sodium, potassium, calcium and copper levels in seminal plasma are associated with sperm quality in fertile and infertile men. Biochemical Pharmacology 3(4), 1–7.

Hamada AJ, Esteves SC, Agarwal A. 2013. A comprehensive review of genetics and genetic testing in azoospermia. Clinics 68, 39–60.

Hashemi MM, Behnampour N, Nejabat M, Tabandeh A, Ghazi-Moghaddam B, Joshaghani HR. 2018. Impact of seminal plasma trace elements on human sperm motility parameters. Romanian Journal of Internal Medicine 56(1), 15–20.

Irvine S, Cawood E, Richardson D, MacDonald E, Aitken J. 1996. Evidence of deteriorating semen quality in the United Kingdom: Birth cohort study in 577 men in Scotland over 11 years. BMJ 312(7029), 467–471.

Kataria JUHI, Gill GK, Cojandaeaj L. 2021. Relationship of seminal fructose and serum prolactin levels in infertile men. Asian Journal of Pharmaceutical and Clinical Research 14(11), 85–87.

Kothari RP, Chaudhari AR. 2016. Zinc levels in seminal fluid in infertile males and its relation with serum free testosterone. Journal of Clinical and Diagnostic Research 10(5), CC05.

Krausz C, Rosta V, Swerdloff RS, Wang C. 2022. Genetics of male infertility. Emery and Rimoin’s Principles and Practice of Medical Genetics and Genomics, 121–147.

Kumar A, Sharma E, Marley A, Samaan MA, Brookes MJ. 2022. Iron deficiency anaemia: Pathophysiology, assessment, practical management. BMJ Open Gastroenterology 9(1), e000759.

Kumar N, Singh AK. 2016. Role of zinc in male infertility: Review of literature. Indian Journal of Obstetrics and Gynecology Research 3(2), 167–171.

Liang H, Miao M, Chen J, Chen K, Wu B, Dai Q, Yuan W. 2016. The association between calcium, magnesium, and ratio of calcium/magnesium in seminal plasma and sperm quality. Biological Trace Element Research 174, 1–7.

Liu P, Yuan G, Zhou Q, Liu Y, He X, Zhang H, Chen J. 2020. The association between metal exposure and semen quality in Chinese males: The mediating effect of androgens. Environmental Pollution 264, 113975.

Machen GL, Sandlow JI. 2020. Causes of male infertility. Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants, 3–14.

Maciejewski R, Radzikowska-Büchner E, Flieger W, Kulczycka K, Baj J, Forma A, Flieger J. 2022. An overview of essential microelements and common metallic nanoparticles and their effects on male fertility. International Journal of Environmental Research and Public Health 19(17), 11066.

Mahdi BM. 2021. Semen analysis and insight into male infertility. Open Access Macedonian Journal of Medical Sciences 9(A), 252–256.

Milachich T, Dyulgerova-Nikolova D. 2020. The sperm: Parameters and evaluation. Innovations in Assisted Reproduction Technology 3, (no page given).

Morabbi A, Karimian M. 2024. Trace and essential elements as vital components to improve the performance of the male reproductive system: Implications in cell signaling pathways. Journal of Trace Elements in Medicine and Biology, 127403.

Oehninger S, Kruger TF. 2021. Sperm morphology and its disorders in the context of infertility. F&S Reviews 2(1), 75–92.

Onnarakatt D, Vignesh Lakshmanan K, Priya DAM, Poongothai M. Impact of seminal components on seminal quality. (Incomplete citation details – please provide journal, volume, pages, and year).

Osadchuk L, Kleshchev M, Danilenko A, Osadchuk A. 2021. Impact of seminal and serum zinc on semen quality and hormonal status: A population-based cohort study of Russian young men. Journal of Trace Elements in Medicine and Biology 68, 126855.

Panner Selvam MK, Ambar RF, Agarwal A, Henkel R. 2021. Etiologies of sperm DNA damage and its impact on male infertility. Andrologia 53(1), e13706.

Płaczkowska S, Rodak K, Kmieciak A, Gilowska I, Kratz EM. 2024. Exploring correlations: Human seminal plasma and blood serum biochemistry in relation to semen quality. PLOS ONE 19(6), e0305861.

Plante L, Shepherd LD, King WA, Plante C. 1994. Cleavage and ³H‐uridine incorporation in bovine embryos of high in vitro developmental potential. Molecular Reproduction and Development 39(4), 375–383.

Prasad AS. 2014. Impact of the discovery of human zinc deficiency on health. Journal of Trace Elements in Medicine and Biology 28(4), 357–363.

Prashanth L, Kattapagari KK, Chitturi RT, Baddam VRR, Prasad LK. 2015. A review on role of essential trace elements in health and disease. Journal of Dr. YSR University of Health Sciences 4(2), 75–85.

Prien SD, Lox CD, Messer RH, DeLeon FD. 1990. Seminal concentrations of total and ionized calcium from men with normal and decreased motility. Fertility and Sterility 54(1), 171–172.

Rajalakshmi M, Sharma RS, David GFX, Kapur MM. 1989. Seminal fructose in normal and infertile men. Contraception 39(3), 299–306.

Rizkalla SW. 2010. Health implications of fructose consumption: A review of recent data. Nutrition & Metabolism 7, 1–17.

Saleh BOM, Hussain NK, Majid AY, Thabet B, Fadhil KA. 2008. Status of zinc and copper concentrations in seminal plasma of male infertility and their correlation with various sperm parameters. Iraq Postgraduate Medical Journal 7, 76–80.

Sengupta P, Durairajanayagam D, Agarwal A. 2020. Fuel/energy sources of spermatozoa. Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants, 323–335.

Shquirat WD, Daghistani HIA, Hamad AWR, Dayem MA, Swaifi MA. 2013. Zinc, manganese, and magnesium in seminal fluid and their relationship to male infertility in Jordan. International Journal of Pharmacy and Medical Sciences 3(1), 1–10.

Skalnaya MG, Skalny AV. 2018. Essential trace elements in human health: A physician’s view. Tomsk: Publishing House of Tomsk State University 224, 1–222.

Skoracka K, Eder P, Łykowska-Szuber L, Dobrowolska A, Krela-Kaźmierczak I. 2020. Diet and nutritional factors in male (in)fertility—underestimated factors. Journal of Clinical Medicine 9(5), 1400.

Skoracka K, Eder P, Łykowska-Szuber L, Dobrowolska A, Krela-Kaźmierczak I. 2020. Diet and nutritional factors in male (in)fertility—underestimated factors. Journal of Clinical Medicine 9(5), 1400.

Soliman A, De Sanctis V, Elalaily R. 2014. Nutrition and pubertal development. Indian Journal of Endocrinology and Metabolism 18(Suppl 1), S39–S47.

Soliman AT, De Sanctis V, Yassin M, Soliman N. 2017. Iron deficiency anemia and glucose metabolism. Acta Bio Medica: Atenei Parmensis 88(1), 112.

Soliman AT, Yasin M, El-Awwa A, Abdelrahman MO, De Sanctis V. 2013. Does blood transfusion affect pituitary gonadal axis and sperm parameters in young males with sickle cell disease?. Indian Journal of Endocrinology and Metabolism 17(6), 962–968.

Sørensen MB, Bergdahl IA, Hjøllund NHI, Bonde JPE, Stoltenberg M, Ernst E. 1999. Zinc, magnesium and calcium in human seminal fluid: Relations to other semen parameters and fertility. Molecular Human Reproduction 5(4), 331–337.

Talluri TR, Mal G, Ravi SK. 2017. Biochemical components of seminal plasma and their correlation to the fresh seminal characteristics in Marwari stallions and Poitou jacks. Veterinary World 10(2), 214.

Taravati A, Tohidi F. 2016. Association between seminal plasma zinc level and asthenozoospermia: A meta‐analysis study. Andrologia 48(6), 646–653.

Tielemans E, Heederik D, Burdorf A, Loomis D, Habbema DJ. 1997. Intraindividual variability and redundancy of semen parameters. Epidemiology 8(1), 99–103.

Toragall MM, Satapathy SK, Kadadevaru GG, Hiremath MB. 2019. Evaluation of seminal fructose and citric acid levels in men with fertility problem. Journal of Human Reproductive Sciences 12(3), 199–203.

Trang NT, Huyen VT, Linh NT, Sang TT. 2018. Seminal fructose concentration in man infertility and the fructose test’s meaning in diagnosis reason of azoospermia man. Biomed Journal of Scientific & Technical Research 8(1), 6270–6274.

Trang NT, Sang TT, Hoang N, Khanh NTG, Duc TT. 2018. Assessment of the level of seminal zinc and fructose concentration in seminal plasma of Vietnamese infertile men. International Journal of Research Science and Management 5(7), 71–82.

Tsao CW, Liao YR, Chang TC, Liew YF, Liu CY. 2022. Effects of iron supplementation on testicular function and spermatogenesis of iron-deficient rats. Nutrients 14(10), 2063.

Tvrda E, Peer R, Sikka SC, Agarwal A. 2015. Iron and copper in male reproduction: A double-edged sword. Journal of Assisted Reproduction and Genetics 32, 3–16.

Vanderhout SM, Panah MR, Garcia-Bailo B, Grace-Farfaglia P, Samsel K, Dockray J, El-Sohemy A. 2021. Nutrition, genetic variation and male fertility. Translational Andrology and Urology 10(3), 1410.

Wang C, Mbizvo M, Festin MP, Björndahl L, Toskin I. 2022. Evolution of the WHO “Semen” processing manual from the first (1980) to the sixth edition (2021). Fertility and Sterility 117(2), 237–245.

Wise T, Lunstra DD, Rohrer GA, Ford JJ. 2003. Relationships of testicular iron and ferritin concentrations with testicular weight and sperm production in boars. Journal of Animal Science 81(2), 503–511.

Wong WY, Flik G, Groenen PM, Swinkels DW, Thomas CM, Copius-Peereboom JH, Steegers-Theunissen RP. 2001. The impact of calcium, magnesium, zinc, and copper in blood and seminal plasma on semen parameters in men. Reproductive Toxicology 15(2), 131–136.

Wong WY, Flik G, Groenen PM, Swinkels DW, Thomas CM, Copius-Peereboom JH, Steegers-Theunissen RP. 2001. The impact of calcium, magnesium, zinc, and copper in blood and seminal plasma on semen parameters in men. Reproductive Toxicology 15(2), 131–136.

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