Scientific & policy developments regarding the biological & health effects of electromagnetic radiation from cell phones, cell towers, Wi-Fi, Smart Meters, electric vehicles & other wireless technology, including 5G. Website curated by Joel Moskowitz, PhD, Director, Center for Family & Community Health, UC Berkeley School of Public Health.
See the bottom of this page for links to recent news stories about 5G hype.
The CTIA, the wireless industry trade association, has launched an advertising campaign entitled, "The Global Race to 5G." The ads claim that unless the U.S. wins this "global race" to become the first nation to deploy the fifth generation of wireless technology or 5G, we will not reap the economic benefits of this technology.
The CTIA claims that "compared to today's 4G networks, 5G will be up to 100x faster, support
100x more devices, and provide a 5x faster response time." Moreover, the association asserts that the nation's wireless industry is prepared to invest $275 billion in 5G which will yield three million new jobs and $500 billion in economic growth. If we win the global race, the "next-generation of wireless will drive $2.7 trillion of new economic benefits to American families and businesses."
The CTIA has denied for decades that there are adverse health effects from exposure to wireless radiation. By establishing a revolving door between its leadership and the FCC's, the CTIA ensures that the federal regulatory agency maintains the inadequate, obsoleteradio frequency exposure limits which the FCC adopted in 1996.
The FCC and federal health agencies have been oblivious to the health concerns raised by more than 240 scientists from 44 nations who have published peer-reviewed research on the biologic or health effects of exposure to electromagnetic fields.
More than 400 scientists and medical doctors from over 40 countries signed a declaration demanding a moratorium on the planned increase of cell antennas for 5G deployment in the European Union. Concerns over health effects from higher radiation exposure include potential neurological impacts, infertility, and cancer.
The following excerpts were extracted from a 23-page special report from RCR Wireless that cuts through much of the hype surrounding the deployment of 5G. The excerpts are direct quotes from the report. RCR Wireless is a trade publication that has reported on the wireless industry and wireless technology since 1982.
Transitioning to a 5G World
Kelly Hill, RCR Wireless, Nov 2017
Excerpts from the Report
Hype
is certainly high for 5G, given that the industry is still technically
in a pre-standard phase and that standalone 5G systems are still some time off.
5G
is coming even faster than originally expected. In December, the first
official specification from the Third Generation Partnership Project
is expected to be released; 5G New Radio will finally make its
standardized debut – although like Long Term Evolution, 5G will continue to evolve and be refined in the coming years.
“5G will not replace LTE,”
Rysavy Research concluded in an August report for the GSMA. “In most
deployments, the two technologies will be tightly integrated and
co-exist through at least the late-2020s.”
Although
the industry is preparing for 5G, LTE [4G] capabilities will continue to
improve in LTE Advanced Pro through the rest of the decade,” Rysavy
wrote .... 5G will eventually play an important role, but it must be
timed appropriately so that the jump in capability justifies the new
investment.
KT, for example, plans to
support two different frequencies from the get-go in its 5G network: 3.5
GHz as an anchor with better propagation, complemented by 28 GHz in
dense areas. Given that networks are expected to initially be 4G/5G
networks, testing will have to continue to support LTE alongside 5G.
Hurtarte
of LitePoint noted that although “millimeter wave” tends to be treated
as one category, there are significant differences between the
components and frequency planning needed at 28 GHz versus 39 GHz. In
addition, although some frequencies are widely agreed upon, there are
other frequencies that may get the nod for 5G use: 24 GHz in China,
possibly 40-43 Ghz and possibly even above 70 GHz.
There
are some major challenges to the success of 5G, which are all
interrelated: the move to mmwave, the need for ultra-density, and the
question of when the economics of 5G will actually work well enough to
take off.
Mmwave [millimeter wave] provides the huge
bandwidths that are needed for fast speeds and high capacity, but the
higher the frequency, the shorter its range and more susceptible it is
to being easily blocked and reflected (thus the need for beamforming in
order to focus the energy more tightly). Seasonal foliage, energy
efficient glass windows with special coatings, and standard housing
materials all present effective barriers to mmwave reaching indoors to
customer premise equipment, operators and vendors have found in their
field testing.
Denisowski pointed out
that fixed wireless is one thing, but moving objects are another.
Obstruction, not radiating sources of energy, is likely to be the main
cause of interference in 5G systems: vehicles driving back and forth, or
even wind farms can scatter microwave radiation.
Density of foliage “plays a big role,”
said Thadasina of Samsung, which has been working with a number of
carriers on 5G trials. “What we found is that for the mmwave signal, as
it penetrated through trees, the thickness of the trees matters.
Initially the impedence offered by foliage is linear, but beyond a
certain density it is no longer linear … it kills the signal.”Building materials are well-known to play a role in transmission from outdoors to indoors,
he added, but the angle of incidence does as well. The difference
between 30 degrees to 60 degrees to 90 degrees can create additional
impedance, Thadasina said, “some of those things make it challenging in
terms of closing the link.” Moisture levels play a role as well, he said
....
Fiber is fuel for 5G, and its prevalence is increasing. SNL
Kagan found earlier this year that global fiber residential investment
increased sharply in 2016, and that fiber is on track to reach 1 billion
subscribers by 2021. Meanwhile, in the U.S., Vertical Systems Group
reported that 49.6% of multi-tenant and enterprise buildings had access
to fiber last year, compared to only 10% in 2004. Deloitte
said earlier this year that it expects to see $130 billion-$150 billion
in “deep fiber” investment in the U.S. over 5-7 years, due to a
combination of broadband competition, ensuring 5G readiness, and
expanding fiber into new areas. Murphy
of Nokia said that operators should expect that, depending on which
frequency they deploy in, they will need 2.5 to 10 times as many sites
as they have now. That’s a tall order, especially given that small
cell sites in cellular frequencies can take 18 to 24 months to get site
approvals – scaling small cells has been hard enough in LTE, with the
market moving much more slowly than analysts had predicted or carriers
would like.
“It’s going to take a long time,” Einbinder
said. “Constructing a cell tower is hard. A micro-cell has a lot of the
same issues”: power and fiber and access to a site, which a community
may be reluctant to grant – California, for instance, recently
rejected a measure passed at the state level that would have streamlined
processes for small cells.
...
Einbinder thinks that some communities will take initiative and want to
be 5G economic centers. While that’s encouraging for operators, it may
also mean that 5G coverage maps look very different from the familiar
red, blue, yellow and magenta maps indicating nationwide coverage. “The
resulting coverage maps might have a lot more to do with [communities]
than any economic or technological drivers – it’s going to be driven by
local preference.”
While early work
estimated that as many as 40 to 50 homes could be covered by a single
fixed wireless site, according to Rouault of EXFO, that number has
turned out to be around five in testing because of the complexity of
beamforming necessary to support multiple homes. “It’s not at the
point we would say the verdict is out,” Rouault added. “The technology
is proven to work, but to make the business case work, the scale is the
problem right now.”
So the biggest question
is where a breakthrough is going to happen that becomes the point at
which 5G becomes a more attractive investment than LTE. “What can 5G do
that other systems can’t? This is where there is no clear answer,” said
Hemant Minocha, EVP for device and IoT at TEOCO. There is no 5G
requirement for IoT [Internet of Things], he points out, and the business case hasn’t yet
been proven out for ultra-low latency (not to mention that LTE is
capable of lower latency than it has achieved to this point in
networks).
Key Takeaways:
•
The industry is moving quickly toward 5G, with momentum in testing and
trials. The first official 5G specification from 3GPP is expected in
December, with a protocol-focused release coming in the spring of 2018.
•
Many features and architectures in LTE, particularly gigabit LTE, will
both underpin future 5G networks and provide lessons learned in making
5G systems work. These include dense fiber deployment, higher-order and
massive MIMO, network slicing, virtualization, and mobile edge
computing.
• The biggest challenge for 5G lies
in a millimeter-wave based RAN, with significant challenges ahead for
designing and deploying a workable, optimized and profitable mmwave
network on a large scale.
5G Has Been a $100 Billion Whiff So Far: Big telecom providers still haven’t persuaded consumers to embrace the faster system. Scott Moritz & Rob Golum, Bloomberg Businessweek, Mar 3, 2022
The future of wireless technology holds the promise of total connectivity. But it will also be especially susceptible to cyberattacks and surveillance.
Gautam R, Arora T. Radio Frequency Electromagnetic Radiation (RF-EMR) Emitted from Mobile Phone and its Impact on Male Reproductive Health. EIACP: Diversity and Impact on the Environment. 28(3):8-11. 2023.
Diagram representing various sources of RF EMF exposure effect on brain and testicular organ and deleterious outcomes (Kesari, Agarwal & Henkel, 2018)
Summary
In the past decade, 15 reviews of the research on the effects of mobile phone radiation published in peer-reviewed journals found systematic evidence of harmful effects from radio frequency radiation on sperm count, mobility, morphology, and/or viability (see abstracts below). Most of these reviews recommended keeping cell phones away from our bodies, especially our reproductive organs.
In contrast, one systematic review that excluded 60% of the studies concluded, "RF-EMF may affect testicular tissue and sperm quality but the evidence is uncertain" (Cordelli et al., 2024). This review was commissioned by the WHO for an upcoming monograph on the effects of radio frequency radiation.
Review Papers
The effects of radiofrequency radiation on male
reproductive health
and potential mechanisms
Bektas H, Dasdag S. The effects of radiofrequency radiation on male
reproductive health and potential mechanisms. Electromagn Biol Med. 2025
Mar 19:1-26. doi: 10.1080/15368378.2025.2480664.
Abstract
Recent studies have demonstrated that radiofrequency (RF) radiation
emanating from devices such as mobile phones and Wi-Fi may have adverse
effects on male reproductive health. This radiation can elevate
testicular temperature, potentially compromising sperm quality and DNA
integrity, and influence the specific absorption rate (SAR) across
different body regions, leading to detrimental reproductive outcomes.
Furthermore, exposure to RF radiation has been linked to conditions that
could affect male reproductive function, such as oxidative stress,
alterations in ion transitions across cell membranes, and inflammation.
The article reviews research conducted on both humans and animal models
regarding the effects of electromagnetic radiation on sperm quality, DNA
damage, oxidative stress, hormone levels, and testicular function,
suggesting that exposure to electromagnetic radiation could have harmful
implications for male reproductive health. However, further research is
necessary to fully understand the mechanisms and implications of
non-ionizing electromagnetic radiation on male infertility.
Plain-language Summary
In
this review, the effects of RF on male reproduction and the mechanisms
related to them were examined and the results were discussed. “The
effects of RF on sperm, reproductive hormones and testis, occupational
exposure and male reproductive health, mechanisms of RF effects on
reproductive system” were discussed here. In conclusion, further
research is necessary to fully understand the mechanisms and
implications of non-ionizing electromagnetic radiation on male
infertility.
Excerpts
A total of 90 articles were evaluated in this review.
The effects of RF radiation on sperm
In conclusion, despite an incomplete understanding of the precise
mechanisms underlying the impact of non-thermal RF radiation on sperm
and testicular function, research across animal and human studies
consistently suggests a connection between increased levels of ROS
and/or DNA damage and negative impacts on fertility factors. This
indicates that the negative effects of RF radiation on sperm parameters
may primarily be linked to the induction of ROS. Furthermore, the
variability in study outcomes underscores the complexity of RF
radiation’s effects, which may be influenced by factors such as exposure
duration, frequency, and individual susceptibility. Therefore, limiting
mobile phone use may be advisable to mitigate the incidence of male
infertility. However, further research is warranted to explore the
long-term effects of mobile phone radiation on male fertility and the
generalizability of these findings (). Future studies should aim to
clarify the specific biological pathways affected by RF radiation and
standardize experimental protocols to resolve inconsistencies in the
literature.
The effects of RF radiation on DNA
In conclusion, these studies highlight the harmful effects of RF
radiation on male reproductive health, including DNA damage, decreased
sperm mobility and vitality, increased DNA fragmentation, and oxidative
stress. The variability in the findings, driven by differences in study
design, exposure parameters, and biological models, suggests that the
biological impact of RF radiation may be multifactorial, involving
complex interactions between ROS production, DNA repair mechanisms, and
cellular apoptosis pathways. It is advisable to limit RF exposure by
keeping mobile phones away from the pelvic region and minimizing the use
of RF-emitting electronic devices. However, given the inconsistent
outcomes across various studies, future research should focus on
standardizing experimental conditions and exploring the dose-response
relationship to better understand the threshold levels at which RF
radiation becomes detrimental to reproductive health. Further research
is necessary to fully understand the long-term implications of RF
radiation on human reproductive health.
The effects of RF radiation on reproductive hormones and testis
In conclusion, the research discussed in this section indicates that RF
radiation exposure could negatively affect male reproductive health,
leading to changes in hormone levels, testicular morphology, and sperm
count and viability (). Prolonged exposure to wireless internet and
mobile phones has been associated with alterations such as increased
abnormalities in sperm heads and reduced weight of reproductive organs.
Additionally, RF radiation can impact testicular parenchyma in rats,
resulting in irregularly shaped seminiferous tubules with epithelial
cell abnormalities. The complexity of these findings suggests that RF
radiation may induce a cascade of biological responses, including
oxidative stress, hormonal imbalances, and apoptotic processes, which
collectively contribute to testicular damage and compromised
reproductive health. The observed effects appear to be dose-dependent,
with longer durations and higher intensities of RF exposure correlating
with more severe reproductive outcomes. These findings emphasize the
importance of avoiding long-term exposure to RF radiation emissions,
particularly from wireless technologies, to prevent potential harm to
male reproductive health. Future research should focus on elucidating
the precise mechanisms by which RF radiation affects the reproductive
system and identifying potential protective strategies to mitigate these
effects.
Occupational exposure and male reproductive health
In conclusion, the diverse findings from these studies shed light on the
complex relationship between occupational exposure, particularly to
radiofrequency radiation, and male reproductive health outcomes (). The
variability in study outcomes highlights the challenges in establishing a
clear causal link, suggesting that individual susceptibility, exposure
duration, and the specific characteristics of RF equipment used in
different occupational settings may play significant roles. Further
research is warranted to elucidate the underlying mechanisms and to
inform occupational health guidelines and practices. Future studies
should focus on standardizing exposure assessment methods and consider
long-term monitoring of workers in high-risk occupations to better
understand the cumulative effects of RF radiation. Additionally,
exploring potential protective strategies, such as shielding
technologies and exposure limits, could be critical in mitigating the
reproductive risks associated with occupational RF exposure.
Conclusion
This
study comprehensively examined the mechanisms by which RF radiation may
impact male reproductive health, focusing on both thermal and
non-thermal pathways. The findings indicate that RF exposure,
particularly through increased oxidative stress, ionic imbalances, and
inflammation, can disrupt spermatogenesis and impair sperm quality.
While thermal effects highlight the role of testicular temperature
elevation, non-thermal mechanisms such as ROS generation and ionic
dysregulation further emphasize the multifaceted nature of RF-induced
reproductive toxicity. Despite the robust body of evidence,
inconsistencies across studies warrant standardized research protocols
to resolve methodological discrepancies. Future investigations should
prioritize long-term exposure assessments and explore protective
strategies to mitigate the risks associated with RF radiation. These
efforts are critical for informing public health guidelines and ensuring
reproductive health safety in the era of pervasive wireless
communication technologies. Findings underline the importance of
revisiting current regulatory standards to better protect reproductive
health.
Histopathologic
effects of mobile phone radiation exposure on the testes and sperm
parameters: a systematic literature review of animal studies
Msaye
AE, Mohammed AS. Histopathologic effects of mobile phone radiation
exposure on the testes and sperm parameters: a systematic literature
review of animal studies. Frontiers in Reproductive Health. Vol. 6,
2025. doi: 10.3389/frph.2024.1515166.
Abstract
Introduction:
Male infertility, often attributed to insufficient production of
healthy and active sperm, can be exacerbated by electromagnetic
radiation emitted from mobile phones, which disrupts normal
spermatogenesis and leads to a notable decline in sperm quality. The
main targets of mobile phone-induced damage in the testes are Leydig
cells, seminiferous tubules, and sperm cells. The aim of this systematic
literature review is to identify histopathological changes in the
testes due to mobile phone radiation exposure and to examine its effects
on sperm parameters in experimental animals.
Methods: In this
systematic review, an extensive literature search was conducted across
databases such as PubMed, ScienceDirect, Hinari, and Google scholar.
Results:
A total of 752 studies were identified for screening, and 18 studies
were deemed eligible for data extraction. Studies have identified
histopathological alterations in testicular tissue caused by mobile
phone radiation, such as reduced seminiferous tubule diameter, tunica
albuginea and germinal epithelial thickness, Leydig cell hypoplasia, and
increased intertubular space. Consistent exposure to mobile phone
radiation has been shown to significantly reduce sperm count, motility,
and viability, while also increasing abnormal sperm morphology in male
rats, mice, and rabbits.
Conclusion: Animal studies indicate that
electromagnetic radiation from mobile phones can negatively impact
testicular tissue and sperm parameters, including sperm count, motility,
viability, and morphology. As a precaution, preventive measures are
recommended to minimize potential risks from mobile phone exposure, and
further research is needed to fully understand its effects on human
reproductive health.
Effects of radiofrequency electromagnetic field (RF-EMF) exposure on
male fertility: A systematic review of experimental studies on non-human
mammals and human sperm in vitro
Cordelli
E, Ardoino L, Benassi B, Consales C, Eleuteri P, Marino C, Sciortino M,
Villani P, Brinkworth MH, Chen G, McNamee JP, Wood AW, Belackova L,
Verbeek J, Pacchierotti F. Effects of radiofrequency electromagnetic
field (RF-EMF) exposure on male fertility: A systematic review of
experimental studies on non-human mammals and human sperm in vitro.
Environment International. 2024, doi: 10.1016/j.envint.2024.108509. Open
access paper: https://www.sciencedirect.com/science/article/pii/S0160412024000953
Highlights
Systematic review of experimental studies on RF-EMF effects on male fertility.
Risk of bias, inconsistency, publication bias weakened the certainty of results
RF-EMF is unlike to decrease the fecundity of exposed male rodents.
RF-EMF may affect testicular tissue and sperm quality but the evidence is uncertain.
Impact on surrogate markers of fertility may not translate into functional effects.
Abstract
Background
The World Health Organization is coordinating an international project
aimed at systematically reviewing the evidence regarding the association
between radiofrequency electromagnetic field (RF-EMF) exposure and
adverse health effects. Reproductive health outcomes have been
identified among the priority topics to be addressed.
Objectives
To evaluate the effect of RF-EMF exposure on male fertility of
experimental mammals and on human sperm exposed in vitro.
Methods
Three electronic databases (PubMed, Scopus and EMF Portal) were last
searched on September 17, 2022. Two independent reviewers screened the
studies, which were considered eligible if met the following criteria:
1) Peer-reviewed publications of sham controlled experimental studies,
2) Non-human male mammals exposed at any stage of development or human
sperm exposed in vitro, 3) RF-EMF exposure within the frequency range of
100 kHz-300 GHz, including electromagnetic pulses (EMP), 4) one of the
following indicators of reproductive system impairment:•decrease of
fertility: rate of infertile males, rate of nonpregnant females, litter
size and in vitro fertilization rate;•effects on semen quality: in
animal studies sperm count, in both animal and in vitro studies sperm
vitality, morphology and DNA/chromatin alterations;•reproductive organ
toxicity: testis-epididymis weight, testis or epididymis histology,
testis histomorphometry, testicular cell death, estimated testicular
cell production;•hormonal effects: testosterone level.Two reviewers
extracted study characteristics and outcome data. We assessed risk of
bias (RoB) using the Office of Health Assessment and Translation (OHAT)
guidelines. We categorized studies into 3 levels of overall RoB: low,
some or high concern. We pooled study results in a random effects
meta-analysis comparing average exposure to no-exposure and in a
dose–response meta-analysis using all exposure doses. For experimental
animal studies, we conducted subgroup analyses for species, Specific
Absorption Rate (SAR) and temperature increase. We grouped studies on
human sperm exposed in vitro by the fertility status of sample donors
and SAR. We assessed the certainty of the evidence using the GRADE
approach after excluding studies that were rated as “high concern” for
RoB.
Results
One-hundred and seventeen papers on animal studies and 10 papers on
human sperm exposed in vitro were included in this review. Only few
studies were rated as “low concern” because most studies were at RoB for
exposure and/or outcome assessment. Subgrouping the experimental animal
studies by species, SAR, and temperature increase partly accounted for
the heterogeneity of individual studies in about one third of the
meta-analyses. In no case was it possible to conduct a subgroup analysis
of the few human sperm in vitro studies because there were always 1 or
more groups including less than 3 studies. Among all the considered
endpoints, the meta-analyses of animal studies provided evidence of
adverse effects of RF-EMF exposure in all cases but the rate of
infertile males and the size of the sired litters. The assessment of
certainty according to the GRADE methodology assigned a moderate
certainty to the reduction of pregnancy rate and to the evidence of
no-effect on litter size, a low certainty to the reduction of sperm
count, and a very low certainty to all the other meta-analysis results.
Studies on human sperm exposed in vitro indicated a small detrimental
effect of RF-EMF exposure on vitality and no-effect on DNA/chromatin
alterations. According to GRADE, a very low certainty was attributed to
these results. The few studies that used EMP exposure did not show
effects on the outcomes. A low to very low certainty was attributed to
these results.
Discussion
Many of the studies examined suffered of severe limitations that led to
the attribution of uncertainty to the results of the meta-analyses and
did not allow to draw firm conclusions on most of the endpoints.
Nevertheless, the associations between RF-EMF exposure and decrease of
pregnancy rate and sperm count, to which moderate and low certainty were
attributed, are not negligible, also in view of the indications that in
Western countries human male fertility potential seems to be
progressively declining. It was beyond the scope of our systematic
review to determine the shape of the dose–response relationship or to
identify a minimum effective exposure level. The subgroup and the
dose–response fitting analyses did not show a consistent relationship
between the exposure levels and the observed effects. Notably, most
studies evaluated RF-EMF exposure levels that were higher than the
levels to which human populations are typically exposed, and the limits
set in international guidelines. For these reasons we cannot provide
suggestions to confirm or reconsider current human exposure limits.
Considering the outcomes of this systematic review and taking into
account the limitations found in several of the studies, we suggest that
further investigations with better characterization of exposure and
dosimetry including several exposure levels and blinded outcome
assessment were conducted. Protocol registration: Protocols for the
systematic reviews of animal studies and of human sperm in vitro studies
were published in Pacchierotti et al., 2021. The former was also
registered in PROSPERO (CRD42021227729 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID = 227729) and the latter in Open Science Framework (OSF Registration DOI https://doi.org/10.17605/OSF.IO/7MUS3).
Excerpts
4.4. Implications for policy and research
In conclusion, our systematic review and meta-analyses
indicate a possible detrimental effect of RF-EMF exposure on pregnancy
rate and sperm count in experimental mammals, whereas the meta-analysis of data on litter size was consistent with null.
Although
sperm count is not a functional indicator of male fertility, it is a
well-standardised analysis routinely applied in clinical andrology.
RF-EMF emitting devices are widely applied and epidemiological surveys
seem to indicate that, in Western countries, male fertility potential is
declining (Auger et al., 2022, Boulicault et al., 2022, Levine et al.,
2017). For these reasons the results of our meta-analyses should not be
overlooked at a policy level.
It was beyond the scope of our
systematic review to determine the shape of the dose–response
relationship or to identify a minimum effective exposure level. For
these reasons, we cannot provide suggestions to confirm or reconsider
current human exposure limits. Nevertheless, it is of note that most
studies on male fertility, semen quality and reproductive organ toxicity
investigated exposure levels which were rather high with respect to
those relevant for human populations: 75–80 % tested exposure levels
above 0.4 W/kg (ICNIRP basic restriction for workers) and 46–53 % tested
exposure levels above 4 W/kg (ICNIRP health effect level) (ICNIRP,
2020). Thus, it is not known the extent to which the conclusions of the
SR meta-analysis can be applied to human exposure levels. Similarly, it
is unknown how much our conclusion can be extrapolated to frequencies
below 100 MHz and above 10000 MHz, for which only very few studies were
retrieved.
During
the systematic review, we identified several methodological limitations
in the studies that should be overcome to improve the quality of future
research. In particular, blinding during experiment performance and
outcome assessment should always be applied to minimize bias, an
adequate number of cytological or histological preparations should be
analysed, automated methods of analysis should be applied whenever
possible, a more standardized and complete reporting of technical
methods and results should be adopted. Many studies had to be excluded
from the systematic review because of insufficient exposure
characterization and a large proportion of included studies were rated
at either ‘some’ or ‘high concern’ for RoB for similar reasons. We would
recommend that future studies bear the reasons for exclusion or RoB
concerns in mind in study design and implementation. There are several
papers in the research literature with recommendations on how exposure
characterisation concerns can be mitigated, for example Kuster and Schonborn (2000).
Finally, studies investigating not just a single level but several
exposure levels, spanning from low levels comparable to human exposure
to higher levels where mild hyperthermic effects could be expected,
should be conducted under the same experimental conditions and target
tissue temperature monitoring should be employed.
As a
final suggestion for future research, we consider it a priority to
obtain a scientifically solid database of possible RF-EMF effects on the
best predictive surrogate markers of male infertility in experimental
rodents. Based on the results of this research, the possibility of
testing directly the RF-EMF impact on male reproductive performance
could be considered. In view of the limitations of the approach applying
in vitro exposure of human sperm, we do not recommend further
studies of this kind. Conversely, we suggest exploiting semen quality
analysis in human biomonitoring investigations of RF-EMF exposed
populations....
Other reviews assessing the impact of
RF-EMF exposure on male fertility have recently been published, but
these only partially assessed the available literature data (Kesari et
al., 2018, Sciorio et al., 2022, Sterling et al., 2022, Vornoli et al.,
2019). The few recently published systematic reviews on this topic
suffered from some methodological limitations such as the lack of a Risk
of Bias analysis (Jaffar et al., 2019, Kim et al., 2021), they limited
analysis to only assess effects on semen parameters or were limited to
exposure conditions relevant to mobile phone exposures thereby imposing a
SAR cut-off (Yu et al., 2021). International committees on human health
protection from electromagnetic fields were unable to draw firm
conclusions on the possibility of an adverse effect of RF-EMF on male
fertility at exposure levels where humans are typically exposed (ICNIRP,
2020, SCENIHR, 2015)....
We considered only original, controlled experimental studies published
in peer-reviewed journals. We excluded non-experimental studies (e.g.,
human epidemiologic or other observational studies), and studies of
exposure of both males and females of a mating pair (additional decision
and change from protocol, see Section 4.5.2). We excluded papers
reporting reviews, opinions, proceedings or meeting abstracts. We did
not impose any year-of-publication or language restriction....
For
each endpoint, we first conducted a meta-analysis of exposed vs sham
control comparisons. When a study had several exposure groups matched to
the same comparator, the means and standard deviations of these exposed
groups were combined into one exposed group using the formulas provided
in the paragraph 6.5.2.10 of the Cochrane Handbook (Higgins and Li,
2022), so that each study was entered only once into the meta-analysis.
The exposure level assigned to that combined exposed group was
calculated as the average SAR of the exposed groups in that study
weighed by the number of animals in each exposed group. In the forest
plots this is indicated with an asterisk after the study ID. Studies
that compared each exposed group to another separate sham control group
were entered as separate studies in the meta-analysis. When multiple
studies were reported in the same paper, this is indicated with a number
after the study ID in the forest plot....
All data subject to a meta-analysis were graphically
synthesized by forest plots. A forest plot was drawn in which the
studies were divided according to their overall RoB level as “low or
some concern” or “high concern”. We decided to exclude from the
assessment of the pooled effect sizes the studies rated at “high
concern” for RoB in order to draw conclusions based upon the most robust
data (see Section 4.5.2)....
After reading the full text, 175
papers on animal studies were excluded. They are listed in Supplementary
File 1a with a justification of the exclusion rationale together with
those not retrieved or not translated. Over 45 % of the animal studies
were excluded because essential information was missing regarding
exposure set-up and/or dosimetry, e.g., details on how the exposure
system output was established and maintained or exposure frequency. A
further 27 % of the studies were excluded because outcome data were
deemed out-of-scope or invalid....
Regarding studies on human
sperm in vitro, we excluded 33 papers after reading the full text
(Supplementary File 1b). Most papers were excluded because they did not
report peer-reviewed original results. Other papers could not be
included in the systematic review because exposure conditions and/or
dosimetry were insufficiently reported or because the exposure
conditions did not provide a sufficient exposure contrast between RF-EMF
exposed and sham-exposed samples....
4.1. Summary of the evidence and interpretation of the results
From
experimental animal studies there is moderate certainty of evidence
that RF-EMF exposure reduces rate of pregnancy, moderate certainty of
evidence that exposure does not reduce litter size, and low certainty of
evidence that exposure lowers sperm count. All other results of animal
studies and all results on human sperm exposed in vitro have
very low certainty. We retrieved few independent studies reporting male
reproductive effects after experimental animal exposure to EMP. For this
source of exposure, results on pregnancy rate, litter size and sperm
count, all consistent with null, have a low certainty. All other results
have a very low certainty.
It can be asked whether the results of our meta-analyses
are consistent with the hypothesis that higher exposure levels,
especially those inducing an hyperthermic effect, are more biologically
effective than lower exposure levels. The result on the decrease of
pregnancy rate is consistent with this hypothesis, as shown by the
observation that the pooled effect size is statistically significant
only in the subgroup of studies exposed to SAR equal to or higher than
5 W/kg and the statistically significant slope of the linear
dose–response relationship. On the other hand, the results on sperm
count do not show an increase of the detrimental effect with increasing
SAR and all the models of dose–response relationship tested fit the data
poorly. Also for other endpoints (the results of which were rated at
very low certainty), a direct relationship between the effect and the
exposure level is not evident by the subgroup and dose–response analyses
and, in some cases, even the possibility of an inverse relationship is
suggested by the data. However, this suggestion is not sustained by a
solid adverse outcome pathway, and, in some cases, it is based only on
few independent studies. We tested if other variables unequally
distributed among the subgroups could have a role in increasing the
heterogeneity of the observed results and could confound any underlying
dose–effect relationship. Indeed, we showed that the absence of blinding
during outcome assessment could strongly influence the results for
those endpoints that were not measured by automated methods, thus
supporting this hypothesis.
4.2. Limitations in the evidence
Of
all the papers included in the database of animal studies after the
title/abstract evaluation, about 60 % had to be excluded for different
reasons, with poor exposure characterization accounting for about 45 %
of them....
Financial support
This project was partially funded by the World Health Organization (contracts 2020/1026306–0, 2022/1275453–1).
WHO provided the basis for the protocol and methodological support
throughout the review process. Additional in-kind funds were provided by
ENEA, Health Canada and Swinburne University of Technology.
Acknowledgments
We
are grateful to Emilie van Deventer, Maria Rosaria Scarfì and Eric van
Rongen for advice regarding the protocols draft and for discussions to
ensure consistency in approaches across the multiple ongoing WHO
systematic reviews. We wish to thank Flavio Di Marzio for his
appreciated graphical help.
Detrimental
impact of cell phone radiation on sperm DNA integrity
Koohestanidehaghi Y, Khalili MA, Dehghanpour F, Seify M. Detrimental impact of cell phone radiation on sperm DNA integrity. Clin Exp Reprod Med. 2024 Jan 24. doi: 10.5653/cerm.2023.06121.
Abstract
Radiofrequency electromagnetic radiation (RF-EMR) from various sources may impact health due to the generation of frequency bands. Broad pulses emitted within frequency bands can be absorbed by cells, influencing their function. Numerous laboratory studies have demonstrated that mobile phones-generally the most widely used devices-can have harmful effects on sex cells, such as sperm and oocytes, by producing RF-EMR. Moreover, some research has indicated that RF-EMR generated by mobile phones can influence sperm parameters, including motility, morphology, viability, and (most critically) DNA structure. Consequently, RF-EMR can disrupt both sperm function and fertilization. However, other studies have reported that exposure of spermatozoa to RF-EMR does not affect the functional parameters or genetic structure of sperm. These conflicting results likely stem from differences among studies in the duration and exposure distance, as well as the species of animal used. This report was undertaken to review the existing research discussing the effects of RF-EMR on the DNA integrity of mammalian spermatozoa.
EMW can induce oxidative stress, which subsequently leads to disorders such as reduced mobility, morphological changes, acrosome disturbances, and ultimately, damage to the nucleus and genetic material. This oxidative damage to DNA can result in the breakdown of both single-stranded and double-stranded DNA structures, culminating in fragmentation. If the DNA is not repaired and the damage accumulates, the sperm may undergo apoptosis. Damage to the sperm genome can ultimately impact fertility, potentially leading to infertility. Therefore, it is advisable to limit daily exposure to these sources to prevent irreversible damage caused by EMWs. Many men carry their cell phones in their trouser pockets or clipped to their belts, and the use of Bluetooth can increase their susceptibility to RF-EMR exposure. This exposure can induce changes in sperm quality through oxidative stress, potentially leading to infertility. Agarwal et al. [11] suggested that carrying a cell phone in a pocket could lead to a decline in sperm quality. However, it is important to note that the phone and male reproductive organs are separated by multiple tissue layers. Therefore, extrapolating these in vitro effects to real-life conditions requires further studies [11].
In July 2021, the European Parliament commissioned a research report titled “Health impact of 5G.” The report concluded that the commonly used RF-EMFs are likely carcinogenic to humans and have a definitive impact on male fertility. It also suggested potential adverse effects on the development of embryos, fetuses, and newborns. To mitigate these adverse effects, the organization proposed several strategies. These include favoring non-wireless connections, increasing distance from the source of RF-EMFs, switching off devices when not in use, and practicing safe phone usage [55].
Genotoxic Risks to Male Reproductive Health from Radiofrequency Radiation
Kaur P, Rai U, Singh R. Genotoxic Risks to Male Reproductive Health from Radiofrequency Radiation. Cells. 2023; 12(4):594. https://doi.org/10.3390/cells12040594.
Abstract
During modern era, mobile phones, televisions, microwaves, radio, and wireless devices, etc., have become an integral part of our daily lifestyle. All these technologies employ radiofrequency (RF) waves and everyone is exposed to them, since they are widespread in the environment. The increasing risk of male infertility is a growing concern to the human population. Excessive and long-term exposure to non-ionizing radiation may cause genetic health effects on the male reproductive system which could be a primitive factor to induce cancer risk. With respect to the concerned aspect, many possible RFR induced genotoxic studies have been reported; however, reports are very contradictory and showed the possible effect on humans and animals. Thus, the present review is focusing on the genomic impact of the radiofrequency electromagnetic field (RF-EMF) underlying the male infertility issue. In this review, both in vitro and in vivo studies have been incorporated explaining the role of RFR on the male reproductive system. It includes RFR induced-DNA damage, micronuclei formation, chromosomal aberrations, SCE generation, etc. In addition, attention has also been paid to the ROS generation after radiofrequency radiation exposure showing a rise in oxidative stress, base adduct formation, sperm head DNA damage, or cross-linking problems between DNA & protein.
Conclusions
The present review reveals a better understanding of the genotoxic effects of radiofrequency radiation on male reproductive health emitted from mobile phones, laptops, microwaves, wireless networks, etc. The study focused on different endpoints such as DNA damage, micronuclei formation and genomic instability, SCE & chromosomal aberrations covering both in vitro and in vivo parameters. The available information following in vitro and in vivo exposure shows that all the yielded data has both positive and negative results. In this review, studies reported DNA fragmentation, apoptosis, and elevated protein expression in both human and animal spermatozoa, concluding a decrease in viability, mitochondrial genomic destruction and DNA strand breaks. Further micronuclei formation, SCE and chromosomal aberrations are also found to cause abnormalities, leading to the accumulation of mutations and hence causing cancer risk. While controversial investigation, on the other hand, supported with no effect on cellular apoptosis or DNA integrity. Our present study reviewed that RFR has insufficient energy production to generate genomic damage. Yet, such effects were probably found to be responsible for male infertility due to the indirect mechanism of oxidative stress via ROS generation in the exposed system. Few studies also suggested that the damage due to the cumulative effect of repeated exposure varies with physical parameters such as distance from the radiation source, short-term or long-term exposure duration, penetration depth, and frequency of exposure. Therefore, considering all data together, the present review supports the capability of radiofrequency radiation to induce genotoxicity underlying male infertility keeping some limitations in mind, since the report is a conclusion of narrative study and limited literature were found explaining the actual mechanism of micronuclei formation, sister chromatid exchange, chromosomal aberration and genomic instability. Hence, more studies are needed to elucidate the DNA damage mechanism with more robust study designs favoring potential genotoxic effects of RFR on male reproductive health.
Pusan National University scientists reveal links between sperm quality and cell phone use
The findings of their updated meta-analysis hint at the potential dangers of modern electronic gadgets
Pusan National University, News Release
image: After examining a series of studies from 2012 to 2021, researchers have performed an updated meta-analysis that clearly indicates the connection between cell phone and decreased sperm quality.view more
Credit: Pusan National University
Cell phones have succeeded in bringing the world closer, making life tolerable during a very trying time. But cellphones also have their downsides. They can have negative effects on health. This is because cell phones emit radiofrequency electromagnetic waves (RF-EMWs), which are absorbed by the body. According to a meta-analysis from 2011, data from previous studies indicate that RF-EMWs emitted by cell phones degrade sperm quality by reducing their motility, viability, and concentration. However, this meta-analysis had a few limitations, as it had low amounts of in vivo data and considered cell phone models that are now outdated.
In an effort to bring more up-to-date results to the table, a team of researchers led by Assistant Professor Yun Hak Kim from Pusan National University, Korea, conducted a new meta-analysis on the potential effects of cell phones on sperm quality. They screened 435 studies and records published between 2012 and 2021 and found 18—covering a total of 4280 samples—that were suitable for the statistical analyses. Their paper was made available online on July 30, 2021 and was published in Volume 202 of Environmental Research in November, 2021.
Overall, the results indicate that cell phone use is indeed associated with reduced sperm motility, viability, and concentration. These findings are more refined than those from the previous meta-analysis thanks to a better subgroup analysis of the data. Another important aspect that the researchers looked into was if higher exposure time to cell phones was correlated to lower sperm quality. However, they found out that the decrease in sperm quality was not significantly related to exposure time—just to exposure to mobile phones itself. Considering the results were consistent across both in vivo and in vitro (cultured sperm) data, Dr. Kim warns that “Male cell-phone users should strive to reduce mobile phone use to protect their sperm quality.”
Knowing that the number of cell phone users is most likely going to increase in the future, it’s high time we start considering exposure to RF-EMW as one of the underlying factors causing a reduction in sperm quality among the male population. Moreover, seeing how technologies evolve so quickly, Dr. Kim remarks that “additional studies will be needed to determine the effect of exposure to EMWs emitted from new mobile phone models in the present digital environment.” The bottom line is, if you’re worried about your fertility (and potentially other aspects of your health), it may be a good idea to limit your daily cell phone use.
Effects of mobile phone usage on sperm quality – No time-dependent relationship on usage: A systematic review and updated meta-analysis
Sungjoon Kim, Donghyun Han, Jiwoo Ryu, Kihun Kim, Yun Hak Kim. Effects of mobile phone usage on sperm quality – No time-dependent relationship on usage: A systematic review and updated meta-analysis. Environmental Research. 202:111784, 2021. doi:10.1016/j.envres.2021.111784.
Abstract
Background Mobile phones emit radiofrequency (RF) electromagnetic waves (EMWs), a low-level RF that can be absorbed by the human body and exert potential adverse effects on the brain, heart, endocrine system, and reproductive function. Owing to the novel findings of numerous studies published since 2012 regarding the effect of mobile phone use on sperm quality, we conducted a systematic review and updated meta-analysis to determine whether the exposure to RF-EMWs affects human sperm quality.
Methods This study was conducted in accordance with the PRISMA guidelines. The outcome measures depicting sperm quality were motility, viability, and concentration, which are the most frequently used parameters in clinical settings to assess fertility.
Results We evaluated 18 studies that included 4280 samples. Exposure to mobile phones is associated with reduced sperm motility, viability, and concentration. The decrease in sperm quality after RF-EMW exposure was not significant, even when the mobile phone usage increased. This finding was consistent across experimental in vitro and observational in vivo studies.
Discussion Accumulated data from in vivo studies show that mobile phone usage is harmful to sperm quality. Additional studies are needed to determine the effect of the exposure to EMWs from new mobile phone models used in the present digital environment.
Excerpts
"... 18 studies fulfilled all inclusion criteria and were included in the meta-analysis (Table 1 and Fig. 1) (Agarwal et al., 2008, 2009; Ahmad and Baig, 2011; Al-Bayyari, 2017b; De Iuliis et al., 2009; Ding et al., 2018a; Dkhil et al., 2011; Erogul et al., 2006; Falzone et al., 2008; Fejes et al., 2005; Kaya et al., 2020; Malini, 2017b; Rago et al., 2013; Sajeda and Al-Watter, 2011; Veerachari and Vasan, 2012; Wdowiak et al., 2018; Yildirim et al., 2015; Zalata et al., 2015). Nine studies from a previous meta-analysis and nine new studies that included 4280 samples were used for analysis. One conference paper included in the previous study was excluded. The sperm quality parameters established in each paper varied and were subjected to a meta-analysis; 16 papers provided data on sperm motility, 6 provided data on sperm viability, and 12 provided data on sperm concentration. All in vitro studies were experimental, whereas all in vivo studies were observational. We identified the MD values of the entire 4280 samples and analyzed the MD values of each group after classifying them according to four criteria: control group setting (non-exposure vs. less exposure), study design (in vivo and in vitro), participant group (fertility clinic and population), and storage location (trousers or not)."
Conclusion
"Mobile phone use decreased the overall sperm quality by affecting the motility, viability, and concentration. It was further reduced in the group with high mobile phone usage. In particular, the decrease was remarkable in in vivo studies with stronger clinical significance in subgroup analysis. Therefore, long-term cell phone use is a factor that must be considered as a cause of sperm quality reduction. Additional studies are needed to determine the effect of the exposure to EMWs emitted from new mobile phone models in the present digital environment."
Romualdo Sciorio, Luca Tramontano, Sandro C Esteves. Effects of mobile phone radiofrequency radiation on sperm quality. Zygote. 2021 Aug 13;1-10. doi: 10.1017/S096719942100037X
Abstract
In the last decades, the universal use of mobile phones has contributed to radiofrequency electromagnetic radiation environmental pollution. The steady growth in mobile phone usage has raised concerns about the effects of phone radiation on male reproductive health. Epidemiological studies report a sharp decline in sperm counts in developing countries, and worldwide with c. 14% of couples having difficulties to conceive, many of which are attributed to a male infertility factor. Environment and lifestyle factors are known to contribute to male infertility. Exposure to heat, radiation, or radioactivity might induce damage to biological tissue organs, including the testis. Given the ubiquitous use of mobile phones, the potential adverse effects of the resulting environmental radiation needs to be elucidated further. It seems to be an apparent relationship between the increased exposure to mobile phone radiofrequency and sperm quality decline, but the evidence is not conclusive. Our review summarizes the evidence concerning the possible adverse effects of cell phone radiation on the male reproductive system, with a focus on sperm quality. Also, we critically analyze the effects of elevated testicular temperature and oxidative stress on male fertility and how these factors could interfere with the physiological activities of the testis.
The rapid technological advances in personal computers and communication devices might pose a risk for human health. Cell phone devices emit radiofrequency electromagnetic waves that seem to affect male reproductive health and other body functions (McClelland 3rd and Jaboin, 2018; Sage and Burgio, 2018; Wall et al., 2019). Although the current data are not unequivocal, it seems sound to speculate that mobile phone exposure might be contributing to subfertility. However, the existing evidence primarily relates to adverse effects on sperm motility and morphology, which are limited endpoints for evaluating the male fertility potential.
The exact mechanisms of how RF-EMR might affect the testis, epididymis, and sperm have not yet been fully understood. Additional studies are warranted, particularly prospective studies assessing sperm functional markers, such as sperm DNA integrity and OS, in fertile and subfertile men. Equally important will be to analyze whether the decreased sperm quality associated with mobile phone exposure translates into impaired pregnancy chances. The effects of short-term and long-term exposure and energy intensity should be also investigated in more detail, taking into account relevant confounders. Only then will scientific societies and regulatory bodies be able to provide users with transparent information concerning the risks and guidance for proper use.
--
Gang Yu, Zhiming Bai, Song Chao, Qing Cheng, Gang Wang, Zeping Tang, Sixing Yang. Current progress on the effect of mobile phone radiation on sperm quality: an updated systematic review and meta-analysis of human and animal studies. Environmental Pollution. Published online: 30 March 2021. https://doi.org/10.1016/j.envpol.2021.116952.
Highlights
• Mobile phone use was related to sperm quality decline of men in some areas. • Mobile phone RF-EMR directly impaired mature sperm of men in vitro. • Mobile phone RF-EMR affected some parameters of sperm quality in experiment animals. • Experiment conditions affected pooled results of animal experiments. • More studies should be conducted to investigate this issue in new era.
Abstract
Potential suppression of fertility due to mobile phone radiation remains a focus of researchers. We conducted meta-analyses on the effects of mobile phone radiation on sperm quality using recent evidence and propose some perspectives on this issue. Using the MEDLINE/PubMed, Embase, WOS, CENTRAL, and ClinicalTrials.gov databases, we retrieved and screened studies published before December 2020 on the effects of mobile phone use/mobile phone RF-EMR on sperm quality.
Thirty-nine studies were included. Data quality and general information of the studies were evaluated and recorded. Sperm quality data (density, motility, viability, morphology, and DFI) were compiled for further analyses, and we conducted subgroup, sensitivity, and publication bias analyses.
The pooled results of human cross-sectional studies did not support an association of mobile phone use and a decline in sperm quality. Different study areas contributed to the heterogeneity of the studies. In East Europe and West Asia, mobile phone use was correlated with a decline in sperm density and motility. Mobile phone RF-EMR exposure could decrease the motility and viability of mature human sperm in vitro.
The pooled results of animal studies showed that mobile phone RF-EMR exposure could suppress sperm motility and viability. Furthermore, it reduced sperm density in mice, in rats older than 10 weeks, and in rats restrained during exposure. Differences regarding age, modeling method, exposure device, and exposure time contributed to the heterogeneity of animal studies. Previous studies have extensively investigated and demonstrated the adverse effects of mobile phone radiation on sperm.
In the future, new standardized criteria should be applied to evaluate potential effects of mobile phone RF-EMR dosages. Further sperm-related parameters at the functional and molecular levels as well as changes in biological characteristics of germ cells should be evaluated. Moreover, the impact of mobile phone RF-EMR on individual organs should also be examined.
Conclusion
The
results of our meta-analysis indicated that in East Europe and West
Asia, mobile phone use is associated with a decline in human sperm
density and motility. Mobile phone RF-EMR can reduce motility and
viability of mature human sperm in vitro, and it can also
reduce sperm motility and viability in male animals and decrease sperm
density of sexually mature restrained rats. Some important factors that
affect the results of animal experiments are study setup and radiation
device as well as age and exposure time. Our study is an extension of
previous studies and has scientific value for future studies on effects
of mobile phone RF-EMR associated with sperm quality.
Pooja Negi, Rajeev Singh.
Association between reproductive health and nonionizing radiation exposure.
Electromagnetic Biology and Medicine. Published online: 20 Jan 2021. DOI: 10.1080/15368378.2021.1874973.
Abstract
Recently,
a decreasing rate of fertility has to be credited to an array of
factors such as environmental, health and lifestyle. Male infertility is
likely to be affected by the strong exposure to heat and radiations.
The most common sources of nonionizing radiations are cell phones,
laptops, Wi-Fi and microwave ovens, which may participate to the cause
of male infertility. One of the major sources of daily exposure to
non-ionizing radiation is mobile phones. A mobile phone is now basically
dominating our daily life through better services such as connectivity,
smartphone devices. However, the health consequences are linked with
their usage are frequently ignored. Constant exposure to non-ionizing
radiations produced from a cell phone is one of the possible reasons for
growing male infertility. Recently, several studies have shown that
cell phone users have altered sperm parameters causing declining
reproductive health. Cell phone radiation harms male fertility by
affecting the different parameters like sperm motility, sperm count,
sperm morphology, semen concentration, morphometric abnormalities,
increased oxidative stress along with some hormonal changes. This review
is focusing on the prevailing literature from in vitro and in vivo
studies suggesting that non-ionizing exposure negatively affects human
male infertility.
Negi & Singh, 2021
Conclusion
Generally,
the outcome of the studies has indicated that mobile phone usage
changes different sperm parameters in both ways in-vitro (human) and
in-vivo (animals). Several studies disclose that the exposure to cell
phones produces harmful effects on the testes, which may affect sperm
motility, sperm number, sperm concentration, and morphology and an
increased DNA damage, causing micronuclei formation and reactive oxygen
species within the cell. So many evidences showed that exposure from
cell phones results in elevated oxidative stress with disintegrated DNA
and it is directly and indirectly dependent on the time of cell phone
use. Further researches are required to provide strong evidence that the
use of mobile phones may disturb sperm and testicular activity. Several
evidences suggest that the irregularities reported due to
RF-EMF-exposure depend on physical parameters such as utilized RF
wavelength, penetration range into the object, and transmission length
of the radiation. Unfortunately, existing studies are not able to
suggest a true mechanism between the harmful effects of RF-EMF radiation
and the male reproductive system. To conclude all of the above,
government bodies and agencies should form strong guidelines against
cell phone exposure and take preventive actions such as in the usage of
mobile phones, preventing chatting, reducing the overall contact time,
and holding the gadget away from the groin may be of significant help to
people pursuing fertility. Moreover, very limited studies are available
on protective actions so far so a large-scale analysis is also required
to determine the reproductive parameters.
Chidiebere Emmanuel Okechukwu.
Does the Use of Mobile Phone Affect Male Fertility? A Mini-Review.
J Hum Reprod Sci. Jul-Sep 2020;13(3):174-183. doi: 10.4103/jhrs.JHRS_126_19.
Abstract
Presently, there is a rise in the use of mobile phones, laptops, and wireless internet technologies such as Wi-Fi and 5G routers/modems across the globe; these devices emit a considerable amount of electromagnetic radiation (EMR) which could interact with the male reproductive system either by thermal or nonthermal mechanisms. The aim of this review was to examine the effects of mobile phone use on male fertility. Related studies that reported on the effects of EMR from mobile phones on male fertility from 2003 to 2020 were evaluated. PubMed database was used. The Medical Subject Heading system was used to extract relevant research studies from PubMed. Based on the outcomes of both human and animal studies analyzed in this review, animal and human spermatozoa exposed to EMR emitted by mobile phones had reduced motility, structural anomalies, and increased oxidative stress due to overproduction of reactive oxygen species. Scrotal hyperthermia and increased oxidative stress might be the key mechanisms through which EMR affects male fertility. However, these negative effects appear to be associated with the duration of mobile phone use.
Conclusion
Based
on the outcomes of both human and animal studies examined in this
review, animal and human spermatozoa exposed to EMR emitted by mobile
phones had reduced motility, structural anomalies, and increased
oxidative stress due to the production of ROS. Scrotal hyperthermia and
increased oxidative stress might be the key mechanisms by which EMR
affects male fertility. However, these negative effects appear to be
associated with the duration of mobile phone use.
Jaffar FHF, Osman K, Ismail NH, Chin KY, Ibrahim SF.
Adverse Effects of Wi-Fi Radiation on Male Reproductive System: A Systematic Review.
Tohoku J Exp Med. 2019;248(3): 169-179. doi: 10.1620/tjem.248.169. (Note: Smartphones emit Wi-Fi, Bluetooth and various types of cellular radiation.)
Abstract
Extensive use of Wi-Fi has contributed to
radiofrequency electromagnetic radiation (RF-EMR) pollution in
environment. Various studies have been conducted to evaluate the effect
of RF-EMR emitted by Wi-Fi transmitter on male reproduction health.
However, there are conflicting findings between studies. Thus, this
review aims to elucidate the possible effects of 2.45 GHz Wi-Fi exposure
on both animal and human male reproductive system. A computerized
database search performed through MEDLINE via Ovid and PUBMED with the
following set of keywords: 'Wi-Fi or WiFi or wireless fidelity or Wi-Fi
router or WiFi router or electromagnetic or radiofrequency radiation'
AND 'sperm or spermatozoa or spermatogenesis or semen or seminal plasma
or testes or testis or testosterone or male reproduction' had returned
526 articles. Only 17 studies conformed to pre-set inclusion criterion.
Additional records identified through Google Scholar and reviewed
article further revealed six eligible articles. A total of 23 articles
were used for data extraction, including 15 studies on rats, three
studies on mice, and five studies on human health. Sperm count, motility
and DNA integrity were the most affected parameters when exposed to
RF-EMR emitted by Wi-Fi transmitter. Unfortunately, sperm viability and
morphology were inconclusive. Structural and/or physiological analyses
of the testes showed degenerative changes, reduced testosterone level,
increased apoptotic cells, and DNA damage. These effects were mainly due
to the elevation of testicular temperature and oxidative stress
activity. In conclusion, exposure towards 2.45 GHz RF-EMR emitted by
Wi-Fi transmitter is hazardous on the male reproductive system.
Kesari KK, Agarwal A, Henkel R.
Radiation and male fertility.
Reprod Biol Endocrinol. 2018 Dec 9;16(1):118. doi: 10.1186/s12958-018-0431-1.
Abstract
During
recent years, an increasing percentage of male infertility has to be
attributed to an array of environmental, health and lifestyle factors.
Male infertility is likely to be affected by the intense exposure to
heat and extreme exposure to pesticides, radiation, radioactivity and
other hazardous substances. We are surrounded by several types of
ionizing and non-ionizing radiations and both have recognized causative
effects on spermatogenesis. Since it is impossible to cover all types of
radiation sources and their biological effects under a single title,
this review is focusing on radiation deriving from cell phones, laptops,
Wi-Fi and microwave ovens, as these are the most common sources of
non-ionizing radiation, which may contribute to the cause of
infertility by exploring the effect of exposure to radiofrequency
radiation on the male fertility pattern. From currently available
studies it is clear that radiofrequency electromagnetic fields (RF-EMF)
have deleterious effects on sperm parameters (like sperm count,
morphology, motility), affects the role of kinases in cellular
metabolism and the endocrine system, and produces genotoxicity, genomic
instability and oxidative stress. This is followed with protective
measures for these radiations and future recommendations. The study
concludes that the RF-EMF may induce oxidative stress with an increased
level of reactive oxygen species, which may lead to infertility. This
has been concluded based on available evidence from in vitro and in
vivo studies suggesting that RF-EMF exposure negatively affects sperm
quality.
Ford-Glanton BS, Melendez DA. Male reproductive toxicants:
Electromagnetic radiation and heat. Reference Module in Biomedical Sciences, 2018.
Abstract
Human population in today's world lives surrounded by
radiofrequency fields (RF) and electromagnetic radiation (EM) fields,
transmitting almost all forms of electronic communication and data that humans
produce every second. Mobile devices and laptop computers are EMR-emitting
devices. The effect of mobile phone emitted radiation and heat on fertility is
the subject of recent interest and investigations. Many studies have found a
decrease in semen quality which has increased the focus on male reproductive
health. Infertility affects approximately 15% of couples of reproductive age,
and nearly half of these cases are linked to male fertility (Sharlip et al.,
2002). Different harmful environmental influences have led to changes in semen
analysis standards by reducing the lower limits of normal ranges, which were
declared by the World Health Organization (2010). The possible negative impact
of mobile phone radiation on sperm quality has been well established. While no
certain conclusions can be drawn from current evidence, a growing number of
studies indicate a decrease in male fertility associated with increased
cellular phone usage (Agarwal et al., 2011) and laptop computers using Wi-Fi
(Avendaño et al., 2012a). Here we review the current evidence regarding the
effects of electromagnetic radiation and heat in male fertility.
-- Yahyazadeh
A, Deniz OG, Kaplan AA, Altun G, Yurt KK, Davis D. The genomic effects
of cell phone exposure on the reproductive system. Environ Res. 2018 Nov;167:684-693. doi: 10.1016/j.envres.2018.05.017.
Abstract
Humans
are exposed to increasing levels of electromagnetic fields (EMF) at
various frequencies as technology advances. In this context, improving
understanding of the biological effects of EMF remains an important,
high priority issue. Although a number of studies in this issue and
elsewhere have focused on the mechanisms of the oxidative stress caused
by EMF, the precise understanding of the processes involved remains to
be elucidated. Due to unclear results among the studies, the issue of
EMF exposure in the literature should be evaluated at the genomic level
on the reproductive system. Based on this requirement, a detail review
of recently published studies is necessary. The main objectives of this
study are to show differences between negative and positive effect of
EMF on the reproductive system of animal and human. Extensive review of
literature has been made based on well known data bases like Web of
Science, PubMed, MEDLINE, Google Scholar, Science Direct, Scopus. This
paper reviews the current literature and is intended to contribute to a
better understanding of the genotoxic effects of EMF emitted from mobile
phones and wireless systems on the human reproductive system,
especially on fertility. The current literature reveals that mobile
phones can affect cellular functions via non-thermal effects. Although
the cellular targets of global system for mobile communications
(GSM)-modulated EMF are associated with the cell membrane, the subject
is still controversial. Studies regarding the genotoxic effects of EMF
have generally focused on DNA damage. Possible mechanisms are related to
ROS formation due to oxidative stress. EMF increases ROS production by
enhancing the activity of nicotinamide adenine dinucleotide (NADH)
oxidase in the cell membrane. Further detailed studies are needed to
elucidate DNA damage mechanisms and apoptotic pathways during oogenesis
and spermatogenesis in germ cells exposed to EMF.
Conclusion
This
paper reviews the current literature and is intended to contribute to a
better understanding of the genotoxic effects of EMF emitted from
mobile phones and wireless systems on the human reproductive system,
especially on fertility. The current literature reveals that mobile
phones can affect cellular functions via non-thermal effects (Diem et
al., 2005; Hanci et al., 2013 ; Odaci et al., 2016a). Although the
cellular targets of GSM-modulated EMF are associated with the cell
membrane, the subject is still controversial (Eberhardt et al., 2008).
Studies regarding the genotoxic effects of EMF have generally focused on
DNA damage (Mortelmans and Rupa, 2004; Young, 2002; Zeiger, 2004;
Panagopoulos, 2012 ; Turedi et al., 2016). Possible mechanisms are
related to ROS formation due to oxidative stress (Moustafa et al., 2004;
Hanukoglu et al., 2006). EMF increases ROS production by enhancing the
activity of NADH oxidase in the cell membrane (Friedman et al., 2007b).
In this context, EMF affected spermatozoa may have a high degree rate of
infertilization. It seems that previous genomic studies do not show
definitive evidence regarding EMF affected cells in the fertilization.
Although we evaluated broadly the genomic effects of cell phone exposure
on the reproductive system using both animal and human studies, one of
the weaknesses of this work is insufficient review of human studies.
This may come from limited number of EMF based human studies in the
literature. Further detailed studies are needed to elucidate DNA damage
mechanisms and apoptotic pathways during oogenesis and spermatogenesis
in germ cells that are exposed to EMF. https://www.ncbi.nlm.nih.gov/pubmed/29884549
--
Altun G, Deniz OG, Yurt KK, Davis D, Kaplan S. Effects of mobile phoneexposure on metabolomics in the male and female reproductive systems. Environ Res. 2018 Nov;167:700-707. doi: 10.1016/j.envres.2018.02.031.
Highlights
• Long-term exposure to EMF decreases sperm motility and fertilization.
• Effects of EMF emitted from mobile phones are related to protein synthesis. • Oxidative stress based EMF exposure modulates nitric oxide level in the germ cells. • Oxidative stress based EMF exposure inhibits antioxidant mechanisms in the germ cells.
Abstract
With
current advances in technology, a number of epidemiological and
experimental studies have reported a broad range of adverse effects of
electromagnetic fields (EMF) on human health. Multiple cellular
mechanisms have been proposed as direct causes or contributors to these
biological effects. EMF-induced alterations in cellular levels can
activate voltage-gated calcium channels and lead to the formation of
free radicals, protein misfolding and DNA damage. Because rapidly
dividing germ cells go through meiosis and mitosis, they are more
sensitive to EMF in contrast to other slower-growing cell types. In this
review, possible mechanistic pathways of the effects of EMF exposure on
fertilization, oogenesis and spermatogenesis are discussed. In
addition, the present review also evaluates metabolomic effects of
GSM-modulated EMFs on the male and female reproductive systems in recent
human and animal studies. In this context, experimental and
epidemiological studies which examine the impact of mobile phone
radiation on the processes of oogenesis and spermatogenesis are examined
in line with current approaches.
Conclusion
EMF emitted
by mobile phones has a number of well-documented adverse metabolomic
effects on the male and female reproductive systems and can lead to
infertility by increasing ROS production and reducing GSH and other
antioxidants. The primary target of the EMF emitted by mobile phones may
be the cell membrane (Pall in press, this volume). This then results in
accelerated activity of membrane NADH oxidase and, consequently,
greater rates of ROS formation that cannot be easily conjugated or
detoxified. Although many studies have reported morphological and
functional deteriorations in testis and ovary following EMF exposures,
as well both structural and functional deficits in reproductive health,
the underlying mechanisms have not been fully elucidated. To assist in
further clarification of these processes and mechanisms, Table 1
summarizes key studies on the metabolomic effects of EMF on reproductive
systems. Future studies will benefit greatly from standardized exposure
protocols and evaluations of key metabolomic indicators.
-- Sepehrimanesh,
M. & Davis, D.L. Proteomic impacts of electromagnetic fields on the
male reproductive system. Comp Clin Pathol. 26(2):309-313. 2017. doi:10.1007/s00580-016-2342-x.
Abstract
The use of mobile phones and other wireless transmitting devices is
increasing dramatically in developing and developed countries, as is the
rate of infertility. A number of respected infertility clinics in
Australia, India, USA, and Iran are reporting that those who regularly
use mobile phones tend to have reduced sperm quantity and quality. Some
experimental studies have found that human sperm exposed to
electromagnetic fields (EMF), either simulated or from mobile phones,
developed biomarkers of impaired structure and function, as well as
reduced quantity. These encompass pathological, endocrine, and proteomic
changes. Proteins perform a vast array of functions within living
organisms, and the proteome is the entire array of proteins—the ultimate
biomolecules in the pathways of DNA transcription to translation.
Proteomics is the art and science of studying all proteins in cells,
using different techniques. This paper reviews proteomic experimental
and clinical evidence that EMF acts as a male-mediated teratogen and
contributor to infertility.
Conclusions As among the most rapidly proliferating human cells, spermatogenesis and
associated activities offer an important endpoint for evaluation. More
than 60 different compounds or industrial processes have been identified
as increasing defects in human sperm or testicular tissue and possibly
increasing the risk to offspring from male-mediated exposures. In this
study, we reviewed structural and functional proteomic changes related to
EMF exposure. Reported changes are categorized based on main affected
tissue and also the most important adverse effects. Overall, these
results demonstrate significant effects of radio frequency-modulated EMF
exposure on the proteome, including both structural and functional
impacts such as a decrease in the diameter and weight of the
seminiferous tubules and the mean height of the germinal epithelium
(Ozguner et al. 2005) and/or pathological and physiological changes in
key biochemical components of the testicular tissues (Luo et al. 2013).
These structural and functional changes may account for the pathological
impact of EMF on the male reproductive system reported in the
experimental work that we and others have conducted. While EMF is
currently being used for a number of therapeutic applications (REF), the
work we have reviewed here clearly indicates a range of harmful
effects, especially on genital systems. https://link.springer.com/article/10.1007/s00580-016-2342-x
-- Houston B, Nixon B, King BV, De Iuliis G, Aitken RJ. The effects of radiofrequency electromagnetic radiation on sperm function. Reproduction. 2016 Dec;152(6):R263-R276. Abstract
Mobile phone usage has become an integral part of our lives. However, the effects of the radiofrequency electromagnetic radiation (RF-EMR) emitted by these devices on biological systems and specifically the reproductive systems are currently under active debate. A fundamental hindrance to the current debate is that there is no clear mechanism of how such non-ionising radiation influences biological systems. Therefore, we explored the documented impacts of RF-EMR on the male reproductive system and considered any common observations that could provide insights on a potential mechanism.
Among a total of 27 studies investigating the effects of RF-EMR on the male reproductive system, negative consequences of exposure were reported in 21. Within these 21 studies, 11 of the 15 that investigated sperm motility reported significant declines, 7 of 7 that measured the production of reactive oxygen species documented elevated levels and 4 of 5 studies that probed for DNA damage highlighted increased damage, due to RF-EMR exposure. Associated with this, RF-EMR treatment reduced antioxidant levels in 6 of 6 studies that studied this phenomenon, while consequences of RF-EMR were successfully ameliorated with the supplementation of antioxidants in all 3 studies that carried out these experiments.
In light of this, we envisage a two-step mechanism whereby RF-EMR is able to induce mitochondrial dysfunction leading to elevated ROS production.
A continued focus on research which aims to shed light on the biological effects of RF-EMR will allow us to test and assess this proposed mechanism in a variety of cell types.
To date, contradictory studies
surrounding the impacts of RF-EMR on biological systems maintain controversy
over this subject. Nevertheless, research into the biological responses
stimulated by RF-EMR is particularly important given our ever-increasing use of
mobile phone technology. While clinical studies are identifying possible
detrimental effects of RF-EMR, it is imperative that mechanistic studies are
conducted that elucidate the manner in which RF-EMR perturbs biological
function, thus supplying a rational cause. A focus on the male reproductive system may experience as consequences of the personal storage of mobile
devices, the unique vulnerability of the highly specialised sperm cell, and the
future health burden that may be created if conception proceeds with defective,
DNA-damaged spermatozoa. While this subject remains a topic of active debate,
this review has considered the growing body of evidence suggesting a possible
role for RF-EMR induced damage of the male germ line. In a majority of studies,
this damage has been characterized by loss of sperm motility and viability as
well as the induction of ROS generation and DNA damage. We have therefore given
consideration to the potential mechanisms through which RF-EMR may elicit these
effects on spermatozoa, which we utilized as a sensitive model system. We
propose a mechanistic model in which RF-EMR exposure leads to defective
mitochondrial function associated with elevated levels of ROS production and
culminates in a state of oxidative stress that would account the varying
phenotypes observed in response to RF-EMR exposure. With further complementary
data, this model will provide new impetus to the field and stimulate research
that will allow us to confidently assess the reproductive hazards of mobile
phone usage.
-- Adams
JA, Galloway TS, Mondal D, Esteves SC, Mathews F. Effect of mobile telephones
on sperm quality: A systematic review and meta-analysis. Environ Int. 2014 Sep;70:106-12. doi: 10.1016/j.envint.2014.04.015. Summary
Mobile
phones are owned by most of the adult population worldwide. Radio-frequency
radiation (RFR) from these devices could affect sperm development and function.
Around 14% of couples in high- and middle-income countries have difficulty
conceiving. Male infertility is involved approximately 40% of the time. Several countries have reported unexplained declines in semen quality.
Animal research has found that RFR can affect the
cell cycle of sperm, increase sperm cell death and produce histological changes
in the testes. Research on humans has found that prolonged mobile phone
use is associated with decreased motility, sperm concentration, morphology and
viability suggesting a likely impact on fertility.
The authors of this peer-reviewed study conducted a
systematic review of the research and a quantitative analysis to determine
whether exposure to mobile phone radiation affects human sperm quality.
Participants were from fertility clinics and research centers.
The study examined the sperm quality outcome measures most
frequently used to assess fertility in clinical settings: motility (the
ability to move properly through the female reproductive tract), viability (the ability to fertilize the egg), and concentration (the number of
sperm in a milliliter of ejaculate).
Ten studies were examined including 1,492 human sperm samples. Exposure to
mobile phones was found to be associated with a significant eight per cent average reduction
in sperm motility and a significant nine per cent average reduction in sperm viability. The effects on sperm concentration were more equivocal. The results
were consistent across experimental laboratory studies and correlational observational
studies.
The
authors concluded that the overall results suggest that mobile phone exposure
negatively affects sperm quality in humans. The clinical importance of these effects in this study may be limited to subfertile men and to men at
the lower-end of the normal spectrum.
Open access paper: http://bit.ly/cellphonespermdamage. -- Liu K, Li Y, Zhang G, Liu J, Cao J, Ao L, Zhang S. Association between mobile phone use and semen quality: a systemic review and meta-analysis. Andrology. 2014 Jul;2(4):491-501.
Abstract
Possible hazardous health effects of radiofrequency electromagnetic radiations emitted from mobile phone on the reproductive system have raised public concern in recent years. This systemic review and meta-analysis was prepared following standard procedures of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and checklist. Relevant studies published up to May 2013 were identified from five major international and Chinese literature databases: Medline/PubMed, EMBASE, CNKI, the VIP database and the Cochrane Central Register of Controlled Trials in the Cochrane Library. Eighteen studies with 3947 men and 186 rats were included in the systemic review, of which 12 studies (four human studies, four in vitro studies and four animal studies) with 1533 men and 97 rats were used in the meta-analyses. Systemic review showed that results of most of the human studies and in vitro laboratory studies indicated mobile phone use or radiofrequency exposure had negative effects on the various semen parameters studied. However, meta-analysis indicated that mobile phone use had no adverse effects on semen parameters in human studies. In the in vitro studies, meta-analysis indicated that radiofrequency radiation had detrimental effect on sperm motility and viability in vitro [pooled mean difference (MDs) (95% CI): -4.11 (-8.08, -0.13), -3.82 (-7.00, -0.65) for sperm motility and viability respectively]. As for animal studies, radiofrequency exposure had harmful effects on sperm concentration and motility [pooled MDs (95% CI): -8.75 (-17.37, -0.12), -17.72 (-32.79, -2.65) for sperm concentration and motility respectively]. Evidence from current studies suggests potential harmful effects of mobile phone use on semen parameters. A further multicentred and standardized study is needed to assess the risk of mobile phone use on the reproductive system.
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