Al-Ghoury AA*, Obaid J and Al-Quhaiti M
Volume7-Issue2
Dates: Received: 2026-01-01 | Accepted: 2026-02-24 | Published: 2026-02-25
Pages: 1-4
Abstract
Bilharzias is Schistosomiasis is prevalent in tropical and subtropical countries such as Yemen. Urogenital schistosomiasis can cause infertility in both males and females. Severe schistosomiasis can cause intense granulomatous epididymitis and inhibition of spermatogenesis, causing male factor infertility. This study reported a case of urogenital schistosomiasis had observed during semen analysis of a 36-year-old man, Ibn-Sina SP. Hospital. Sana'a, Yemen. A 1.8 mL clinical sample of liquid creamy coloured semen was collected. The progressive sperm motility and non-motile-died was 50% (R 40% and R 32%, respectively). The sperm count was 50.25 million/ml. Microscopic semen analysis showed slight sperm agglutination, many number of Schistosoma haematobium ova, extensive debris, and many pus cells. The sperm morphology was 81% normal and most abnormal sperm had small head with other abnormalities. The presented case confirms the clinical importance of adding a semen analysis to other diagnostic tests in male genital schistosomiasis particularly when there is a history or suspected fertility is a concern.
FullText HTML
FullText PDF
DOI: 10.37871/jbres2271
Certificate of Publication
Copyright
© 2026 Al-Ghoury AA. Distributed under Creative Commons CC-BY 4.0 
How to cite this article
Al-Ghoury AA, Obaid J, Al-Quhaiti M.Genital Schistosomiasis - Induced Infertility: A Case Report. J Biomed Res Environ Sci. 2026 Feb 24; 7(2): 4. Doi: 10.37871/jbres2271
Subject area(s)
References
- Schistosomiasis. World Health Organization (WHO). 2018;115.
- Alyhari Q, Ahmed F, Al Shaibani H, Al Kubati M, Alhadi A. Huge Colonic Granuloma of Schistosomiasis Mimicked Cancer in a 10-Years-Old Child: A Case Report. Int Med Case Rep J. 2022 Jul 21;15:379-384. doi: 10.2147/IMCRJ.S372186. PMID: 35903496; PMCID: PMC9314760.
- Woodall PA, Kramer MR. Schistosomiasis and infertility in East Africa. Am J Trop Med Hyg. 2018;98:1137-44. doi: 10.1016/j.xfre.2020.10.004.
- Feldmeier H, Leutscher P, Poggensee G, Harms G. Male genital schistosomiasis and haemospermia. Trop Med Int Health. 1999 Dec;4(12):791-3. doi: 10.1046/j.1365-3156.1999.00511.x. PMID: 10632985.
- Friedman JF, Mital P, Kanzaria HK, Olds GR, Kurtis JD. Schistosomiasis and pregnancy. Trends Parasitol. 2007 Apr;23(4):159-64. doi: 10.1016/j.pt.2007.02.006. Epub 2007 Mar 1. PMID: 17336160.
- Kini S, Dayoub N, Raja A, Pickering S, Thong J. Schistosomiasis-induced male infertility. BMJ Case Rep. 2009;2009:bcr01.2009.1481. doi: 10.1136/bcr.01.2009.1481. Epub 2009 Aug 20. PMID: 21857876; PMCID: PMC3027935.
- Abdel-Naser MB, Altenburg A, Zouboulis CC, Wollina U. Schistosomiasis (bilharziasis) and male infertility. Andrologia. 2019 Feb;51(1):e13165. doi: 10.1111/and.13165. Epub 2018 Oct 1. PMID: 30276841.
- Figueiredo JC, Richter J, Borja N, Balaca A, Costa S, Belo S, Grácio MA. Prostate adenocarcinoma associated with prostatic infection due to Schistosoma haematobium. Case report and systematic review. Parasitol Res. 2015 Feb;114(2):351-8. doi: 10.1007/s00436-014-4250-9. Epub 2014 Dec 30. PMID: 25544700.
- WHO laboratory manual for the examination and processing of human semen. 5th ed. World Health Organization (WHO); 2010.
- BARLOW CH, MELENEY HE. A voluntary infection with Schistosoma haematobium. Am J Trop Med Hyg. 1949 Jan;29(1):79-87. doi: 10.4269/ajtmh.1949.s1-29.79. PMID: 18110336.
- Gelfand M, Ross CM, Blair DM, Castle WM, Weber MC. Schistosomiasis of the male pelvic organs. Severity of infection as determined by digestion of tissue and histologic methods in 300 cadavers. Am J Trop Med Hyg. 1970 Sep;19(5):779-84. PMID: 5453906.
- Hawary A, Taylor R, McEwans A, Napier-Hemy R. Change of semen quality after foreign travel: a rare presentation of genital schistosomiasis. Int Urol Nephrol. 2012 Feb;44(1):51-3. doi: 10.1007/s11255-010-9816-6. Epub 2010 Aug 3. PMID: 20680447.
- Leutscher PD, Høst E, Reimert CM. Semen quality in Schistosoma haematobium infected men in Madagascar. Acta Trop. 2009 Jan;109(1):41-4. doi: 10.1016/j.actatropica.2008.09.010. Epub 2008 Sep 30. PMID: 18950598.
- Oshish A, AlKohlani A, Hamed A, Kamel N, AlSoofi A, Farouk H, Ben-Ismail R, Gabrielli AF, Fenwick A, French MD. Towards nationwide control of schistosomiasis in Yemen: a pilot project to expand treatment to the whole community. Trans R Soc Trop Med Hyg. 2011 Nov;105(11):617-27. doi: 10.1016/j.trstmh.2011.07.013. Epub 2011 Sep 9. PMID: 21907376.
- Chohan KR, Kling CA, Byler TK. Schistosoma haematobium ova in human semen: a case report. F S Rep. 2020 Oct 24;2(1):126-128. doi: 10.1016/j.xfre.2020.10.004. PMID: 34223283; PMCID: PMC8244270.
- van Delft F, Visser L, Polderman A, van Lieshout L. Cough and alterations in semen after a tropical swim. Neth J Med. 2007 Sep;65(8):304-6. PMID: 17890791.
- Torresi J, Sheori H, Ryan N, Yung A. Usefulness of Semen Microscopy in the Diagnosis of a Difficult Case of Schistosoma haematobium Infection in a Returned Traveler. J Travel Med. 1997 Mar 1;4(1):46-47. doi: 10.1111/j.1708-8305.1997.tb00774.x. PMID: 9815478.