Mette Møller Dornfeldt , Sidsel Dan Hull , Christel Nielsen , Emelie Rietz Liljedahl , Cecilia Høst Ramlau-Hansen , Anne Gaml-Sørensen , Gunnar Toft , Jens Peter Bonde , Karin Sørig Hougaard , Sandra Søgaard Tøttenborg
{"title":"Tattoo exposure and biomarkers of male fecundity: A cross-sectional study among young Danish males","authors":"Mette Møller Dornfeldt , Sidsel Dan Hull , Christel Nielsen , Emelie Rietz Liljedahl , Cecilia Høst Ramlau-Hansen , Anne Gaml-Sørensen , Gunnar Toft , Jens Peter Bonde , Karin Sørig Hougaard , Sandra Søgaard Tøttenborg","doi":"10.1016/j.reprotox.2025.109009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Tattoo inks are mixtures of organic and inorganic color pigments and having a tattoo may be adversely associated with biomarkers of male fecundity.</div></div><div><h3>Objective</h3><div>To examine the association between tattoo exposure and biomarkers of male fecundity.</div></div><div><h3>Methods</h3><div>Participants were young adult Danish males (aged 18–21 years) sampled from the Danish National Birth Cohort. Upon recruitment in 2017–2019, participants answered a comprehensive questionnaire including information on tattoo exposure and provided a semen and blood sample. We applied a negative binomial regression model to estimate percentage differences (95 % confidence intervals [CI]) in semen characteristics, testicular volume, and reproductive hormone levels between tattooed and non-tattooed participants.</div></div><div><h3>Results</h3><div>Among the 1045 participants included in this study, 174 (17 %) had at least one tattoo and most tattooed participants (84 %) had tattoo(s) in only black color. About half (53 %) had one tattoo, 21 % had two tattoos, and 26 % had three or more tattoos. We observed no association between either number or color scheme of tattoo(s) relative to semen characteristics or reproductive hormone levels. Having a tattoo was associated with 6 % (95 % CI: 0, 12) larger testicular volume, but since testicular volume was measured by the participants themselves, this finding may be due to differential misclassification bias. Across all outcomes the crude and adjusted models were comparable.</div></div><div><h3>Conclusion</h3><div>Overall, we found no support for adverse associations between tattoo exposure and biomarkers of male fecundity, but studies with more details on tattoo exposure and longer follow-up of participants are needed before firm conclusions can be drawn.</div></div>","PeriodicalId":21137,"journal":{"name":"Reproductive toxicology","volume":"137 ","pages":"Article 109009"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive toxicology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0890623825001807","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REPRODUCTIVE BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Tattoo inks are mixtures of organic and inorganic color pigments and having a tattoo may be adversely associated with biomarkers of male fecundity.
Objective
To examine the association between tattoo exposure and biomarkers of male fecundity.
Methods
Participants were young adult Danish males (aged 18–21 years) sampled from the Danish National Birth Cohort. Upon recruitment in 2017–2019, participants answered a comprehensive questionnaire including information on tattoo exposure and provided a semen and blood sample. We applied a negative binomial regression model to estimate percentage differences (95 % confidence intervals [CI]) in semen characteristics, testicular volume, and reproductive hormone levels between tattooed and non-tattooed participants.
Results
Among the 1045 participants included in this study, 174 (17 %) had at least one tattoo and most tattooed participants (84 %) had tattoo(s) in only black color. About half (53 %) had one tattoo, 21 % had two tattoos, and 26 % had three or more tattoos. We observed no association between either number or color scheme of tattoo(s) relative to semen characteristics or reproductive hormone levels. Having a tattoo was associated with 6 % (95 % CI: 0, 12) larger testicular volume, but since testicular volume was measured by the participants themselves, this finding may be due to differential misclassification bias. Across all outcomes the crude and adjusted models were comparable.
Conclusion
Overall, we found no support for adverse associations between tattoo exposure and biomarkers of male fecundity, but studies with more details on tattoo exposure and longer follow-up of participants are needed before firm conclusions can be drawn.
期刊介绍:
Drawing from a large number of disciplines, Reproductive Toxicology publishes timely, original research on the influence of chemical and physical agents on reproduction. Written by and for obstetricians, pediatricians, embryologists, teratologists, geneticists, toxicologists, andrologists, and others interested in detecting potential reproductive hazards, the journal is a forum for communication among researchers and practitioners. Articles focus on the application of in vitro, animal and clinical research to the practice of clinical medicine.
All aspects of reproduction are within the scope of Reproductive Toxicology, including the formation and maturation of male and female gametes, sexual function, the events surrounding the fusion of gametes and the development of the fertilized ovum, nourishment and transport of the conceptus within the genital tract, implantation, embryogenesis, intrauterine growth, placentation and placental function, parturition, lactation and neonatal survival. Adverse reproductive effects in males will be considered as significant as adverse effects occurring in females. To provide a balanced presentation of approaches, equal emphasis will be given to clinical and animal or in vitro work. Typical end points that will be studied by contributors include infertility, sexual dysfunction, spontaneous abortion, malformations, abnormal histogenesis, stillbirth, intrauterine growth retardation, prematurity, behavioral abnormalities, and perinatal mortality.