PERCEPTIONS OF MALE PATIENTS ON ORAL HEALTH AND FERTILITY: A QUALITATIVE STUDY

Main Article Content

Dr Hussam Muhammad Ashfaq
Saima Khan
Syed Midhat Batool
Dr Zunaira Qazi
Muhammad Ifham Khan Jadoon
Dr. Zuhra Anwar

Keywords

Abstract

Oral and periodontal diseases are common, but their effect on systemic health and reproductive function is often ignored. This qualitative study explored the perceptions of male patients regarding the possible influence of oral health on fertility.  Limited attention has been given to how men view this link. The aim was to understand awareness, beliefs, and lived experiences of men related to oral health and fertility. A qualitative exploratory design was used. Semi-structured, in-depth interviews were carried out with male patients attending the dental outpatient department. The interview guide included open questions about understanding of oral health, fertility, and the possible connection between the two. Interviews were audio-recorded, transcribed, and thematically analyzed. hematic analysis identified three main themes: oral health understanding, perceptions of oral–fertility link, and barriers/facilitators.


 


Findings showed that most participants considered oral health important for daily life but had little knowledge about its possible role in reproductive health. Some participants believed that body systems are linked and that poor oral health may indirectly affect fertility through overall weakness or infection. Others expressed surprise at the idea and had never heard of such a connection. Barriers to oral care included lack of awareness, financial cost, and limited dental visits. Participants stated that if informed by health professionals, they would be willing to improve oral hygiene practices. The study concludes that awareness among men regarding the link between oral health and fertility is very low. Health education programs and counseling by dentists and physicians may help men understand the importance of oral care for general and reproductive health.

Abstract 143 | Pdf Downloads 22

References

1. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2):72–80.
2. Tonetti MS, Van Dyke TE. Periodontitis and atherosclerotic cardiovascular disease. J Clin Periodontol. 2013;40 Suppl 14:S24–9.
3. Linden GJ, Herzberg MC. Periodontitis and systemic diseases: a record of discussions of working group 4 of the Joint EFP/AAP Workshop. J Periodontol. 2013;84(4 Suppl):S20–3.
4. Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review. Int J Res Med Sci. 2015;3(11):2721–4.
5. Nwhator SO, Alade GO, Ayanbadejo PO, et al. Male infertility and chronic periodontitis: any link? Int J Med Biomed Res. 2012;1(3):224–31.
6. Klinger A, Hibi H, Takagi G, et al. Dental infections and semen quality. Am J Dent. 2011;24(6):320–4.
7. Mortazavi V, Roozbeh N, Banaei M, et al. Exploring the link between periodontal disease and sperm quality: a comprehensive systematic review study. BMC Oral Health. 2025;25(1):742.
8. Al Habashneh R, Khader YS, Salameh S. Use of miswak and oral health practices among adults in Jordan. Oral Health Prev Dent. 2016;14(2):157-64
9. Sofrata A, Santangelo EM, Azeem M, et al. Miswak chewing stick: cultural and therapeutic uses. Saudi Med J. 2011;32(7):713-8.
10. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q. 1988;15(2):175-83.
11. Ali S, Sophie R, Imam AM, et al. Knowledge, perceptions and myths regarding infertility among selected adult population in Pakistan: a cross-sectional study. BMC Public Health. 2011;11:760.
12. McLeroy KR, Bibeau D, Steckler A, et al. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351-77.
13. Pourabbas R. The association between oral inflammatory load and reduced male fertility: inflammation as the link. [Journal name—if available]. 2023.
14. Ridho FM, Alfatah R, Cahyani SM, et al. Association between periodontitis and sperm quality: a systematic review and meta analysis. Rwanda Med J. 2025;82(2):41–52.
15. Potiris A. From inflammation to infertility: how oxidative stress and inflammation affect male infertility. Metabolites. 2025;15(4):267.
16. Ludovichetti FS. Can periodontal disease affect conception? A literature review. Reprod Fertil. 2021;2(1):RAF 20 0043.