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Based on the above research and analysis, it has been found that the high-altitude, low-pressure and low-oxygen environment may have a significant impact on the health of the male reproductive system, resulting in a decrease in the number of sperm, reductions in sperm motility and viability, an increase in the rate of sperm abnormalities, an increase in germ cell apoptosis and increased disorders of sex hormone secretion [54, 55]

In fact, rates have declined slightly, from 41.9% in 2020 to 40.3% in 2023

P., Deenadayalan, S., Erichsen, L., et al