<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732025000300257</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v41i3.14149</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Espermatozoides vs COVID-19: um caso de infertilidade masculina inesperado]]></article-title>
<article-title xml:lang="en"><![CDATA[Sperm vs COVID-19: an unexpected case of male infertility]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trindade]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[Antonieta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS Gaia/Espinho USF Anta ]]></institution>
<addr-line><![CDATA[Espinho ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ULS Gaia/Espinho. Espinho USF Anta ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>257</fpage>
<lpage>261</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732025000300257&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732025000300257&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732025000300257&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A azoospermia caracteriza-se pela ausência total de espermatozoides no ejaculado e pela impossibilidade de o casal conceber com espermatozoides do próprio, sendo o tipo de infertilidade que mais impacta o casal. Pelo aumento de casos de infertilidade masculina relatados após a infeção por SARS-CoV-2 pensa-se que haja uma relação direta com a infeção por este vírus.  Descrição do caso:  Utente do sexo masculino, 42 anos, vive com esposa e filha, sofreu uma infeção por SARS-CoV-2 em 2022. Sem antecedentes relevantes ou medicação habitual. Em janeiro/2024 recorre à sua médica de família (MF) por infertilidade secundária, após 14 meses de tentativas sem sucesso de engravidar a esposa, estando os exames realizados dentro da normalidade. Foi solicitado um espermograma, que revelou ausência total de espermatozoides e de células germinativas imaturas. A contra-análise, realizada em março/2024 numa clínica especializada, confirmou azoospermia. Perante os resultados, a MF referenciou o utente para urologia. Em maio/2024, o urologista solicitou exames hormonais e ecográficos, cujos resultados estavam dentro dos parâmetros normais. Perante a ausência de causa identificada foi sugerida biopsia testicular, recusada pelo utente. O casal optou por não prosseguir com os estudos nem recorrer a técnicas de reprodução medicamente assistida. Na consulta programada de julho/2024 foi oferecido apoio psicológico, tendo em conta o impacto emocional e social da situação.  Comentário:  Com base na história clínica e na literatura atual, a infeção por SARS-CoV-2 surge como a causa mais plausível da azoospermia apresentada. Apesar da aceitação do diagnóstico pelo casal, a situação representa uma perda significativa. Destaca-se, assim, o papel fundamental do MF no apoio emocional, orientação e acompanhamento ao longo do processo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Azoospermia is defined by the complete absence of spermatozoa in the ejaculate, resulting in the impossibility of conceiving with the male partner&#8217;s sperm. It is one of the most impactful forms of male infertility for couples. An increase in infertility cases reported after SARS-CoV-2 infection suggests a potential correlation between the virus and impaired spermatogenesis.  Case description:  A 42-year-old male, living with his wife and daughter, had a SARS-CoV-2 infection in 2022. He had no relevant past medical history or regular medication use. In January 2024, he consulted his family doctor (FD) due to secondary infertility, after 14 months of unsuccessful attempts to conceive, despite normal fertility studies in his wife. A spermogram revealed a complete absence of sperm and immature germ cells. A second analysis at a specialized clinic in March 2024 confirmed azoospermia. He was referred to urology, where further hormonal and ultrasound evaluations in May 2024 showed normal results. A testicular biopsy was suggested but refused by the patient. The couple decided not to pursue additional investigations or assisted reproduction techniques. At the follow-up appointment in July 2024, the FD offered psychological support due to the diagnosis&#8217;s potential emotional and social impact.  Comment:  Considering the patient's clinical history and current literature, SARS-CoV-2 infection appears to be the most plausible cause of his azoospermia. Although the couple has come to terms with the diagnosis, it remains a life-altering condition. This case highlights the critical role of the FD in providing not only clinical guidance but also emotional and psychological support and alternative options tailored to the couple&#8217;s preferences and needs.  Introduction:  Azoospermia is a medical condition defined by the total absence of spermatozoids in the sperm and by the impossibility of conceiving a pregnancy with those spermatozoids, being the type of infertility that affects the couple the most. Because of the increase in infertility cases described after SARS-CoV-2 infection, there seems to be a correlation between infertility and this type of infection.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Azoospermia]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Infertilidade]]></kwd>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[Azoospermia]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Infertility]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
</kwd-group>
</article-meta>
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