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However, recent studies showed that semen quality in Finland has declined, but it has been relatively stable in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare new data on semen quality of the young Finnish men to that of Danish men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      In this cross\u2010sectional study, 18\u2010 to 19\u2010year\u2010old men residing in Turku, Finland and Copenhagen, Denmark, were invited to participate in 2008\u20132011. Each man filled in a questionnaire, provided one semen sample and underwent andrological examination. Semen samples were analyzed according to\n                      <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>\n                      . Multiway\n                      <jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>\n                      was used to adjust semen variables for duration of sexual abstinence and age (and time from ejaculation to the start of semen analysis for sperm motility).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Altogether 287 Finnish men and 873 Danish men participated in the study. The adjusted median sperm concentrations were 49 and 47\u00a0million\/mL for Finnish and Danish men, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.48). The adjusted median total sperm counts were 148 million in Finland and 146 million in Denmark (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.87). The adjusted median percentages of morphologically normal spermatozoa were 6.9% in Finland and 6.5% in Denmark,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.27. Finnish men had higher adjusted median percentages of motile spermatozoa (A+B+C) than Danish men (80% vs. 69%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The proportion of men who had low semen quality (sperm concentration, percentage of morphologically normal spermatozoa or percentage of progressively motile spermatozoa below\n                      <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>\n                      reference limits) was lower in Finland (25.4%) than in Denmark (34.6%),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Considerable percentage of men in both countries had low semen quality. The deteriorating semen quality in Finland may result in decreasing fecundity, which is a cause of concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The formerly high semen quality in Finland has converged to the lower Danish levels. Our findings demonstrate the importance of continuing surveillance of semen quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.12550","type":"journal-article","created":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T02:18:01Z","timestamp":1537841881000},"page":"15-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["An update on semen quality among young Finnish men and comparison with Danish data"],"prefix":"10.1111","volume":"7","author":[{"given":"W.","family":"Rodprasert","sequence":"first","affiliation":[{"name":"Research Centre for Integrative Physiology and Pharmacology Institute of Biomedicine University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. 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