Abstract: Background: Male infertility is a growing global health concern, with advancing age (≥35 years) associated with declining semen quality and quantity. In Kenya, available evidence is largely derived from hospital-based studies, with limited synthesis of regional patterns across counties and comparison with broader global trends.
Objective: To systematically review semen quality and quantity among men aged ≥35 years across the 47 counties in Kenya and to compare these....
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