Abstract
Background/Objectives: Pulmonary arterial hypertension (PAH) affects the pulmonary vasculature and cardiac function. While its impact on target organs has been extensively studied, little is known about its effects on highly vascularized organs, such as those from the male reproductive system. This study explores the impact of PAH on testis and epididymis, evaluating the potential role of combined exercise training as a non-pharmacological strategy to mitigate alterations in these organs. Methods: Male Wistar rats (n = 8/group) were assigned to one of three groups: sedentary control, sedentary PAH, and exercise PAH. PAH was induced by monocrotaline administration (60 mg Kg(-1), i.p). The exercise PAH group underwent three weeks of combined physical training, including treadmill aerobic activity and resistance training on a ladder. Testis and epididymis were analyzed histologically, histomorphometrically, and biochemically for antioxidant activity, oxidative stress markers, and sperm parameters. Results: Sedentary PAH animals showed reductions in body and epididymis weight, normal seminiferous tubule percentage, and testicular morphometric parameters. These changes led to disorganized seminiferous tubules and compromised sperm production and sperm count in the testis and epididymis. Combined physical training improved testicular morphometric alterations and increased sperm count in hypertensive animals. Conclusions: PAH negatively affects testicular structure and function, leading to low sperm production. Combined physical training mitigated these effects by preserving testicular architecture and improving reproductive parameters, though it appeared less effective for the epididymis. These findings suggest physical training as a potential therapeutic strategy to protect reproductive health in PAH.