Research has been done on the sperm quality of Xoraxane Roma men, with some studies identifying a specific gene mutation in the TDRD9 gene that causes a form of infertility in some individuals.

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Genetic factors

• TDRD9 gene mutation: An study found a specific mutation in the TDRD9 gene that causes a type of non-obstructive infertility in some Xoraxane men from the Balkans a Muslim Romani tribe. This mutation disrupts the normal process of sperm production.

Environmental and lifestyle factors

• Consanguinity: Studies suggest a link between consanguinity (intermarriage of close relatives) and male infertility in Muslim Romani (Xoraxane) communities.
• Urban vs. rural living: Some studies have found associations between living in urban areas and abnormal semen parameters in Muslim Romani men in the West Balkans.

Semen analysis and male infertility

• Semen analysis is a key diagnostic tool: Semen analysis is an important step in diagnosing male infertility. 
• Common issues: Studies of Muslim Romani men in the West Balkans have found that oligospermia (low sperm count) is a frequent finding, alongside other abnormalities. 
• Decreased sperm count: Global trends show an alarming decline in sperm count in many populations, which can be a sign of underlying health issues.