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Research paper

Antioxidants for male subfertility.

The Cochrane database of systematic reviews
Q1
Dec 2014
Citations: 730
Influential: 40
Systematic Reviews / Meta-Analyses
100

Study answer

What this study found

Overall, oral antioxidants may improve live birth and clinical pregnancy in subfertile men, but the evidence is low to very low quality. Across pooled analyses, antioxidants increased live birth (OR 4.21, 95% CI 2.08 to 8.51, 4 RCTs, 277 men) and clinical pregnancy (OR 3.43, 95% CI 1.92 to 6.11, 7 RCTs, 522 men). They were also associated with lower sperm DNA fragmentation (MD -13.85, 95% CI -17.28 to -10.41, 2 RCTs, 100 men) and improved sperm motility in several analyses, but heterogeneity was often high. Benefits were not consistently shown for miscarriage, gastrointestinal adverse…

Study & population
This was a systematic review and meta-analysis of randomized trials in subfertile men.
Intervention
The review evaluated oral antioxidant supplements for male subfertility, but the included trials used many different regimens rather than one standardized product.
Key limitation
The evidence base was small and methodologically limited, with many trials contributing only single outcomes.
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Original abstract

BACKGROUND Between 30% to 80% of male subfertility cases are considered to be due to the damaging effects of oxidative stress on sperm and 1 man in 20 will be affected by subfertility. Antioxidants are widely available and inexpensive when compared t…