Antioxidants for male subfertility

Reversible male subfertility due to hyperthyroidism.

A 26-year-old man with a one-year history of attempted conception was referred to a male subfertility clinic. Two previous semen analyses had disclosed oligospermia with sperm counts of 11 x 109/1 on both occasions (figure). He had had classical symptoms of thyrotoxicosis for five years and 18 months earlier had been investigated for palpitations. Examination showed a diffuse goitre, tremor, an...

Subinguinal microsurgical varicocelectomy for male factor subfertility: ten-year experience.

OBJECTIVE To investigate the impact of subinguinal microsurgical varicocelectomy on semen parameters and pregnancy outcomes in couples with male factor subfertility. DESIGN Case series. SETTING Male Infertility Clinic in an academic institution in Hong Kong. PATIENTS The clinical records of 42 consecutive subfertile male patients who had subinguinal microsurgical varicocelectomy (from Jan...

Economic strategies in modern male subfertility treatment.

Antioxidant therapy for male subfertility: myth or evidence-based?

Muhammad Elmussareh,MRCS, Specialist Registrar in Urology; Ahmed Mahrous, FRCS(Urol), Urology Fellow; Oliver Kayes, FRCS(Urol), Consultant Urologist, St James’s University Hospital, Leeds Around 15% of couples experience infertility, with up to 50% of these related to male factors. Oxidative stress caused by reactive oxygen species, including oxygen ions, free radicals and peroxides, has been r...

Gonadotrophins for idiopathic male factor subfertility: a Cochrane systematic review

Objectives: To determine the effectiveness of gonadotrophins administration to men with idiopathic subfertility on spontaneous pregnancy rate and in assisted reproductive techniques. Search strategy: We searched the all relevant databases. Searches were not limited by language. The bibliographies of included, excluded trials and abstracts of major meetings were searched for additional trials. A...