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August 15, 2026Current Opinion in Urology

The role of antioxidants in idiopathic male factor infertility

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Authors

JCJio Jerome CoMOMonroe OrlinaRBRyzee Raychelle Buban

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Overview

Review demonstrates that antioxidant therapy improves select semen parameters in idiopathic male infertility, suggesting targeted use rather than routine empirical supplementation.

Key Points

  • To evaluate the efficacy and clinical utility of antioxidant therapy for improving semen quality and reproductive outcomes in men with idiopathic factor infertility.
  • Reviewed published literature assessing antioxidant supplementation across various formulations, dosages, and treatment durations in men with unexplained abnormal semen parameters.
  • Evaluated physiological mechanisms involving reactive oxygen species, sperm mitochondrial function, and sperm DNA integrity alongside clinical pregnancy and live birth endpoints.
  • Antioxidant supplementation selectively improves semen concentration, motility, morphology, and reduces sperm DNA fragmentation by mitigating oxidative stress.
  • Observed laboratory improvements in semen parameters do not consistently translate into increased clinical pregnancy rates or live birth rates across heterogeneous trials.

Cite This Study

Co et al. (2026) studied this question.

synapsesocial.com/papers/6a8019fe75c2e31742c8659dhttps://doi.org/10.1097/mou.0000000000001442
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Role of Antioxidants in Male Fertility: A Comprehensive Review of Mechanisms and Clinical Applications2025
  2. 2Part V, Hemichordata, 2nd Revision, Chapter 5, p. 387-5712023
  3. 3Oxidative Stress and Male Infertility: A Critical Analysis of Current Diagnostic and Therapeutic Methods2026
  4. 4Reductive stress and the role of antioxidants in male infertility: a narrative review2025 · 11 citations
  5. 5Impact of Antioxidants on Conventional and Advanced Sperm Function Parameters: An Updated Review2024 · 3 citations