Male
Infertility and Oxidative Stress
Oxidative stress ocurs when free radicals, potentially destructive
molecules that lack a stabilizing electron, accumulate inside the
body because of stress, aging, illness, poor diet, low antioxidant
levels, and other factors. Recently, researchers have discovered
strong clinical evidence that men diagnosed with infertility have
high levels of oxidative stress that may impair the quality of their
sperm.
In
one study, 167 infertile male patients receiving treatment at the
male infertility clinic of the Cleveland Clinic Foundation's Urology
Department were evaluated to determine their levels of reactive
oxygen species (ROS) and antioxidants, as well as the quality of
their sperm.1The
men were divided into four groups
based on their specific diagnosis
of infertility.
Compared
with a control group, the infertile men in all groups had significantly
higher levels of ROS and lower levels of total antioxidants. In
some groups, higher levels of ROS were associated with lower sperm
counts and defective sperm structure, while lower antioxidant levels
correlated with reduced sperm movement. Indeed, evidence shows that
men with high levels of ROS have a seven-fold lower likelihood of
inducing a pregnancy than men with lower levels.1 These
results support previous evidence showing
that oxidative stress can decrease
a sperm's life span, its motility,
and its ability to penetrate the oocyst,
or egg cell.
Some
experts suggest that treatment for infertile men should include
strategies to reduce oxidative stress and improve sperm quality.
"Lipid peroxidation of the sperm membrane may be one of the
key mechanisms involved in the pathophysiology of male infertility,"
the researchers suggest. Up to 40% of men with male infertility
without a known cause have higher levels of free radical activity
in their bodies.1
Reactive
oxygen species have a special penchant for attacking polyunsaturated
fatty acids, which are found in high amounts in the sperm membrane.
To protect sperm from this damage, the body depends on powerful
antioxidant enzymes in the body such as superoxide dismutase, catalase,
and glutathione peroxidase/reductase.2,3
The Oxidative
Stress Analysis includes measures of superoxide dismutase
and glutathione peroxidase, two of the antioxidant enzymes cited
as crucial for protecting sperm membrane damage from oxidative stress.
This profile also evaluates reduced glutathione, lipid peroxides,
and hydroxyl radical markers for a thorough assessment of oxidative
balance, providing a concrete clinical benchmark for assessing the
effectiveness of nutritional therapy.
References
1 Pasqualotto
FF, Sharma RK, Nelson DR, Thomas AJ Jr, Agarwal A. Relationship
between oxidative stress, semen characteristics, and clincial diagnosis
in men undergoing infertility investigation. Fertil Steril 2000;73:459-64.
2 Sharma
RK, Agarwal A. Reactive oxygen species and male infertility. Urology
1996;48:835-50
3 De
Lamirande E, Gagnon C. Human sperm hyperactivation in whole semen
and its association with low superoxide scavenging capacity in seminal
plasma. Fertil Steril 1993;59:1291-5.
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Remember that the body can heal
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The information herein is not intended
as diagnosis, treatment or a cure.
Should you have a medical condition
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