A paradoxical decline in semen parameters in men treated with clomiphene citrate: A systematic review.

Author: GundewarTejas, KuchakullaManish, RamasamyRanjith

Paper Details 
Original Abstract of the Article :
Clomiphene, a selective oestrogen receptor modulator, has been utilised in managing male sub-fertility since 1967. Numerous controlled and uncontrolled studies have been published regarding the efficacy of clomiphene citrate in male sub-fertility cohorts. Although the primary intention of treating m...See full text at original site
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引用元:
https://doi.org/10.1111/and.13848

データ提供:米国国立医学図書館(NLM)

Clomiphene Citrate and Semen Parameters: A Paradoxical Effect

This study explores the complex interplay between medications and male fertility, focusing on the potential paradoxical effects of clomiphene citrate, a selective estrogen receptor modulator used to manage male subfertility. The researchers conducted a systematic review of studies examining the effects of clomiphene citrate therapy on semen parameters. The analysis revealed that a significant proportion of clomiphene-treated men experienced a decrease in semen parameters, including sperm count, concentration, motility, and total motile sperm count. This paradoxical effect, where a medication intended to improve fertility actually leads to a decline in semen parameters, underscores the complex nature of reproductive health and the need for careful monitoring of treatment effects.

Clomiphene Citrate: A Double-Edged Sword in Male Fertility

This study highlights the importance of considering both intended and unintended effects of medications, particularly those used to treat fertility issues. The observation that clomiphene citrate can have a paradoxical effect on semen parameters raises concerns about its potential impact on male fertility. Further research is needed to fully understand the mechanisms underlying this effect and to develop more effective and safe treatments for male subfertility.

Navigating the Complexities of Male Fertility

The findings of this study emphasize the importance of careful monitoring and individualized treatment plans for men experiencing fertility issues. It is essential to consider the potential for unexpected effects of medications and to work closely with healthcare professionals to optimize treatment outcomes and minimize risks. Furthermore, ongoing research into the complex factors influencing male fertility is crucial for developing more effective and personalized treatment approaches.

Dr. Camel's Conclusion

Just like a camel navigating the vast and unpredictable desert of male fertility, understanding the potential effects of medications is crucial. This study serves as a reminder that the path to fertility can be complex and often unexpected. It underscores the importance of careful monitoring, individualized treatment plans, and continuous research to ensure the best possible outcomes for those seeking to navigate this challenging terrain.

Date :
  1. Date Completed 2021-06-21
  2. Date Revised 2021-06-21
Further Info :

Pubmed ID

33108678

DOI: Digital Object Identifier

10.1111/and.13848

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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