Abstract

Reactive oxygen species negatively affect the indicators of ejaculate and spermatogenesis in general. This study evaluated the efficacy and safety of combination antioxidant therapy with respect to the treatment of male infertility. The general indicators of the ejaculate and the sperm DNA fragmentation index were assessed. Men with a high sperm DNA fragmentation index were recommended to take 1 capsule and 5 ml of liquid (1 scoop) once a day with meals. The liquid contains L-carnitine – 900 mg; 1 capsule contains: lipoic acid - 96 mg, vitamin C – 72 mg, zinc citrate – 56 mg, vitamin B6 – 2.4 mg, folic acid – 0.48 mg, 9-phenyl-symmetric octahydroselenoxanthene – 0.34 mg. Results. After three months of treatment with the antioxidant complex "Spermafert", ejaculate valuesimproved, as evidenced by a decrease in the sperm DNA fragmentation index from 21.6 ± 3.2% to 12.8 ± 3.3%; an increase in sperm concentration from 29.7× 106 /ml to 35.7 × 106 /ml an increase in the totalsperm count from 72.1 × 106 to 95.5 × 106 . Findings. Taking antioxidants can improve overall ejaculate counts and lowersperm DNA fragmentation index levelsin men in infertile marriages. The conclusions of thisstudy coincide with general trendsin this direction. Keywords: male infertility, antioxidants, Spermafert, DNA fragmentation

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