Background: Methotrexate (MTX) can cause oxidative stress-related tissue damage.Vitamin E neutralizes lipid peroxidation arising from the effect of free oxygen radicals.In this study, the protective effect of vitamin E against possible MTX-related testicular damage was analyzed.
 Method: Thirty two mature male Spraque dawley rats were grouped as MTX, Vitamin E, MTX+Vitamin, Control groups. 20 mg/kg MTX intraperitoneal (i.p.) was applied to MTX Group in the first day; 100mg/kg i.p. vitamin E was applied to Vitamin E Group for 5 days; 20 mg/kg i.p. MTX in the first day and 100 mg/kg i.p. vitamin E for 5 days were applied to MTX+Vitamin E Group;2 ml physiological saline solution (i.p.) was applied to Control Group for 5 days. Histopathology, flow cytometry and apoptosis were evaluated on testicular tissue. 
 Result: Apoptotic Index (%) and testicular damage were highest for MTX Group, and significant decrease was observed for MTX+Vitamin E Group compared to MTX Group.Seminiferous tubule size significant decreased in MTX Group and it increased in MTX+Vitamin E Group compared to MTX Group. No significant difference was found between MTX and MTX+Vitamin E Groups regarding germinal epithelium thickness and testicle weights.
 Conclusion: The results show that MTX can cause structural disruptions in testicles and vitamin E can rehabilitate MTX-related testicular damage.
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