Insights & Discussion
Traditional Chinese Medicine when combined with vitamins significantly improves sperm characteristics and pregnancy rates in male infertility treatment.
The methodology used for this research involved a comprehensive review and meta-analysis of all relevant randomized controlled trials that utilized a combination of Traditional Chinese Medicine and vitamins for treating male infertility. These studies were sourced from a variety of databases including CNKI, Wanfang, VIP Database, CBM, MEDLINE, EMBASE, and the Cochrane Library. The quality of the chosen articles was assessed with the Cochrane Reviewer's Handbook 5.3, and meta-analysis was conducted using Stata 15 software.
The results indicate that compared to solely Vitamin E or Vitamin E and C, the incorporation of Traditional Chinese Medicine with vitamins led to considerable improvements in sperm concentration, motility, viability, liquefaction time, acrosome enzyme activity and in the overall pregnancy rate for male infertility cases. Certain specific Traditional Chinese Medicine capsules – Shengjing, Huanshao, and compound Xuanju – demonstrated particularly significant enhancements with respect to sperm concentration, sperm movement, and pregnancy rate. Consequently, the combination was found to have significant efficacy in treating male infertility without increasing side effects.
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Regular consumption of nuts improves sperm parameters such as motility, vitality, and morphology, potentially promoting successful reproductive outcomes in healthy males.
2024 Advances in Nutrition Nut Consumption and Fertility: a Systematic Review and Meta-Analysis Cardoso BR, Fratezzi I, Kellow NJ
Systematic Review Female Fertility Male Fertility Nut
The researchers in this study carried out a systematic review and meta-analysis, exploring the impact of nut intake on fertility outcomes. They sourced data from four databases: Ovid MEDLINE, Embase, CINAHL, and Scopus, from their inception until June 2023. The inclusion criteria for articles were humans of reproductive age who had consumed nuts for a minimum of three months, with any consequent fertility-related outcomes reported. The researchers undertook a random-effects meta-analysis to produce a collective estimate of the effect of nut consumption on four specific sperm characteristics: total motility, vitality, morphology, and concentration.
In this review and meta-analysis, the researchers involved four studies, evaluating a total of 875 participants, composed of 646 males and 229 females. For males, two randomized control trials involving 223 individuals revealed that a daily consumption of at least 60g of nuts led to an improvement in sperm motility, vitality, and morphology, compared to those consuming fewer nuts, though it did not affect sperm concentration. Conversely, the non-randomized studies could not discern an association between nut consumption and traditional sperm parameters in males, nor could they establish a link between nut intake and embryo implantation, clinical pregnancy or live birth in males and females undergoing Assisted Reproductive Technology (ART).
Nutraceuticals like zinc, vitamin D, l-arginine, mucuna, ashwagandha, tribulus, and ω3 fatty acids, along with lifestyle changes, can mildly improve male testosterone levels and sperm parameters.
2022 Clinical Therapeutics Nonpharmacological Interventions for the Management of Testosterone and Sperm Parameters: A Scoping Review Santos HO, Cadegiani FA, Forbes SC
Review Article Sperm Quality Testosterone
A comprehensive scoping review was undertaken to investigate the effectiveness of nonpharmacologic interventions such as dietary supplements, herbal remedies, diverse diets, sleep patterns, and various forms of physical exercise. The study was aimed to understand their potential in enhancing male health by improving testosterone levels and sperm parameters, especially in men with hypogonadism or fertility issues.
Results indicated that among a multitude of nutraceuticals and functional nutrients that claim to stimulate testosterone production, only a select few, including zinc, vitamin D (in cases of its deficiency), l-arginine, mucuna, and ashwagandha, based on well-conducted randomized clinical trials, showed positive results in men with low testosterone levels and related complications. Except for l-arginine, these and other natural substances like tribulus and omega-3 fatty acids showed potential to enhance sperm parameters in infertile men. Implementing proper diet, ensuring adequate sleep and regular exercise are considered crucial, particularly in obese patients. It's also highlighted that androgen receptor content is potentially more significant in muscle hypertrophy than endogenous androgens. While the impact of nonpharmacologic interventions on testosterone levels are modest and do not translate into significant clinical benefits, some supplements and herbal medicines could serve as adjunctive approaches in testosterone and sperm health management. However, proper use of nutraceuticals involves personalised consideration by care providers.
Ginger significantly improves sperm health, enhancing quality parameters like count, viability, motility, morphology and DNA integrity, thereby boosting fertility.
2021 Veterinary Medicine and Science A systematic review on the effect of Ginger (Zingiber officinale) on improvement of biological and fertility indices of sperm in laboratory animals, poultry and humans Gholami‐Ahangaran M, Karimi‐Dehkordi M, Akbari Javar A, Haj Salehi M, Ostadpoor M
Systematic Review Ginger Male Fertility Sperm Quality
The study investigated the impact of ginger on semen quality across different species. It focused on key sperm parameters including count, viability, motility, morphology, and DNA integrity. The research pointed to the antioxidant properties of ginger, attributed to active phenolic compounds, which disrupt the production of free radicals - these are known to cause oxidative stress and negatively impact the quality of sperm. The study also noted ginger's androgenic activity and the associated influence on the levels of gonadotropin and sex hormones, such as testosterone.
In the discussion of results, it was identified that ginger minimizes DNA failures, reduces damage to the mitochondrial genome in sperm cells, and essentially moulds a sperm with apt morphological structure. The sperm, under the influence of ginger, attains progressive motility, high viability, and increased fertility. Overall, the entire fertility indicators of sperm also saw an upswing with the usage of ginger - reinforcing its effectiveness in increasing the total motility, survival rate, the normal morphological structure of sperm, and the number of sperm cells.
The date palm enhances both male and female fertility parameters through its nutritional attributes and antioxidant functionality.
2021 Metabolites Therapeutic Potential of Date Palm against Human Infertility: A Review Shehzad M, Rasheed H, Naqvi SA, Al-Khayri JM, Lorenzo JM, Alaghbari MA, et al.
Review Article Date Fruit Female Fertility Ovarian Function
The research conducted a thorough review of the role of date palm in treating infertility. The health benefits of date palm and its varied components were explored, with a focus on their effects on reproductive parameters in both sexes. The comprehensive review shed light on how the substantial nutrients and antioxidant features of date palm can be beneficial for people dealing with infertility.
In men, the study found direct links between consumption of date palm and improved hormonal levels alongside notable enhancements in seminal vesicle parameters and sperm quality. For women, this natural remedy showed a positive impact on the process of oogenesis, hormone regulation, and improving pregnancy outcomes. The focus was on the potential of date fruit as a natural enhancer of fertility, downplaying the role of any synthetic or invasive medical interventions. The study thus testifies to the innovative use of a widely available natural resource in addressing a pressing health issue.
Incorporating tree nuts into a Western-style diet subtly modifies specific DNA methylation regions within sperm, thereby showing parts of the sperm epigenome can respond to dietary changes.
2020 Andrology Sperm DNA methylation changes after short‐term nut supplementation in healthy men consuming a Western‐style diet Salas‐Huetos A, James ER, Salas‐Salvadó J, Bulló M, Aston KI, Carrell DT, et al.
Randomised Controlled Trial Hazelnut Sperm Quality Walnut
The study methodology involved a post hoc analysis with a subset of the participants (healthy, non-smoking, and young) from the FERTINUTS 14-week randomized-controlled, parallel trial. The selected participants were from the pool of individuals who completed the entire dietary intervention trial. These individuals were split into two groups: the nut group, which consumed 60 grams per day of mixed nuts for 14 weeks, and the control group, who maintained their regular Western-style diet devoid of nuts.
Investigation of the trial's results revealed no significant changes in overall methylation between the two groups. However, for the nut group, there were 36 genomic regions distinctly showing differential methylation between the beginning and end of the trial with a marked increase in methylation. No such changes were identified in the control group. Analysis also involved examining if nut consumption led to changes in the epigenetic age of cells, but no significant differences were discovered.
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