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.
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.
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