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Fasanghari M, Keramat A, Tansaz M, Moini A, Chaman R. Effect of alternative and complementary medicine on male infertility: An umbrella review. Health Sci Rep 2024; 7:e2118. [PMID: 38915352 PMCID: PMC11194475 DOI: 10.1002/hsr2.2118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 04/08/2024] [Accepted: 04/26/2024] [Indexed: 06/26/2024] Open
Abstract
Background and Aims There is increasing interest worldwide in using alternative and complementary approaches for treating male infertility. This interest has spawned a multitude of published systematic reviews and meta-analyses. The aim of this Umbrella review was to consolidate the available evidence regarding the effect of complementary and alternative medicine on male infertility to inform clinical decision-making processes. Methods A comprehensive search was conducted to identify systematic reviews and meta-analyses pertaining to the effects of complementary and alternative medicine on male infertility. This search encompassed various databases including MEDLINE, CINAHL, PubMed, Scopus, Proquest, Google Scholar, SID, EMBASE, Magiran, Cochrane Library, Iranmedex, ScienceDirect, SAGE. Subsequently, two researchers independently extracted the data from the selected meta-analyses and systematic reviews, and evaluated their methodological quality using the assessment of multiple systematic reviews 2 (AMSTAR2). Results This analysis encompassed 11 studies, with four originating from Iran, two from Korea and five from China. The results regarding the effectiveness of complementary and alternative medicine are controversial, indicating a need for further research. The methodological quality of the systematic reviews and meta-analyses appraised by AMSTAR 2 was rated as low or critically low. This assessment is attributed to inadequate examination of publication biases in the reviews and a lack of discussion regarding the effect of risk of bias. Conclusion The existing evidence regarding the effectiveness of alternative and complementary medicine in addressing male infertility is limited. Furthermore, the overall methodological quality of the published systematic reviews and meta-analyses may have been underestimated as the use of AMSTAR2 appears to be a more precise appraisal instrument compared to its predecessor.
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Affiliation(s)
- Maryam Fasanghari
- Student Research Committee, School of Nursing and MidwiferyShahroud University of Medical SciencesShahroudIran
| | - Afsaneh Keramat
- Center for Health Related Social and Behavioral Sciences ResearchShahroud University of Medical SciencesShahroudIran
| | - Mojgan Tansaz
- Department of Traditional Medicine, School of Traditional MedicineShahid Beheshti University of Medical SciencesTehranIran
| | - Ashraf Moini
- Department of Gynecology & Obstetrics, Arash Women's HospitalTehran University of Medical SciencesTeranIran
- Breast Disease Research Center (BDRC)Tehran University of Medical SciencesTeranIran
- Department of Endocrinology & Female Infertility at ReproductionBiomedicine Research Center, Royan Institute for Reproduction ACERTehranIran
| | - Reza Chaman
- Department of Community Medicine, Faculty of MedicineShahroud University of Medical SciencesShahroudIran
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2
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Parvin A, Erabi G, Saboohi Tasooji MR, Sadeghpour S, Mellatyar H, Rezaei Arablouydareh S, Navapour L, Taheri-Anganeh M, Ghasemnejad-Berenji H. The effects of photobiomodulation on the improvement of sperm parameters: A review study. Photochem Photobiol 2024. [PMID: 38623963 DOI: 10.1111/php.13941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 02/27/2024] [Accepted: 03/18/2024] [Indexed: 04/17/2024]
Abstract
The prevalence of male infertility has become a significant clinical concern worldwide, with a noticeable upward trend in recent times. The rates of fertilization and subsequent development of embryos are dependent on many parameters associated with the quality and viability of sperm. Photobiomodulation (PBM) is a promising approach with a great potential for translational applications in the treatment of spermatozoa exhibiting low quality and motility. In this study, a comprehensive analysis of the existing literature, specifically examining the mechanisms of action of PBM has been presented. Our objective was to enhance knowledge in the field of laser light therapy in order to promote the usage of irradiation in clinical settings in a more effective way. Within the realm of reproductive science, the utilization of PBM has been employed to enhance the metabolic processes, motility, and viability of spermatozoa. This is attributed to its advantageous effects on mitochondria, resulting in the activation of the mitochondrial respiratory chain and subsequent synthesis of ATP. This therapeutic approach can be highly advantageous in circumventing the reliance on chemical substances within the culture medium for spermatozoa while also facilitating the viability and motility of spermatozoa, particularly in circumstances involving thawing or samples with significant immotility.
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Affiliation(s)
- Ali Parvin
- Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran
| | - Gisou Erabi
- Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran
| | | | - Sonia Sadeghpour
- Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
| | | | - Sahar Rezaei Arablouydareh
- Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
| | - Leila Navapour
- Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
| | - Mortaza Taheri-Anganeh
- Cellular and Molecular Research Center, Cellular and Molecular Medicine Research Institute, Urmia University of Medical Sciences, Urmia, Iran
| | - Hojat Ghasemnejad-Berenji
- Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
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3
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Liu H, Luo Z, Chen J, Zheng H, Zeng Q. Treatment progress of cryptozoospermia with Western Medicine and traditional Chinese medicine: A literature review. Health Sci Rep 2022; 6:e1019. [PMID: 36582629 PMCID: PMC9793827 DOI: 10.1002/hsr2.1019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 12/05/2022] [Accepted: 12/14/2022] [Indexed: 12/28/2022] Open
Abstract
Background and Aims Cryptozoospermia is an extreme oligozoospermia with an unsatisfactory treatment effect, with an incidence rate of approximately 8.73% in male infertility, whose effective solution has become the call of the times. Western Medicine has achieved certain effects through drugs, surgery, and assisted reproductive therapy, but this is still not ideal. Traditional Chinese medicine (TCM) has made many achievements in other disciplines; however, there is still a lack of evidence-based medical evidence to improve sperm production. Methods The relevant literatures from the China National Knowledge Internet (CNKI) and PubMed in the past 10 years were collected in this article, of which the mechanisms, advantages, or current controversies of various treatment methods of Western Medicine and TCM were analyzed, to find new treatment methods and research directions. Results With the development of modern science and technology, medical treatments for cryptozoospermia have become increasingly abundant; however, there is still no universally recognized unified and effective guiding plan. Although TCM has not been fully verified by evidence-based medicine, most TCM combined with Western Medicine can achieve unexpected results. Conclusion The combination of TCM and Western Medicine may become a bane for cryptozoospermia and bring good news to infertile men worldwide.
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Affiliation(s)
- Huang Liu
- The First School of Clinical MedicineNanjing University of Chinese MedicineNanjingChina,NHC Key Laboratory of Male Reproduction and Genetics, Department of Andrology, Guangdong Provincial Reproductive Science Institute (Guangdong Provincial Fertility Hospital)Human Sperm Bank of Guangdong ProvinceGuangzhouChina
| | - Zefang Luo
- NHC Key Laboratory of Male Reproduction and Genetics, Department of Andrology, Guangdong Provincial Reproductive Science Institute (Guangdong Provincial Fertility Hospital)Human Sperm Bank of Guangdong ProvinceGuangzhouChina
| | - Jinghua Chen
- Reproductive Medical Centre of Sun Yat‐sen Memorial HospitalSun Yat‐sen UniversityGuangzhouChina
| | - Houbin Zheng
- NHC Key Laboratory of Male Reproduction and Genetics, Department of Andrology, Guangdong Provincial Reproductive Science Institute (Guangdong Provincial Fertility Hospital)Human Sperm Bank of Guangdong ProvinceGuangzhouChina
| | - Qingqi Zeng
- The First School of Clinical MedicineNanjing University of Chinese MedicineNanjingChina,Department of Integrated Chinese and Western MedicineJiangsu Health Vocational CollegeNanjingChina
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4
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Nurwati I, Murti B, Budihastuti UR, Prakosa T, Laqif A, Melinawati E, Prasetya H, Susanto L, Sukmawati M. Electroacupuncture Effectiveness for Treating Idiopathic Male Infertility. Med Acupunct 2022; 34:405-409. [PMID: 36644422 PMCID: PMC9805838 DOI: 10.1089/acu.2021.0063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Background Male infertility accounts for ∼50% of all infertility cases. The reasons for male infertility may vary, and one of them is related to an idiopathic factor that may impair spermatogenesis. Acupuncture is one of the most well-known and widely accepted alternative treatments and is becoming known as an effective complementary therapy for infertility. Case The case in this article demonstrated the effectiveness of electroacupuncture (EA) for improving male fertility by referring to the total motile sperm count (TMSC), sperm morphology and motility, DNA Fragmentation Index (DFI) of the sperm before and after EA, and pregnancy success in a couple with male infertility. Couples are given therapy with EA twice per week for up to 12 sessions and planned intercourse during the fertile period (ovulation). After planned intercourse, the wife became pregnant; an intrauterine gestational sac (GS) was seen on transvaginal ultrasound and her human chorionic gonadotropin urine test was positive. Results The TMSC parameter, sperm morphology and sperm motility, post-EA DFI was improved, compared to pre-EA. The couple was became pregnant after undergoing EA 12 times to treat male infertility. Conclusions This case illustrated that EA therapy for idiopathic male infertility has an effect toward improvement of the spermiogram test result, DFI, and success in achieving a pregnancy. However, further research is needed because there are many patients with different causes for their infertility.
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Affiliation(s)
- Ida Nurwati
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Doctoral Program in Medical Science, Medical Faculty of Universitas Sebelas Maret, Jawa Tengah, Indonesia
| | - Bhisma Murti
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Public Health Science Study Program, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Doctoral Program in Medical Science, Medical Faculty of Universitas Sebelas Maret, Jawa Tengah, Indonesia
| | - Uki Retno Budihastuti
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Dr. Moewardi General Hospital, Jawa Tengah, Indonesia
- Public Health Science Study Program, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Doctoral Program in Medical Science, Medical Faculty of Universitas Sebelas Maret, Jawa Tengah, Indonesia
| | - Teguh Prakosa
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Dr. Moewardi General Hospital, Jawa Tengah, Indonesia
| | - Abdurahman Laqif
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Dr. Moewardi General Hospital, Jawa Tengah, Indonesia
| | - Eriana Melinawati
- Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
- Dr. Moewardi General Hospital, Jawa Tengah, Indonesia
| | - Hanung Prasetya
- Acupuncture Department, Surakarta Health Polytechnic, Surakarta, Central Java, Indonesia
| | - Lunardhi Susanto
- School of Pharmacy, Universitas Hang Tuah, Surabaya, Jawa Timur, Indonesia
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5
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Jia W, Wang C, Yin Y. Acupuncture for oligospermia and asthenozoospermia: A systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e27816. [PMID: 35049183 PMCID: PMC9191280 DOI: 10.1097/md.0000000000027816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 10/29/2021] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Acupuncture is widely used for oligospermia and asthenozoospermia in China, but its effect is unclear. We aimed to determine the effectiveness and safety of acupuncture in treating oligospermia and asthenozoospermia. METHODS An electronic search for randomized controlled trials evaluating acupuncture treatment in patients with oligospermia and asthenozoospermia published from database inception to October 2018 was conducted in PubMed, EMBASE, the Chinese Biomedical Literature Database, the Chinese Scientific Journal Database (VIP Database), the Wan-Fang Database, the China National Knowledge Infrastructure and the Cochrane Library. We established search terms related to 3 areas (oligospermia, asthenozoospermia, and acupuncture). Two authors independently screened all identified citations and extracted the data. The methodological quality of the included trials was assessed using the Cochrane criteria. RESULTS Seven studies with a total of 527 subjects were screened according to inclusion and exclusion standards, and most of the studies had significant methodological weaknesses. Seven randomized controlled trials tested the effects of acupuncture compared with placebo acupuncture and conventional medications in patients with oligospermia and asthenozoospermia. The results of this study suggest that acupuncture alone has no clear superiority in improving sperm motility (standard mean difference [SMD] = 1.13, 95% confidence interval [CI]: -0.64 to 2.89), the sperm concentration (SMD = 0.32, 95% CI: 0.27-0.92) or semen volume compared with placebo acupuncture. No significant difference was found between acupuncture alone and conventional medications in improving sperm motility (SMD = -0.53, 95% CI: -2.54 to 1.48), the sperm concentration (SMD = -1.10, 95% CI: -1.48 to -0.72) or semen volume. However, adjuvant acupuncture may enhance the effect of medications on improving sperm motility (SMD = 4.10, 95% CI: 1.09-7.12) and the sperm concentration (SMD = 1.07, 95% CI: 0.739-1.40), but the study heterogeneity was too high to establish robust conclusions. CONCLUSION These results suggest that the current evidence does not support acupuncture as an effective treatment for oligospermia and asthenozoospermia; therefore, acupuncture is not currently recommended as a treatment for these conditions. However, owing to the high risk of bias among the included studies, the evidence is limited, and more large-scale, high-quality clinical trials are needed in the future. TRIAL REGISTRATION NUMBER PROSPERO CRD42018083885.
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6
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Nareswari I, Lestari SW, Notonegoro C. Acupuncture Therapy for Severe Oligoasthenoteratozoospermia. Med Acupunct 2021; 33:302-305. [PMID: 34471448 DOI: 10.1089/acu.2020.1513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Infertility affects ∼15%-20% of couples. Of the 16.7% infertility rate reported based on Word Health Organisation questionnaire data, 6.4% of cases are associated with male factors. Male infertility can result from abnormal semen parameters; oligoasthenoteratozoospermia (OAT) is the most common diagnosis. Acupuncture is an ancient method that has been used for centuries to treat and prevent various conditions. In modern medicine, it is gaining popularity as a complementary infertility therapy. Case: A 41-year-old male presented to the Medical Acupuncture Department of Dr. Cipto Mangunkusumo Hospital (in Jakarta, Indonesia) because he wanted to have a child. His semen was analyzed, and he was diagnosed with severe OAT. Manual acupuncture therapy was performed at CV 3, CV 4, CV 5, CV 6, CV 7, ST 29, SP 6, SP 3, ST 36, and KI 3, alternating with KI 7 5 days per week and at LR 8 once per week, for a total of 28 sessions. Results: Semen analysis after 2 series of manual acupuncture treatments revealed improvement, especially in sperm motility, from 25% to 33% and then to 67% after the first and second serial therapies, respectively, changing the diagnosis from severe OAT to severe oligoteratozoospermia. Conclusions: Manual acupuncture combined with medication improves male fertility, especially sperm motility.
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Affiliation(s)
- Irma Nareswari
- Department of Medical Acupuncture, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.,Anna Hospital, Pekayon, Bekasi, Indonesia.,Medical Acupuncture Specialist Program, Faculty of Medicine Universitas Indonesia, Jakarta, Daerah Istimewa Jakarta, Indonesia
| | - Silvia Werdhy Lestari
- Anna Hospital, Pekayon, Bekasi, Indonesia.,Department of Medical Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Daerah Istimewa Jakarta, Indonesia
| | - Cindy Notonegoro
- Department of Medical Acupuncture, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.,Medical Acupuncture Specialist Program, Faculty of Medicine Universitas Indonesia, Jakarta, Daerah Istimewa Jakarta, Indonesia
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7
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Chronopoulou E, Seifalian A, Stephenson J, Serhal P, Saab W, Seshadri S. Preconceptual care for couples seeking fertility treatment, an evidence-based approach. ACTA ACUST UNITED AC 2021. [DOI: 10.1016/j.xfnr.2020.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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8
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Jin ZR, Fang D, Liu BH, Cai J, Tang WH, Jiang H, Xing GG. Roles of CatSper channels in the pathogenesis of asthenozoospermia and the therapeutic effects of acupuncture-like treatment on asthenozoospermia. Am J Cancer Res 2021; 11:2822-2844. [PMID: 33456575 PMCID: PMC7806476 DOI: 10.7150/thno.51869] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 12/13/2020] [Indexed: 02/06/2023] Open
Abstract
Rationale: Idiopathic asthenozoospermia (iAZS) is one of the major causes of male infertility and has no effective therapeutic treatment. Understanding the potential mechanisms that cause it may be helpful in seeking novel targets and treatment strategies for overcoming the problem of low sperm motility in iAZS individuals. Methods: Computer-assisted semen analysis (CASA) was utilized to assess the sperm motility. RT-qPCR, Western blot, immunofluorescence staining, and calcium imaging analysis were performed to examine the expression and function of CatSper channels. Hyperactivation and acrosome reaction were used to evaluate the functional characteristics of epididymal sperm. In vivo fertility assay was applied to determine the fertility of rats. CatSper1 knockdown and overexpression experiments were performed to confirm the roles of CatSper channels in the pathogenesis of iAZS and the therapeutic effects of electroacupuncture (EA) treatment on AZS model rats. Results: Here, we reported a functional down-regulation of CatSper channel from CatSper1 to CatSper 4 in the sperm of both iAZS patients and ornidazole (ORN)-induced AZS model rats, and an impaired sperm function characterized by a reduction of protein tyrosine phosphorylation, hyperactivation, and acrosome reaction in the epididymal sperm of AZS rats. Knockdown of CatSper1 in the testis tissues is sufficient to induce AZS in normal rats, and this action was validated by the reversal effects of CatSper1 overexpression. Transcutaneous electrical acupoint stimulation (TEAS) and electroacupuncture (EA) at 2 Hz frequency improve the sperm motility via enhancing the functional expression of CatSper channels in the sperm. Gene silencing CatSper1 in the sperm abolishes the therapeutic effects of 2 Hz-EA treatment on AZS rats. Conclusions: We conclude that a functional down-regulation of CatSper channel in the sperm may be a contributor or a downstream indicator for a portion of AZS, especially iAZS, while 2 Hz-TEAS or EA treatment has a therapeutic effect on iAZS through inducing the functional up-regulation of CatSper channels in the sperm. This study provides a novel mechanism for the pathogenesis of some AZS especially iAZS, and presents a potential therapeutic target of CatSper for iAZS treatment. Acupuncture treatment like TEAS may be used as a promising complementary and alternative medicine (CAM) therapy for male infertility caused by iAZS in clinical practice.
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9
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Hasani A, Khosravi A, Rahimi K, Afshar A, Fadaei-Fathabadi F, Raoofi A, Raee P, Aghajanpour F, Aliaghaei A, Abdi S, Norouzian M, Abdollahifar MA. Photobiomodulation restores spermatogenesis in the transient scrotal hyperthermia-induced mice. Life Sci 2020; 254:117767. [DOI: 10.1016/j.lfs.2020.117767] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 05/06/2020] [Accepted: 05/06/2020] [Indexed: 01/18/2023]
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10
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Yu Y, Sha SB, Zhang B, Guan Q, Liang M, Zhao LG, Zhang QY, Wen J, Sun W. Effects and mechanism of action of transcutaneous electrical acupuncture point stimulation in patients with abnormal semen parameters. Acupunct Med 2019; 37:25-32. [PMID: 30942613 DOI: 10.1136/acupmed-2017-011365] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Objective: To evaluate the effect of transcutaneous electrical acupuncture point stimulation (TEAS) on sperm parameters and the underlying molecular mechanisms. Methods: A total of 121 patients diagnosed with oligozoospermia, asthenozoospermia or oligoasthenozoospermia were randomised into four groups (three treatment groups, one control): the TEAS groups were treated with 2 Hz (n=31), 100 Hz (n=31), or mock stimulation (n=29) at acupuncture points BL23, ST36, CV1 and CV4 for 2 months. The control group (n=30) was provided with lifestyle advice only. Results The changes in total sperm count and motility in the 2 Hz TEAS group were significantly greater than those in the mock group and the control group. The change in neutral α-glucosidase (NAG) and zinc levels in the 2 Hz group were significantly greater than those in the mock group and control group, and the changes in fructose levels of the 2 Hz group were significantly greater than those in the control group. Significant increases in calcium and integrin-binding protein 1 (CIB1) and reduction of cyclin-dependent kinase 1 b (CDK1) were also found after 2 Hz TEAS treatment. Conclusions The present findings suggest that 2 Hz TEAS can improve sperm count and motility in patients with abnormal semen parameters, and is associated with increases in seminal plasma zinc, NAG and fructose. The upregulation of CIB1 and downregulation of CDK1 by TEAS may be associated with its positive effects on sperm motility and count. Trial registration: http://www.chictr.org ; registration no. ChiCTR-TRC-11001775.
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Affiliation(s)
- Yan Yu
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Shu-Bin Sha
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Bin Zhang
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Qun Guan
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Ming Liang
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Lu-Gang Zhao
- Reproductive Medicine Research Centre, 6th Affiliated Hospital, Sun Yat-sen University, Guangzhou, People’s Republic of China
| | - Qi-Yao Zhang
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Ji Wen
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
| | - Wei Sun
- Reproductive Medical Center, The Second Hospital affiliated to Shandong University of Traditional Chinese Medicine, Jinan, People’s Republic of China
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11
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Zhou SH, Deng YF, Weng ZW, Weng HW, Liu ZD. Traditional Chinese Medicine as a Remedy for Male Infertility: A Review. World J Mens Health 2019; 37:175-185. [PMID: 30644235 PMCID: PMC6479084 DOI: 10.5534/wjmh.180069] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 10/13/2018] [Accepted: 10/17/2018] [Indexed: 12/18/2022] Open
Abstract
Male infertility (MI) is a complex multifactorial disease, and idiopathic infertility accounts for 30% of cases of MI. At present, the evidence for the effectiveness of empirical drugs is limited, and in vitro fertilization is costly and may increase the risk of birth defects and childhood cancers. Therefore, affected individuals may feel obliged to pursue natural remedies. Traditional Chinese medicine (TCM) may represent a useful option for infertile men. It has been demonstrated that TCM can regulate the hypothalamic-pituitary-testicular axis and boost the function of Sertoli cells and Leydig cells. TCM can also alleviate inflammation, prevent oxidative stress, reduce the DNA fragmentation index, and modulate the proliferation and apoptosis of germ cells. Furthermore, TCM can supply trace elements and vitamins, ameliorate the microcirculation of the testis, decrease the levels of serum anti-sperm antibody, and modify epigenetic markers. However, the evidence in favor of TCM is not compelling, which has hindered the development of TCM. This review attempts to elucidate the underlying therapeutic mechanisms of TCM. We also explore the advantages of TCM, differences between TCM and Western medicine, and problems in existing studies. Subsequently, we propose solutions to these problems and present perspectives for the future development of TCM.
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Affiliation(s)
- Shao Hu Zhou
- Department of Reproductive Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
| | - Yu Fei Deng
- The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhi Wei Weng
- Department of Reproductive Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Hao Wei Weng
- The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhi Dan Liu
- The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China
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12
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Jo J, Lee SH, Yoon SR, Kim K. The effectiveness of Korean herbal medicine in infertile men with poor semen quality: A prospective observational pilot study. Andrologia 2019; 51:e13226. [DOI: 10.1111/and.13226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 11/20/2018] [Accepted: 12/05/2018] [Indexed: 11/27/2022] Open
Affiliation(s)
- Junyoung Jo
- Department of Korean Obstetrics and Gynecology Conmaul Hospital of Korean Medicine Seoul Korea
- Research institute of Korean Medicine, College of Korean Medicine Dongguk University Gyeonggi‐do Korea
| | - Sun Haeng Lee
- Department of Clinical Korean Medicine, College of Korean Medicine Kyung Hee University Seoul Korea
| | - Suk Ran Yoon
- Immunotherapy Research CenterKorea Research Institute of Bioscience and Biotechnology Yusung‐gu Daejeon Korea
| | - Kwan‐Il Kim
- Department of Clinical Korean Medicine, College of Korean Medicine Kyung Hee University Seoul Korea
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13
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The Effects of Acupuncture Treatment in Infertile Patients with Clinical Varicocele. Nephrourol Mon 2018. [DOI: 10.5812/numonthly.65451] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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14
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Kim KII, Jo J. The effectiveness of Korean medicine treatment in male patients with infertility: a study protocol for a prospective observational pilot study. Medicine (Baltimore) 2018; 97:e9696. [PMID: 29369195 PMCID: PMC5794379 DOI: 10.1097/md.0000000000009696] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 01/02/2018] [Indexed: 12/22/2022] Open
Abstract
Male factor subfertility has increasingly been considered the cause of infertility in couples. Many men with male infertility have sperm problems such as oligozoospermia, asthenozoospermia, or teratozoospermia. Because abnormal semen parameters are idiopathic to some extent, no standard therapy has been established to date. Herbal medicine has been reported to have beneficial properties in the treatment of subfertility, especially in improving semen quality both in vivo and in human studies. Therefore, we intend to investigate the effectiveness and safety of treatment using Korean medicine (KM) for infertile male patients with poor semen quality.This will be a single-center, prospective, case-only observational pilot study. About 20 male patients with infertility who visit Conmaul Hospital of Korean Medicine will be recruited. We will follow the standard treatment protocol, which has shown good results in the treatment of male infertility. The protocol is composed mainly of a 10-week herbal decoction treatment; acupuncture and/or pharmacopuncture are added when needed. Semen samples, quality of life, and the scrotal temperatures of infertile men will be observed before and after the 10-week treatment with KM.The study has received ethical approval from the Public Institutional Review Board (approval number: P01-201708-21-008). The findings will be disseminated to appropriate audiences via peer-reviewed publication and conference presentations. TRIAL REGISTRATION Korean Clinical Trial Registry (CRIS), Republic of Korea: KCT0002611.
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Affiliation(s)
- Kwan-II Kim
- Department of Clinical Korean Medicine, College of Korean Medicine, Kyung Hee University
| | - Junyoung Jo
- Department of Korean Obstetrics and Gynecology, Conmaul Hospital of Korean Medicine, Seoul, Republic of Korea
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WITHDRAWN: Effects of Hoixuanhoan on sperm number and morphology in men with oligoteratozoospermia. Integr Med Res 2017. [DOI: 10.1016/j.imr.2017.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Kadihasanoglu M, Ozbek E. Randomised clinical trial of comparing effects of acupuncture and varicocelectomy on sperm parameters in infertile varicocele patients. Andrologia 2017; 49. [PMID: 28083932 DOI: 10.1111/and.12598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
| | - Emin Ozbek
- Istanbul Training and Research Hospital, Istanbul, Turkey
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17
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Successful Treatment of Oligoasthenozoospermia Using Traditional Korean Medicine Resulting in Spontaneous Pregnancy: Two Case Reports. Explore (NY) 2016; 12:136-8. [DOI: 10.1016/j.explore.2015.12.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Indexed: 02/02/2023]
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18
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The effects of traditional Korean medicine in infertile male patients with poor semen quality: A retrospective study. Eur J Integr Med 2016. [DOI: 10.1016/j.eujim.2016.01.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Kucuk EV, Bindayi A, Boylu U, Onol FF, Gumus E. Randomised clinical trial of comparing effects of acupuncture and varicocelectomy on sperm parameters in infertile varicocele patients. Andrologia 2016; 48:1080-1085. [PMID: 26791438 DOI: 10.1111/and.12541] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2015] [Indexed: 01/20/2023] Open
Abstract
The aim of the study was to evaluate the effect of the acupuncture treatment on sperm parameters and pregnancy rates in patients with primary infertility. Between January 2008 and May 2010, 30 men with the primary infertility (one year of unprotected intercourse, healthy wife) and varicocele with normal hormone levels and abnormal semen analysis were randomised into two groups. Group 1 underwent subinguinal microscopic varicocelectomy, and Group 2 underwent acupuncture treatment twice a week for 2 months. Both groups were evaluated with semen analysis at 6 months after the treatment. Patients in both groups evaluated with telephone calls and e-mail in terms of pregnancy. The mean age of the patients was 27.2, and groups were comparable regarding the age (P = 0.542). The pre-treatment sperm concentration, motility and morphological characteristics were similar in both groups. Sperm concentration and motility improved significantly in both groups after the treatment. Increase in sperm concentration was higher in the acupuncture group compared to the varicocelectomy group (P = 0.039). The average follow-up was 42 months, and pregnancy rates were emphasised 33% in both groups. Acupuncture treatment in primary infertile varicocele patients with semen abnormalities seems to be effective and has comparable results with the varicocelectomy treatment.
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Affiliation(s)
- E V Kucuk
- Umraniye Education & Research Hospital, Istanbul, Turkey
| | - A Bindayi
- Umraniye Education & Research Hospital, Istanbul, Turkey
| | - U Boylu
- Umraniye Education & Research Hospital, Istanbul, Turkey
| | - F F Onol
- Umraniye Education & Research Hospital, Istanbul, Turkey
| | - E Gumus
- Umraniye Education & Research Hospital, Istanbul, Turkey
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