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Oxidative stress affects sperm health and fertility—Time to apply facts learned at the bench to help the patient: Lessons for busy clinicians.

Authors :
Sengupta, Pallav
Pinggera, Germar‐M.
Calogero, Aldo E.
Agarwal, Ashok
Source :
Reproductive Medicine & Biology. Jan2024, Vol. 23 Issue 1, p1-17. 17p.
Publication Year :
2024

Abstract

Background: Increased oxidative stress (OS), resulting from the delicate balance between reactive oxygen species (ROS) production and antioxidant defense, is closely linked to sperm abnormalities and male subfertility. Elevated ROS levels particularly affect sperm quality. The vulnerability of spermatozoa to ROS is due to the absence of DNA repair mechanisms and the high presence of polyunsaturated fatty acids in their membranes. Methods: This article updates and advances our understanding of the molecular damage caused by OS in spermatozoa, including lipid peroxidation, DNA damage, motility, and functionality. Additionally, the review discusses the challenges in diagnosing OS in semen and recommends accurate and sensitive testing methods. Case studies are utilized to demonstrate the effective management of male infertility caused by OS. Main findings: Highlighting the need to bridge the gap between research and clinical practice, this review suggests strategies for clinicians, such as lifestyle and dietary changes and antioxidant therapies. The review emphasizes lifestyle modifications and personalized care as effective strategies in managing male infertility caused by OS. Conclusion: This review calls for early detection and intervention and interdisciplinary collaboration to improve patient care in male infertility cases related to increased OS. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14455781
Volume :
23
Issue :
1
Database :
Academic Search Index
Journal :
Reproductive Medicine & Biology
Publication Type :
Academic Journal
Accession number :
181803615
Full Text :
https://doi.org/10.1002/rmb2.12598