Antioxidants in the treatment of male infertility
The objective: the study was to determine the efficacy of the drugs containing L-carnitine (Novofertil and Novocarnitine) in certain cases of male infertility. The study is prospective and controlled.
Materials and methods. One hundred patients (aged 20–40 years) with anamnesis of infertility with such parameters of spermogram – concentration 10–20×106/ml, total motility 10–30%, progressive motility <15%, atypical forms <70%, speed 10–30 μm/s, linearity <4. 86 patients completed the study. Patients received Novofertil therapy 1 capsule 2 times a day and Novocarnitine 1 vial 3.00 g ones per day or basic therapy (vitamins E and C, zinc, selenium); before the therapy was a 2-month washout period, then 2 months of Novofertil /base therapy, 2 months of followup, the next 2 months of cross therapy (basic therapy / Novofertil). The main parameters studied were spermogram parameters, in particular, motility.
Results. Against the background of the use of Novofertil and Novocarnitine, there was a significant improvement in the parameters of total and progressive sperm motility, sperm concentration (compared with baseline). Improvement of motility was more pronounced in patients with worse motility rates, in particular <5 mln of progressively motile spermatozoa in the ejaculate and <2 million in ml.Conclusion. Based on a controlled study, the efficacy of Novofertil and Novocarnitineis effective in improving sperm quality, especially in groups with lower initial parameters.
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