Male Oxidative Stress Infertility (MOSI): Proposed Terminology and Clinical Practice Guidelines for Management of Idiopathic Male Infertility
Abstrak
Despite advances in the field of male reproductive health, idiopathic male infertility, in which a man has altered semen characteristics without an identifiable cause and there is no female factor infertility, remains a challenging condition to diagnose and manage. Increasing evidence suggests that oxidative stress (OS) plays an independent role in the etiology of male infertility, with 30% to 80% of infertile men having elevated seminal reactive oxygen species levels. OS can negatively affect fertility via a number of pathways, including interference with capacitation and possible damage to sperm membrane and DNA, which may impair the sperm’s potential to fertilize an egg and develop into a healthy embryo. Adequate evaluation of male reproductive potential should therefore include an assessment of sperm OS. We propose the term Male Oxidative Stress Infertility, or MOSI, as a novel descriptor for infertile men with abnormal semen characteristics and OS, including many patients who were previously classified as having idiopathic male infertility. Oxidation-reduction potential (ORP) can be a useful clinical biomarker for the classification of MOSI, as it takes into account the levels of both oxidants and reductants (antioxidants). Current treatment protocols for OS, including the use of antioxidants, are not evidence-based and have the potential for complications and increased healthcare-related expenditures. Utilizing an easy, reproducible, and cost-effective test to measure ORP may provide a more targeted, reliable approach for administering antioxidant therapy while minimizing the risk of antioxidant overdose. With the increasing awareness and understanding of MOSI as a distinct male infertility diagnosis, future research endeavors can facilitate the development of evidence-based treatments that target its underlying cause.
Topik & Kata Kunci
Penulis (91)
Ashok Agarwal
Neel Parekh
Manesh Kumar Panner Selvam
Ralf Henkel
Rupin Shah
Sheryl T. Homa
Ranjith Ramasamy
Edmund Ko
Kelton Tremellen
Sandro Esteves
Ahmad Majzoub
Juan G. Alvarez
David K. Gardner
Channa N. Jayasena
Jonathan W. Ramsay
Chak-Lam Cho
Ramadan Saleh
Denny Sakkas
James M. Hotaling
Scott D. Lundy
Sarah Vij
Joel Marmar
Jaime Gosalvez
Edmund Sabanegh
Hyun Jun Park
Armand Zini
Parviz Kavoussi
Sava Micic
Ryan Smith
Gian Maria Busetto
Mustafa Emre Bakırcıoğlu
Gerhard Haidl
Giancarlo Balercia
Nicolás Garrido Puchalt
Moncef Ben-Khalifa
Nicholas Tadros
Jackson Kirkman-Browne
Sergey Moskovtsev
Xuefeng Huang
Edson Borges Jr
Daniel Franken
Natan Bar-Chama
Yoshiharu Morimoto
Kazuhisa Tomita
Vasan Satya Srini
Willem Ombelet
Elisabetta Baldi
Monica Muratori
Yasushi Yumura
Sandro La Vignera
Raghavender Kosgi
Marlon P. Martinez
Donald P. Evenson
Daniel Suslik Zylbersztejn
Matheus Roque
Marcello Cocuzza
Marcelo Vieira
Assaf Ben-Meir
Raoul Orvieto
Eliahu Levitas
Amir Wiser
Mohamed Arafa
Vineet Malhotra
Sijo Joseph Parekattil
Haitham Elbardisi
Luiz Carvalho
Rima Dada
Christophe Sifer
Pankaj Talwar
Ahmet Gudeloglu
Ahmed M.A. Mahmoud
Khaled Terras
Chadi Yazbeck
Bojanic Nebojsa
Damayanthi Durairajanayagam
Ajina Mounir
Linda G. Kahn
Saradha Baskaran
Rishma Dhillon Pai
Donatella Paoli
Kristian Leisegang
Mohamed-Reza Moein
Sonia Malik
Onder Yaman
Luna Samanta
Fouad Bayane
Sunil K. Jindal
Muammer Kendirci
Baris Altay
Dragoljub Perovic
Avi Harlev
Akses Cepat
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- Tahun Terbit
- 2019
- Sumber Database
- DOAJ
- DOI
- 10.5534/wjmh.190055
- Akses
- Open Access ✓