Monday, 6 June 2016

Male infertility: Lifestyle factors and holistic, complementary, and alternative therapies

Volume 18, Issue 3, May 2016, Pages 410-418
Open Access

  (Review)

Department of Urology, UCLA, 1260 15th St #1200, Santa Monica, CA, United States 

Abstract

While we may be comfortable with an allopathic approach to male infertility, we are also responsible for knowledge about lifestyle modifications and holistic, complementary, and alternative therapies that are used by many of our patients. This paper provides an evidence-based review separating fact from fiction for several of these therapies. There is sufficient literature to support weight reduction by diet and exercise, smoking cessation, and alcohol moderation. Supplements that have demonstrated positive effects on male fertility on small randomized controlled trial (RCT) include aescin, coenzyme Q 10 , glutathione, Korean red ginseng, L-carnitine, nigella sativa, omega-3, selenium, a combination of zinc and folate, and the Menevit antioxidant. There is no support for the use of Vitamin C, Vitamin E, or saffron. The data for Chinese herbal medications, acupuncture, mind-body practice, scrotal cooling, and faith-based healing are sparse or inconclusive. © 2016 AJA, SIMM & SJTU.

Author keywords

alcohol; antioxidants; caffeine; faith-based healing; male infertility; obesity; scrotal cooling; sperm; tobacco; traditional Chinese medicine
ISSN: 1008682X CODEN: ASJAFSource Type: Journal Original language: English
DOI: 10.4103/1008-682X.175779Document Type: Review
Publisher: Medknow Publications

  Mills, J.N.; Department of Urology, UCLA, 1260 15th St #1200, United States; email:jnmills@mednet.ucla.edu
© Copyright 2016 Elsevier B.V., All rights reserved.