Evidence map›Paper›PMID 39797269›Full record

ReviewJournal of clinical medicine2024

Is There a Role for Hormonal Therapy in Men with Oligoasthenoteratozoospermia (OAT)?

Selahittin Çayan, Ahmet Barış Altay, Amarnath Rambhatla, Giovanni M Colpi, Ashok Agarwal

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Selahittin ÇayanDepartment of Urology, Andrology Section, School of Medicine, University of Mersin, Mersin 33110, Turkey.ORCID 0000-0003-4784-2208
Ahmet Barış AltayGlobal Andrology Forum, Moreland Hills, OH 44022, USA.ORCID 0000-0002-3101-8022
Amarnath RambhatlaGlobal Andrology Forum, Moreland Hills, OH 44022, USA.ORCID 0000-0002-1383-6670
Giovanni M ColpiGlobal Andrology Forum, Moreland Hills, OH 44022, USA.ORCID 0000-0003-1431-1777
Ashok AgarwalGlobal Andrology Forum, Moreland Hills, OH 44022, USA.ORCID 0000-0003-0585-1026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormonal factors play an essential role as an underlying causative factor of oligoasthenoteratozoospermia (OAT), and these patients can benefit from hormonal medications that modulate the hypothalamic-pituitary-gonadal axis. This review aims to outline the various medications used as hormonal therapy in treating infertile men with OAT. This manuscript focuses on essential hormonal evaluation, identifying men who would benefit from treatment, selecting the appropriate medication, determining the duration of therapy, and evaluating hormonal treatment outcomes. Additionally, novel markers that can broaden the horizon of hormonal treatment in infertile men with OAT are discussed. Hormonal-based therapy options in men with OAT include selective estrogen receptor modulators (SERMs), aromatase inhibitors (AIs), dopamine agonists, and injections such as gonadotropin-releasing hormone (GnRH) analogs and gonadotropins. Treatment duration and the expected success will dictate the final treatment type for couples. In conclusion, hormonal therapy may improve spermatogenesis in infertile men with low serum testosterone. Gonadotropins and SERMs may increase sperm parameters in men with infertility and normal serum gonadotropin levels. AIs might help improve spermatogenesis in infertile men with a total testosterone (ng/mL)/estradiol (pg/mL) ratio < 0.10. In addition, dopamine agonists may play a role in enhancing spermatogenesis in infertile men with hyperprolactinemia.

Indexed as

hormonemale infertilityoligoasthenoteratozoospermiaspermtherapy

Identifiers

PMID39797269
PMCPMC11721639

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.