Male vitamin D status and male factor infertility.
To determine the association between vitamin D levels in the male partner and fertility outcomes in couples with mild male factor infertility.Secondary analysis of a randomized, controlled trial.Nine fertility centers in the United States.Men (n = 154) with sperm concentration between 5 and 15 million/mL, motility ≤40%, or normal morphology ≤4% were eligible. Female partners were ovulatory, ≤40 years old, and had documented tubal patency.Men provided semen and blood at baseline for semen analysis and 25-hydroxyvitamin D (25(OH)D) levels. They were randomly assigned to receive a vitamin formulation including vitamin D 2,000 IU daily or placebo for up to 6 months. Couples attempted to conceive naturally during the first 3 months and with clomiphene citrate with intrauterine insemination of the female partner in months 4 through 6.Primary: sperm concentration, motility, morphology, and DNA fragmentation at baseline. Secondary: cumulative pregnancy, miscarriage, and live birth rates.Semen parameters and sperm DNA fragmentation were not statistically significantly different between men with vitamin D deficiency and men with 25(OH)D levels ≥20 ng/mL. In addition, clinical pregnancy and live birth rates were similar. Male 25(OH)D level <20 ng/mL was associated with a higher rate of pregnancy loss (adjusted odds ratio 9.0; 95% confidence interval 1.3 to 61.3).Vitamin D deficiency in the male partner did not significantly impact semen parameters or treatment outcomes. Further study is warranted to better characterize the rate of miscarriage in couples with male vitamin D deficiency.
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- Vitamin D Deficiency
- Vitamin D
- United States
- Treatment Outcome
- Time Factors
- Semen Analysis
- Semen
- Risk Factors
- Prospective Studies
- Pregnancy Rate
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Vitamin D Deficiency
- Vitamin D
- United States
- Treatment Outcome
- Time Factors
- Semen Analysis
- Semen
- Risk Factors
- Prospective Studies
- Pregnancy Rate