Evidence map›Paper›PMID 25275520›Full record

Trial reportPloS one2014

An extract of pomegranate fruit and galangal rhizome increases the numbers of motile sperm: a prospective, randomised, controlled, double-blinded trial.

Maja D K Fedder, Henrik B Jakobsen, Ina Giversen, Lars P Christensen, Erik T Parner, Jens Fedder

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01357044 (An Extract of Pomegranate Fruit and Galangal Rhizome Increases the Numbers of Motile Sperm), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
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.

NCT01357044 nacompletednot on this map

An Extract of Pomegranate Fruit and Galangal Rhizome Increases the Numbers of Motile Sperm: A Prospective, Randomised, Controlled, Double-Blinded Trial

TypeinterventionalSponsorHorsens HospitalRan2011 to 2013Enrolled70ConditionsPoor Semen QualityArmsExtracts of Punica granatum and Alpinia galanga, Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Anti-Inflammatory Activities of Some Plants of GenusJournal of experimental pharmacology · 2025
    Review
  5. Article
  6. Update on the Potential ofAdvances in pharmacological and pharmaceutical sciences · 2024
    Review
  7. Effects of Chokeberries (Journal of clinical medicine · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. Effect ofJournal of diabetes and metabolic disorders · 2021
    Article
  12. Article
  13. Therapeutic Effects ofJournal of nutrition and metabolism · 2021
    Review
  14. Review
  15. 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

6 authors at 3 institutions in 1 country.

Maja D K FedderLaboratory of Reproductive Biology, Scientific Unit, Regional Hospital of Horsens, Horsens, Denmark.
Henrik B JakobsenNerthus ApS, Lejre, Denmark.
Ina GiversenNerthus ApS, Lejre, Denmark.
Lars P ChristensenDepartment of Chemical Engineering, Biotechnology and Environmental Technology, Faculty of Engineering, University of Southern Denmark, Odense, Denmark.
Erik T ParnerDepartment of Public Health, Section for Biostatistics, University of Aarhus, Aarhus, Denmark.
Jens FedderLaboratory of Reproductive Biology, Scientific Unit, Regional Hospital of Horsens, Horsens, Denmark; Centre of Andrology, Fertility Clinic, Department D, Odense University Hospital, Odense, Denmark.
Regional Hospital Horsens · DKAarhus University · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledPomegranate fruit (Punica granatum) and galangal (Alpinia galanga) have separately been shown to stimulate spermatogenesis and to increase sperm counts and motility in rodents. Within traditional medicine, pomegranate fruit has long been used to increase fertility, however studies on the effect on spermatogenesis in humans have never been published. With this study we investigated whether oral intake of tablets containing standardised amounts of extract of pomegranate fruit and powder of greater galangal rhizome (Punalpin) would increase the total number of motile spermatozoa. The study was designed as a prospective, randomized, controlled, double-blinded trial. Enrolment was based on the mean total number of motile spermatozoa of two ejaculates. The participants delivered an ejaculate after 4-8 days of tablet intake and two ejaculates just before they stopped taking the tablets. Seventy adult men with a semen quality not meeting the standards for commercial application at Nordic Cryobank, but without azoospermia, were included in the study. Participants were randomized to take tablets containing extract of pomegranate fruit (standardised with respect to punicalagin A+B, punicalin and ellagic acid) and freeze-dried rhizome of greater galangal (standardised with respect to 1'S-1'-acetoxychavicol acetate) or placebo on a daily basis for three months. Sixty-six participants completed the intervention (active treatment: n = 34; placebo: n = 32). After the intervention the total number of motile spermatozoa was increased in participants treated with plant extracts compared with the placebo group (p = 0.026). After three months of active treatment, the average total number of motile sperm increased by 62% (from 23.4 to 37.8 millions), while for the placebo group, the number of motile sperm increased by 20%. Sperm morphology was not affected by the treatment. Our findings may help subfertile men to gain an improved amount of motile ejaculated sperm by taking tablets containing preparations of pomegranate fruit extract and rhizome of greater galangal.

trial registrationClinicalTrials.gov NCT01357044.

Indexed as

Sperm CountAdultAlpiniaBiomarkersDemographyDouble-Blind MethodFruitHumansLife StyleLythraceaeMalePatient CompliancePlant ExtractsProspective StudiesRhizomeSpermatozoaBiomarkersPlant Extracts

Identifiers

PMID25275520
PMCPMC4190413
OpenAlexW2050108647

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.