Evidence map›Paper›PMID 34289935›Full record

Trial reportFertility and sterility2021

Male vitamin D status and male factor infertility.

Nicole Banks, Fangbai Sun, Stephen A Krawetz, R Matthew Coward, Puneet Masson, James F Smith, J C Trussell, Nanette Santoro, Heping Zhang, Anne Z Steiner

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Fertility and sterility, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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.

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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Antioxidants for male subfertility.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Reducing early pregnancy loss with vitamin DJournal of clinical biochemistry and nutrition · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

10 authors at 9 institutions in 1 country.

Nicole BanksDepartment of Obstetrics and Gynecology, Virginia Commonwealth University Health, Richmond, Virginia. Electronic address: Nicole.Banks@vcuhealth.org.
Fangbai SunDepartment of Biostatistics, Yale School of Public Health, New Haven, Connecticut.
Stephen A KrawetzDepartment of Obstetrics and Gynecology and Center for Molecular Medicine and Genetics, Wayne State University, Detroit, Michigan.
R Matthew CowardDepartment of Urology, University of North Carolina, Chapel Hill, North Carolina.
Puneet MassonDepartment of Urology, University of Pennsylvania, Philadelphia, Pennsylvania.
James F SmithDepartment of Urology, University of California, San Francisco, California.
J C TrussellDepartment of Urology, Upstate University Hospital, Syracuse, New York.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado, Denver, Colorado.
Heping ZhangDepartment of Biostatistics, Yale School of Public Health, New Haven, Connecticut.
Anne Z SteinerDepartment of Obstetrics and Gynecology, Duke University, Durham, North Carolina.
Yale University · USDuke University · USSUNY Upstate Medical University · USUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · USVirginia Commonwealth University · USWayne State University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1990 to 2017
$5.2M
GHSU/WSU Cooperative Reproductive Medicine NetworkU10HD039005 · NICHD · WAYNE STATE UNIVERSITY · PI DIAMOND, MICHAEL PETER · 2000 to 2017
$5.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038992 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2000 to 2017
$5.0M
The Clinical Research/Reproductive Scientist Training Program (CREST)R25HD075737 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Nanette F. Santoro · 2013 to 2026
$2.3M
Cooperative Multicenter Reproductive Medicine Network UNC Clinical SiteU10HD077844 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STEINER, ANNE ZWEIFEL · 2013 to 2017
$1.8M
Luteal Progesterone Supplementation in Clomiphene Citrate-IUI CyclesU10HD077680 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HANSEN, KARL RICHARD · 2013 to 2017
$1.5M
Cooperative Multicenter Reproductive Medicine Network (U10)U10HD077841 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CEDARS, MARCELLE IVONNE · 2013 to 2017
$1.4M
NCATS NIH HHS UL1 TR001863NICHD NIH HHS R25 HD075737NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD038992NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925NICHD NIH HHS U10 HD077680NICHD NIH HHS U10 HD077841NICHD NIH HHS U10 HD077844
6 · The paper itself

Abstract

objectiveTo determine the association between vitamin D levels in the male partner and fertility outcomes in couples with mild male factor infertility.

designSecondary analysis of a randomized, controlled trial.

settingNine fertility centers in the United States. PATIENT(S): 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. INTERVENTION(S): 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. MAIN OUTCOME MEASURE(S): Primary: sperm concentration, motility, morphology, and DNA fragmentation at baseline. Secondary: cumulative pregnancy, miscarriage, and live birth rates. RESULT(S): 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). CONCLUSION(S): 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.

Indexed as

FertilityInsemination, Artificial, HomologousAbortion, SpontaneousAdultBiomarkersClomipheneDietary SupplementsDouble-Blind MethodFemaleFertility Agents, FemaleHumansInfertility, MaleLive BirthMalePregnancyPregnancy Rate25-hydroxyvitamin DBiomarkersClomipheneFertility Agents, FemaleVitamin D25-Hydroxyvitamin Dmale factor infertilityvitamin D

Identifiers

PMID34289935
PMCPMC8561776
OpenAlexW3092876573

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.