Evidence map›Paper›PMID 40431450›Full record

SynthesisNutrients2025

The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis.

Mette Peters Michaelsen, Michelle Poulsen, Anne Ahrendt Bjerregaard, Maria Borgstrøm, Lotte Kraglund Poulsen, Maria Bach Chortsen, Sahra Gatten Henriksen, Ulrik Schiøler Kesmodel

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

8 authors.

Mette Peters MichaelsenDepartment of Obstetrics and Gynecology, Aalborg University Hospital, 9000 Aalborg, Denmark.ORCID 0009-0003-2799-2855
Michelle PoulsenDepartment of Obstetrics and Gynecology, Aalborg University Hospital, 9000 Aalborg, Denmark.ORCID 0009-0000-9335-0111
Anne Ahrendt BjerregaardCentre for Clinical Research and Prevention, Copenhagen University Hospital-Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark.ORCID 0000-0002-0628-5292
Maria BorgstrømDepartment of Obstetrics and Gynecology, Herlev and Gentofte University Hospital, 2730 Herlev, Denmark.
Lotte Kraglund PoulsenDepartment of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark.
Maria Bach ChortsenDepartment of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark.
Sahra Gatten HenriksenDepartment of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark.
Ulrik Schiøler KesmodelDepartment of Obstetrics and Gynecology, Aalborg University Hospital, 9000 Aalborg, Denmark.

Funding

Department of Clinical Medicine, Aalborg University N/ADepartment of Obstetrics and Gynecology, Aalborg University Hospital N/AThe North Denmark Region Health Science Research Fund 2023-0054
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe aim of this systematic review and meta-analysis was to investigate the effect of dietary supplements on male infertility.

methodsPubMed, Embase, and CENTRAL were searched from inception to May 2024. Randomized controlled trials with treatment durations of ≥12 weeks investigating the effect of dietary supplements on male infertility compared to placebo were included. Primary outcomes were pregnancy and live birth, while secondary outcomes were sperm concentration, sperm count, total motility, progressive motility, normal morphology, and DNA Fragmentation Index. Risk of bias was assessed using the revised Cochrane risk of bias (RoB2) tool. Data were meta-analyzed using random effects-restricted maximum likelihood models. Certainty of evidence was evaluated using the grading of recommendations, assessment, development and evaluation (GRADE) approach.

resultsOf the 3137 articles identified, 50 were included. No effect on pregnancy and live birth was found. Different supplements improved single sperm parameters: Zinc and folic acid and ≥3 substance dietary supplements improved sperm concentration, selenium, carnitine, and coenzyme Q10 improved motility and alpha-lipoic acid improved normal morphology. Vitamin D, vitamin E, and omega-3 fatty acids showed no improvement in sperm parameters. The majority of studies had some concerns or high risk of bias, and certainty of evidence was generally low or very low.

conclusionsThis study found no convincing evidence of an effect of any dietary supplements on male infertility. Larger and more well-conducted randomized controlled trials focusing on specific supplements and considering pregnancy outcomes are needed.

Indexed as

Dietary SupplementsInfertility, MaleLive BirthSpermatozoaFemaleHumansMalePregnancyPregnancy OutcomePregnancy RateRandomized Controlled Trials as TopicSperm CountSperm Motilitydietary supplementslive birthmale infertilitypregnancysperm parameters

Identifiers

PMID40431450
PMCPMC12113742

What OpenQuestion holds

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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.