Evidence map›Paper›PMID 40928724›Full record

Trial reportHormones (Athens, Greece)2025

Efficacy of levocarnitine combined with tadalafil in treating oligozoospermia and asthenozoospermia: effects on serum sex hormones and sexual function.

Xuxiao Zhou, Zhemin Yao, Jing Zheng

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hormones (Athens, Greece), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Xuxiao ZhouDepartment of Urology, Yueqing People's Hospital, No.338 Qingyuan Road, Yueqing, Zhejiang, 325600, China.
Zhemin YaoDepartment of Urology, Yueqing People's Hospital, No.338 Qingyuan Road, Yueqing, Zhejiang, 325600, China.
Jing ZhengDepartment of Urology, Yueqing People's Hospital, No.338 Qingyuan Road, Yueqing, Zhejiang, 325600, China. ZhengJing162@163.com.ORCID http://orcid.org/0009-0006-1755-2997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the efficacy of combining levocarnitine with tadalafil in treating oligozoospermia and asthenozoospermia and to analyze its effects on serum sex hormone levels and sexual function.

methodsA total of 80 patients diagnosed with oligozoospermia or asthenozoospermia at our hospital between March 2023 and February 2024 were randomly divided into two groups, A and B, with 40 patients each. Group A received levocarnitine combined with tadalafil, while Group B was administered levocarnitine alone. Both groups continued the regimen for 3 months. Parameters such as serum sex hormones [testosterone (T), luteinizing hormone (LH), follicle-stimulating hormone (FSH)], sexual function [assessed via the International Index of Erectile Function (IIEF)], and semen quality [including semen volume, sperm concentration, sperm viability, and progressive motility (PR)] were measured pre- and post-treatment. Efficacy rates and adverse reactions were also recorded and compared between the groups.

resultsPost-treatment, both groups showed significant increases in serum T levels, all domains of IIEF scores (erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction), semen volume, sperm concentration, sperm viability, and PR (p < 0.001). Group A demonstrated significantly better results than Group B in all these parameters (p < 0.05). Differences in LH and FSH levels between the groups after treatment were not statistically significant (p > 0.05). The total efficacy rate was significantly higher in Group A (87.50%) compared to Group B (67.50%) (p < 0.05). Adverse reactions occurred in 10% of Group A and 5% of Group B, with no significant difference between the groups (p > 0.05).

conclusionThe combination of levocarnitine and tadalafil shows significant efficacy and safety in treating oligozoospermia and asthenozoospermia, effectively enhancing serum testosterone levels, sexual function, and semen quality.

Indexed as

AsthenozoospermiaGonadal Steroid HormonesOligospermiaTadalafilAdultDrug Therapy, CombinationHumansLuteinizing HormoneMalePhosphodiesterase 5 InhibitorsSemen AnalysisTreatment OutcomeGonadal Steroid HormonesLuteinizing HormonePhosphodiesterase 5 InhibitorsTadalafilAsthenozoospermiaLevocarnitineOligozoospermiaSerum sex hormonesSexual functionTadalafil

Identifiers

PMID40928724

What OpenQuestion holds

Textmetadata
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.