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The Association between Vitamin D and the Components of Male Fertility: A Systematic Review
Daria Adamczewska1, Jolanta Słowikowska-Hilczer1, Renata Walczak-Jędrzejowska1
1Department of Andrology and Reproductive Endocrinology, Medical University of Lodz, 92-213 Lodz, Poland.
Objective:
Previous systematic reviews of the effects of vitamin D on the components of male fertility have been inconclusive. This article systematically reviews the latest research to examine the relationship between vitamin D, semen quality parameters, and sex hormones production.
Methods:
MEDLINE, Cochrane, and Web of Science databases were searched using the appropriate keywords.
Results:
Observational studies indicate significant correlation between vitamin D levels and sperm parameters, with a particular emphasis on sperm motility, and partially suggest a relationship between higher serum testosterone and vitamin D levels. Additionally, interventional studies confirmed that vitamin D supplementation has a positive effect on sperm motility, especially progressive. However, most randomized clinical trials indicate that vitamin D treatment does not have any significant effect on testosterone or other hormone levels.
Conclusions:
Although our findings add to the discussion regarding the effect of vitamin D on male fertility, there is still no solid evidence to support the use of vitamin D supplementation to improve the outcomes of patients with impaired sperm parameters and hormonal disorders. Additional dedicated clinical studies are needed to clarify the relationship between vitamin D and male fertility, along with its components.
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