Systematic review of the impact of calcium channel blockers on sperm function

Emily Allard-Phillips1, Shruti Kolli2, Alice Rhoton-Vlasak1

  • 1Department of Obstetrics & Gynecology, University of Florida, Gainesville, FL 32610, USA.

Insights

Calcium channel blockers (CCBs) may affect male fertility by impacting sperm function. While some studies show CCBs reduce sperm motility, others find no effect on IVF fertilization, suggesting potential reversibility.

Area of Science:

  • Reproductive Biology
  • Pharmacology
  • Urology

Background:

  • Male infertility affects 30-50% of couples, often linked to sperm motility and capacitation issues.
  • Calcium ions and channels (CatSper, VDCCs) are crucial for sperm function.
  • Calcium channel blockers (CCBs) are widely used for cardiovascular conditions and may interfere with these channels.

Purpose of the Study:

  • To investigate the impact of CCBs on sperm function and male fertility.
  • To review existing literature on CCBs' effects on sperm motility, capacitation, and fertilization.
  • To assess the clinical significance for patients undergoing CCB therapy.

Main Methods:

  • Comprehensive literature review of studies on CCBs and male fertility.
  • Analysis of in vitro and animal studies examining CCB effects on sperm parameters.
  • Evaluation of impacts on sperm motility, acrosome reaction, and fertilization rates.

Main Results:

  • Varied findings: some CCBs (e.g., nifedipine) reduce sperm motility and acrosome reaction.
  • Some studies report no significant impact on in vitro fertilization (IVF) rates.
  • Animal studies show CCBs can impair spermatogenesis and sperm function without altering hormone levels.

Conclusions:

  • CCBs may reversibly impact male fertility by affecting sperm function.
  • Further in vivo studies are needed to clarify the clinical significance of CCBs for male fertility.
  • Understanding these effects is crucial for managing male patients on CCB therapy.

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