Use of medicinal doses of zinc as a safe and efficient coadjutant in the treatment of male hypogonadism
Open accessAbstract
Hypogonadism affects an extensive part of the male population, especially among the elderly. The quest for treatment regarding low levels of serum testosterone and male infertility has, therefore, worldwide relevance. Zinc has important biological actions insofar as the male reproductive physiology and endocrine system. In general, a common and safe recommendation for zinc in the treatment of male hypogonadism is 220 mg of zinc sulfate (equivalent to 50 mg of elemental zinc) twice a day, over one to four months. Additionally, it may be further required to extend, both the treatment, dose and daily fractionation of this mineral. Albeit medicinal doses of zinc may increase total testosterone and improve sperm count, the current body of evidence does not suggest broad recommendations regarding the use of zinc for all types of hypogonadism. In many cases, the use of zinc supplements is insufficient, with the use of surgery and drugs being required for an effective treatment.
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Studies suggest that use of zinc alone is ineffective in increasing testosterone levels.
“Similarly, studies suggest that the use of zinc alone is ineffective in increasing testosterone levels (49).”
From Non-testosterone management of male hypogonadism: an examination of the existing literature (2020) · cites this paper as [49]
In “The highest dose of zinc used to increase total testosterone” (page not available), the paper reports increases in total testosterone after zinc sulfate administration, including 350 ng/dL at 660 mg/day. “The use of high doses of zinc and total testosterone increase in men” notes that some shorter interventions found no increase, but it also reports increases with other zinc doses. The paper therefore does not support the general claim that zinc alone is ineffective. (LLM, conf=0.89)
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Cites
Kambe, T., Tsuji, T., Hashimoto, A., & Itsumura, N. (2015) · Physiological Reviews · doi:10.1152/physrev.00035.2014 · Cited by 1,158 · see citing works
Travison, T. G., Vesper, H. W., Orwoll, E., Wu, F., Kaufman, J. M., Wang, Y., Lapauw, B., Fiers, T., Matsumoto, A. M., & Bhasin, S. (2017) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2935 · Cited by 326 · see citing works
Effect of Vitamin D Supplementation on Testosterone Levels in Men
Pilz, S., Frisch, S., Koertke, H., Kuhn, J., Dreier, J., Obermayer-Pietsch, B., Wehr, E., & Zittermann, A. (2011) · Hormone and Metabolic Research · doi:10.1055/s-0030-1269854 · Cited by 325 · see citing works
Role of antioxidants in the treatment of male infertility
Kefer, J. C., Agarwal, A., & Sabanegh, E. (2009) · International Journal of Urology · doi:10.1111/j.1442-2042.2009.02280.x · Cited by 273 · see citing works
Canguven, O., Talib, R. A., El Ansari, W., Yassin, D.-J., & Al Naimi, A. (2017) · The Aging Male · doi:10.1080/13685538.2016.1271783 · Cited by 112 · cited 1× · see citing works
“totherapics frequently promoted to increase T [58,59] and vitamin D [60,61].”
BackgroundWilborn, C. D., Kerksick, C. M., Campbell, B. I., Taylor, L. W., Marcello, B. M., Rasmussen, C. J., Greenwood, M. C., Almada, A., & Kreider, R. B. (2004) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-1-2-12 · Cited by 45 · see citing works
Treatment of hypogonadism: Current and future therapies
Thirumalai, A., Berkseth, K. E., & Amory, J. K. (2017) · F1000Research · doi:10.12688/f1000research.10102.1 · Cited by 36 · see citing works
Koehler, K., Parr, M. K., Geyer, H., Mester, J., & Schänzer, W. (2009) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602899 · Cited by 36 · see citing works
The effectiveness of zinc supplementation in men with isolated hypogonadotropic hypogonadism
Zhu, D.-L., Li, X.-Y., Liu, Y.-L., Zhang, M.-N., Tong, G.-Y., Sun, S.-Y., Zhu, Y.-H., Cao, Y., Zhang, J., Huang, H., et al. (2017) · Asian Journal of Andrology · doi:10.4103/1008-682x.189621 · Cited by 13 · see citing works
Flagged first, then by citations
Research works printed but not linked: 61
- Walker WH. Non-classical actions of testosterone and spermatogenesis. Phil Trans R Soc B. 2010;365: 1557-1569.
- Aydogdu A, Swerdloff RS. Emerging medication for the treatment of male hypogonadism. Expert Opin Emerg Drugs. 2016;21:255-266.
- Liu PY, Baker HWG, Jayadev V, et al. Induction of spermatogenesis and fertility during gonadotropin treatment of gonadotropin-deficient infertile men: predictors of fertility outcome. J Clin Endocrinol Metab. 2009;94:801-808.
- Pitteloud N, Dwyer A. Hormonal control of spermato- genesis in men: therapeutic aspects in hypogonado- tropic hypogonadism. Ann Endocrinol (Paris). 2014;75: 98-100.
- Boehm U, Bouloux P-M, Dattani MT, et al. Expert con- sensus document: European Consensus Statement on congenital hypogonadotropic hypogonadism-patho- genesis, diagnosis and treatment. Nat Rev Endocrinol. 2015;11:547-564.
- Seftel AD. Male hypogonadism. Part I: epidemiology of hypogonadism. Int J Impot Res. 2006;18:115-120.
- Darnton-Hill I, Webb P, Harvey PWJ, et al. Micronutrient deficiencies and gender: social and eco- nomic costs. Am J Clin Nutr. 2005;81:1198S-1205S.
- Neidecker-Gonzales O, Nestel P, Bouis H. Estimating the global costs of vitamin A capsule supplementa- tion: a review of the literature. Food Nutr Bull. 2007; 28:307-316.
- Hidiroglou M, Knipfel JE. Zinc in mammalian sperm: a review. J Dairy Sci. 1984;67:1147-1156.
- Jawad HM. Zinc sulfate treatment of secondary male infertility associated with positive serum and seminal plasma anti-sperm antibody test. Middle East Fert Soc J. 2013;18:24-30.
- Bordini B, Rosenfield RL. Normal pubertal develop- ment: Part I: the endocrine basis of puberty. Pediatr Rev. 2011;32:223-229.
- Dandona P, Rosenberg MT. A practical guide to male hypogonadism in the primary care setting. Int J Clin Pract. 2010;64:682-696.
- Dur an-Past en ML, Fiordelisio T. GnRH-induced Ca2þ signaling patterns and gonadotropin secretion in pituitary gonadotrophs. functional adaptations to both ordinary and extraordinary physiological demands. Front Endocrinol. 2013;4:127.
- Omu AE, Al-Azemi MK, Al-Maghrebi M, et al. Molecular basis for the effects of zinc deficiency on spermatogenesis: an experimental study in the Sprague-dawley rat model. Indian J Urol. 2015;31: 57-64.
- Hafiez AA, el-Kirdassy ZH, Mansour MM, et al. Role of zinc in regulating the testicular function. Part 1. Effect of dietary zinc deficiency on serum levels of gonado- tropins, prolactin and testosterone in male albino rats. Nahrung. 1989;33:935-940.
- Root AW, Duckett G, Sweetland M, et al. Effects of zinc deficiency upon pituitary function in sexually mature and immature male rats. J Nutr. 1979;109: 958-964.
- McClain CJ, Gavaler JS, Van Thiel DH. Hypogonadism in the zinc-deficient rat: localization of the functional abnormalities. J Lab Clin Med. 1984;104:1007-1015.
- Schleicher MM, Moura FJD, de Diniz EGTB, et al. Serum zinc and hormonal profile in male dialysis patients receiving human recombinant erythropoietin. J Bras Patol Med Lab. 2005; 41:245-250.
- Jalali GR, Roozbeh J, Mohammadzadeh A, et al. Impact of oral zinc therapy on the level of sex hor- mones in male patients on hemodialysis. Ren Fail. 2010;32:417-419.
- Chu Q, Chi Z-H, Zhang X, et al. A potential role for zinc transporter 7 in testosterone synthesis in mouse Leydig tumor cells. Int J Mol Med. 2016;37:1619-1626.
- Croxford TP, McCormick NH, Kelleher SL. Moderate zinc deficiency reduces testicular Zip6 and Zip10 abundance and impairs spermatogenesis in mice123. J Nutr. 2011;141:359-365.
- Prasad AS. Zinc in human health: effect of zinc on immune cells. Mol Med. 2008;14:353-357.
- Stafford SL, Bokil NJ, Achard MES, et al. Metal ions in macrophage antimicrobial pathways: emerging roles for zinc and copper. Biosci Rep. 2013;33:e00049.
- Cuadrado A, Nebreda AR. Mechanisms and functions of p38 MAPK signalling. Biochem J. 2010;429:403-417.
- Midzak AS, Chen H, Papadopoulos V, et al. Leydig cell aging and the mechanisms of reduced testosterone synthesis. Mol Cell Endocrinol. 2009;299:23-31.
- Wang S, Luo M, Zhang Z, et al. Zinc deficiency exacer- bates while zinc supplement attenuates cardiac hypertrophy in high-fat diet-induced obese mice through modulating p38 MAPK-dependent signaling. Toxicol Lett. 2016;258:134-146.
- Zhao Y, Tan Y, Dai J, et al. Exacerbation of diabetes- induced testicular apoptosis by zinc deficiency is most likely associated with oxidative stress, p38 MAPK activation, and p53 activation in mice. Toxicol Lett. 2011;200:100-106.
- Perrotta I, Santoro M, Guido C, et al. Expression of cyclooxygenase-1 (COX-1) and COX-2 in human male gametes from normal patients, and those with varico- cele and diabetes: a potential molecular marker for diagnosing male infertility disorders. J Anat. 2012;221: 209-220.
- Ghosh S, Hayden M. Celebrating 25 years of NF-jB Research. Immunol Rev. 2012;246:5-13.
- Salminen A, Huuskonen J, Ojala J, et al. Activation of innate immunity system during aging: NF-kB signaling is the molecular culprit of inflamm-aging. Ageing Res Rev. 2008;7:83-105.
- Ferraz-de-Souza B, Lin L, Achermann JC. Steroidogenic factor-1 (SF-1, NR5A1) and human dis- ease. Mol Cell Endocrinol. 2011;336:198-205.
- Miller WL, Bose HS. Early steps in steroidogenesis: intracellular cholesterol trafficking. J Lipid Res. 2011; 52:2111-2135.
- Barrie SA, Wright JV, Pizzorno JE, et al. Comparative absorption of zinc picolinate, zinc citrate and zinc gluconate in humans. Agents Actions. 1987;21: 223-228.
- Wegm€ uller R, Tay F, Zeder C, et al. Zinc absorption by young adults from supplemental zinc citrate is com- parable with that from zinc gluconate and higher than from zinc oxide123. J Nutr. 2014;144:132-136.
- Wegman MP, Guo MH, Bennion DM, et al. Practicality of intermittent fasting in humans and its effect on oxidative stress and genes related to aging and metabolism. Rejuvenation Res. 2015;18:162-172.
- Gonz alez-Sales M, Barri ere O, Tremblay P-O, et al. Modeling testosterone circadian rhythm in hypo- gonadal males: effect of age and circannual varia- tions. Aaps J. 2016;18:217-227.
- Carnegie C. Diagnosis of hypogonadism: clinical assessments and laboratory tests. Rev Urol. 2004;6: S3-S8.
- Colagar AH, Marzony ET, Chaichi MJ. Zinc levels in seminal plasma are associated with sperm quality in fertile and infertile men. Nutr Res. 2009;29:82-88.
- Hadwan MH, Almashhedy LA, Alsalman ARS. Study of the effects of oral zinc supplementation on peroxyni- trite levels, arginase activity and NO synthase activity in seminal plasma of Iraqi asthenospermic patients. Reprod Biol Endocrinol. 2014;12:1.
- Hadwan MH, Almashhedy LA, Alsalman ARS. Oral zinc supplementation restore high molecular weight sem- inal zinc binding protein to normal value in Iraqi infertile men. BMC Urol. 2012;12:32.
- Takihara H, Cosentino MJ, Cockett AT. Zinc sulfate therapy for infertile male with or without varicocelec- tomy. Urology. 1987;29:638-641.
- Tikkiwal M, Ajmera RL, Mathur NK. Effect of zinc administration on seminal zinc and fertility of oligo- spermic males. Indian J Physiol Pharmacol. 1987;31: 30-34.
- Wong WY, Merkus HMWM, Thomas CMG, et al. Effects of folic acid and zinc sulfate on male factor subfertil- ity: a double-blind, randomized, placebo-controlled trial. Fertil Steril. 2002;77:491-498.
- Brilla LR, V C. Effects of a novel zinc-magnesium for- mulation on hormones and strength. J Exerc Physiol. 2000;3:26-36.
- Prasad AS, Mantzoros CS, Beck FW, et al. Zinc status and serum testosterone levels of healthy adults. Nutrition. 1996;12:344-348.
- Shafiei Neek L, Gaeini AA, Choobineh S. Effect of zinc and selenium supplementation on serum testosterone and plasma lactate in cyclist after an exhaustive exer- cise bout. Biol Trace Elem Res. 2011;144:454-462.
- Hartoma TR, Nahoul K, Netter A. Zinc, plasma andro- gens and male sterility. Lancet. 1977;2:1125-1126.
- Netter A, Hartoma R, Nahoul K. Effect of zinc adminis- tration on plasma testosterone, dihydrotestosterone, and sperm count. Arch Androl. 1981;7:69-73.
- Le M, Flores D, May D, et al. Current practices of measuring and reference range reporting of free and total testosterone in the United States. J Urol. 2016; 195:1556-1561.
- Ambiye VR, Langade D, Dongre S, et al. Clinical evalu- ation of the spermatogenic activity of the root extract of Ashwagandha (Withania somnifera) in oligospermic males: a pilot study. Evid Based Complement Alternat Med. 2013;2013:571420.
- Qureshi A, Naughton DP, Petroczi A. review on the herbal extract Tribulus terrestris and the roots of its putative aphrodisiac and performance enhancing effect. J Diet Suppl. 2014;11:64-79.
- Surampudi P, Swerdloff RS, Wang C. An update on male hypogonadism therapy. Exper Opin Pharmacother. 2014;15:1247-1264.
- Sagoe D, Molde H, Andreassen CS, et al. The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. Annal Epidemiol. 2014;24:383-398.
- El Osta R, Almont T, Diligent C, et al. Anabolic ste- roids abuse and male infertility. Basic Clin Androl. 2016;26:2.
- Lunenfeld B, Mskhalaya G, Zitzmann M, et al. Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men. Aging Male. 2015;18:5-15.
- Simoni M, Weinbauer GF, Gromoll J, et al. Role of FSH in male gonadal function. Ann Endocrinol. 1999;60: 102-106.
- Kahokehr A, Gilling PJ. Landmarks in BPH-from aeti- ology to medical and surgical management. Nat Rev Urol. 2014;11:118-122.
- Morris JA, Jordan CL, Breedlove SM. Sexual differenti- ation of the vertebrate nervous system. Nat Neurosci. 2004;7:1034-1039.
- Davies JC, Manning DP, Kemp GJ, et al. The rising number of underfoot accidents after the menopause causes both fractures and non-fracture injuries. Qjm. 2001;94:699-707.
- Viswanathan V, Eugster EA. Etiology and treatment of hypogonadism in adolescents. Pediatr Clin North Am. 2011;58:1181-118x.
- Vizeneux A, Hilfiger A, Bouligand J, et al. Congenital hypogonadotropic hypogonadism during childhood: presentation and genetic analyses in 46 boys. PLoS ONE. 2013;8:e77827.
Cited by
Sorted by citations
Non-testosterone management of male hypogonadism: an examination of the existing literature
Krzastek, S. C., & Smith, R. P. (2020) · Translational Andrology and Urology · doi:10.21037/tau.2019.11.16 · Cited by 34 · see citing works
- Authors
- Santos, H. O., & Teixeira, F. J.
- Affiliations
- Universidade Federal de Uberlândia (BR)
- University of Lisbon (PT)
- Corresponding author
- Santos, Heitor O.
- Venue
- The Aging Male
- Publisher
- Informa UK Limited
- Published
- 2019-02-15
- Volume
- 23
- Issue
- 5
- Pages
- 669-678
- ISSN
- 1368-5538 (ISSN-L)
- 1473-0790
- OpenAlex
- W2912207680
- Cited by
- 41
- References
- 9
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 1
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Aging Male (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Keywords
- zinc supplementation, male hypogonadism, zinc sulfate, testosterone, male infertility, sperm count, male reproductive physiology, older men
- MeSH terms
- Aged, Pharmaceutical Preparations, Humans, Hypogonadism, Infertility, Male, Male, Testosterone, Zinc
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