The DOI matches its Crossref record; 98 of the 98 references it cites were found in a registry or an index.
Role of antioxidants in the treatment of male infertility
Open accessAbstract
Male infertility continues to be a clinical challenge of increasing significance. While male factors such as decreased semen quality are responsible for 25% of all infertility issues, the etiology of suboptimal semen quality is poorly understood. Many physiological, environmental, and genetic factors have been implicated, including oxidative stress. Oxidative stress is induced by reactive oxygen species (ROS), or free radicals, and although ROS are required for critical aspects of sperm function, excessive levels of ROS can negatively impact sperm quality. The origin of ROS generation, and the etiologies of increased ROS in men with suboptimal sperm quality have only recently been elucidated, offering multiple targets for potential therapy. Here, we present a critical review of the literature describing the role of oxidative stress on decreased sperm function, as well as the role of antioxidants in the treatment of male factor infertility.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“According to Salas-Huetos et al., oxidative stress can be reduced by the antioxidant properties of fruits and vegetables, since these antioxidants act as scavengers and reduce reactive oxygen species [89,90].”
From Mediterranean Diet as an Antioxidant: The Impact on Metabolic Health and Overall Wellbeing (2021) · cites this paper as [89]
Citations
Cites
Oxidative stress and male infertility—a clinical perspective
Tremellen, K. P. (2008) · Human Reproduction Update · doi:10.1093/humupd/dmn004 · Cited by 1,544
REVIEW ARTICLE: Clinical Relevance of Oxidative Stress in Male Factor Infertility: An Update
Agarwal, A., Makker, K., & Sharma, R. (2007) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2007.00559.x · Cited by 832
Self-citationBest practice policies for male infertility
Sharlip, I. D., Jarow, J. P., Belker, A. M., Lipshultz, L. I., Sigman, M., Thomas, A. J., Jr., Schlegel, P. N., Howards, S. S., Nehra, A. X., Damewood, M. D., et al. (2002) · Fertility and Sterility · doi:10.1016/s0015-0282(02)03105-9 · Cited by 774
Oxidative Stress and Male Infertility: From Research Bench to Clinical Practice
Saleh, R. A., & HCLD, A. A. (2002) · Journal of Andrology · doi:10.1002/j.1939-4640.2002.tb02324.x · Cited by 711
Free radicals, lipid peroxidation and sperm function
Aitken, R. J. (1995) · Reproduction Fertility and Development · doi:10.1071/rd9950659 · Cited by 674
Lipid Peroxidation and Human Sperm Motility: Protective Role of Vitamin E
SULEIMAN, S. A., Ali, M., Zaki, Z. M. S., Elmalik, E. M. A., & NASR, M. A. (1996) · Journal of Andrology · doi:10.1002/j.1939-4640.1996.tb01830.x · Cited by 662
Antioxidant nutrients and lead toxicity
Hsu, P. (2002) · Toxicology · doi:10.1016/s0300-483x(02)00380-3 · Cited by 599
Reactive oxygen species generation and human spermatozoa: The balance of benefit and risk
Aitken, R. J., & Fisher, H. M. (1994) · BioEssays · doi:10.1002/bies.950160409 · Cited by 584
Increased oxidative deoxyribonucleic acid damage in the spermatozoa of infertile male patients
Kodama, H., Yamaguchi, R., Fukuda, J., Kasai, H., & Tanaka, T. (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)00236-7 · Cited by 528
Reduction of the Incidence of Sperm DNA Fragmentation by Oral Antioxidant Treatment
Greco, E., Iacobelli, M., Rienzi, L. F., Ubaldi, F. M., Ferrero, S., & Tesařík, J. (2005) · Journal of Andrology · doi:10.2164/jandrol.04146 · Cited by 511
Cited by
Sorted by citations
Items 201–274 of 274
Abnormalities in Semen Parameters of Men Due to Consumption of Alcohol
(2016) · International Journal of Science and Research (IJSR) · doi:10.21275/v5i2.nov161098 · Cited by 2
The Importance of Diet, Vitamins, Malnutrition, and Nutrient Deficiencies in Male Fertility
Trost, L. W., Güdeloğlu, A., Ko, E., & Parekattil, S. J. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1040-3_5 · Cited by 2
Factors influencing men’s preventive reproductive health behaviours in Ibadan, Nigeria
Adewusi, O. J., & Oyewole, O. E. (2019) · International Journal of Health Promotion and Education · doi:10.1080/14635240.2019.1673785 · Cited by 1
Maleki, Z., Farshad, A., & Rostamzadeh, J. (2022) · Asian Pacific Journal of Reproduction · doi:10.4103/2305-0500.341116 · Cited by 1
Kamath, A. P., Patil, N., Parida, A., Rao, K. N. S., Khan, N. G., Gurung, S., Itagi, A. B. H., Manju, V., Islam, H., Nazeer, M., et al. (2023) · Biomedical & Pharmacology Journal · doi:10.13005/bpj/2682 · Cited by 1
Juniatiningrum, R. D., Nasihun, T., & Isradji, I. (2018) · Sains Medika Jurnal Kedokteran dan Kesehatan · doi:10.30659/sainsmed.v9i1.2468 · Cited by 1
Safdar, S., Mughal, I. A., Ain, N. U., Jabeen, S., Farooq, M. H., & Irfan, A. (2023) · Journal of Rawalpindi Medical College · doi:10.37939/jrmc.v27i4.2342 · Cited by 1
Niu, C., Lu, X., Xie, Y., Yu, Y., Gao, Y., Shen, N., & Zheng, Y. (2025) · Reproductive Sciences · doi:10.1007/s43032-025-01958-9 · Cited by 1
Epidemiological Considerations in Male Infertility
Faasse, M. A., & NIEDERBERGER, C. S. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3335-4_14 · Cited by 1
Oxidative Stress and the Use of Antioxidants for Idiopathic OATs
Agarwal, A. K., Kashou, A. H., & Sekhon, L. H. (2012) · Humana Press eBooks · doi:10.1007/978-1-61779-776-7_22 · Cited by 1
Self-citationRahmatzadeh, M., Kohram, H., & Shahneh, A. Z. (2017) · Research on Animal Production · doi:10.29252/rap.8.16.79 · Cited by 1
Sofyanita, E. N., Nasihun, T., & Zulaikhah, S. T. (2019) · Sains Medika Jurnal Kedokteran dan Kesehatan · doi:10.30659/sainsmed.v10i2.4033 · Cited by 1
Muhiardi, I., Abinawanto, A., Subagja, J., Arifin, O. Z., Anabella, N. A., & Arief, M. (2020) · IOP Conference Series Earth and Environmental Science · doi:10.1088/1755-1315/584/1/012057 · Cited by 1
Hundal, J. S., Mavi, G. K., Cheema, R. S., Ahuja, A. K., Sharma, A., & Wadhwa, M. (2020) · The Indian Journal of Animal Sciences · doi:10.56093/ijans.v90i5.104620 · Cited by 1
ZIGLA, G., Goudoum, A., Sidiki, N., Armand, A. B., & Ngakou, A. (2022) · GSC Biological and Pharmaceutical Sciences · doi:10.30574/gscbps.2022.20.1.0291 · Cited by 1
Mokhimar, H. M., Elsawah, H. K., Kandiel, M., Elsaid, F. E., & El-Mahmoudy, A. M. (2023) · Bionatura · doi:10.21931/rb/2023.08.04.20 · Cited by 1
Teymoori, A., Fesahat, F., Yadegari, M., Anvari, M., & Pourentezari, M. (2025) · Journal of Molecular Histology · doi:10.1007/s10735-025-10444-0 · Cited by 1
Basic and Clinical Aspects of Sperm Comet Assay
Simon, L., & Lewis, S. E. M. (2011) · Springer eBooks · doi:10.1007/978-1-4419-6857-9_15 · Cited by 1
Huang, Y., Long, X., Fan, Y., ZHANG, W.-H., & Du, H. (2012) · Chin J Reprod Contracep · doi:10.1016/s1001-7844(13)60007-3 · Cited by 1
Ballescà, J. L., Oliva, R., Espinosa, N., & Corral, J. M. (2012) · Revista Internacional de Andrología · doi:10.1016/s1698-031x(12)70050-x · Cited by 1
STIMULATING AND PROTECTIVE EFFECTS OF RESVERATROL ON BOVINE SPERMATOZOA
Hlinku, A. (2012) · Cited by 1
Dietary Complements and Phytotherapy
Giammusso, B. (2014) · Springer eBooks · doi:10.1007/978-3-319-08503-6_16 · Cited by 1
Skosana, B. T., Oyeyipo, I. P., & du Plessis, S. S. (2016) · CRC Press eBooks · doi:10.1201/b20228-3 · Cited by 1
Polyphenols and Reproductive Health
Aguiar, O., Pires, V. C., & Ribeiro, D. A. (2013) · Polyphenols in Human Health and Disease · doi:10.1016/b978-0-12-398456-2.00054-2 · Cited by 1
Tratamiento antioxidante en hombres con infertilidad idiopática
Arrom, L. M., Corral, J. M., Melnick, A., Guimerà, M., Oliva, R., Ballescà, J. L., & Alcaraz, A. (2016) · Revista Internacional de Andrología · doi:10.1016/j.androl.2016.08.001 · Cited by 1
Evaluation of antioxidant activity of Nilapanai kizhangu chooranam through DPPH Scavenging Assay
Sudharsan, S., Velpandian, V., Kumar, M., & Banumathi, V. (2017) · International Journal of Advanced Research in Biological Sciences (IJARBS) · doi:10.22192/ijarbs.2017.04.02.004 · Cited by 1
Muchtaromah, B., Mukholifah, M., Nasiroh, I. S., Ahmad, M., & Romaidi, R. (2018) · International Conference in One Health (ICOH) · doi:10.2991/icoh-17.2018.46 · Cited by 1
Antioxidant Therapy in Assisted Reproductive Technologies
Agarwal, A. K., & Durairajanayagam, D. (2017) · Springer eBooks · doi:10.1007/978-3-319-67625-8_6 · Cited by 1
Self-citationMale Sexual and Reproductive Health
Tharakan, T., Minhas, S., & Jayasena, C. N. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-820472-6.00036-0 · Cited by 1
Effect of Oxidative Stress on ART Outcome
Hammadeh, M. E., Hamad, M. F., Refaat, K. M., Said, T. M., & Fischer‐Hammadeh, C. (2012) · Humana Press eBooks · doi:10.1007/978-1-61779-776-7_21 · Cited by 1
Ruas, H. N., Lopes-Ferreira, J. V., Dias, F. C. R., dos Santos, M. E. S. M., Gomes, A. D. O., Freitas, M. B., & Gomes, M. D. L. M. (2023) · Bioscience Journal · doi:10.14393/bj-v39n0a2023-64537 · Cited by 1
Garcez, M. E., Branco, C. S., Lara, L. V., Spada, P. D. S., Pasqualotto, F. F., & Salvador, M. M. (2011) · JBRA · doi:10.5935/1518-0557.2011.15.6.02 · Cited by 1
Gholami, Z., & Ghani, E. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4106421 · Cited by 1
Potential Male Etiologies of Unexplained Infertility
Hardin, B. M., & Kim, E. D. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2140-9_7
Male Subfertility and Sperm Chromatin Damage
Bungum, M., Giwercman, A., & Spanò, M. (2011) · Springer eBooks · doi:10.1007/978-1-4419-6857-9_22
Síndrome metabólica e infertilidade masculina/Metabolic syndrome and male infertility
Nunes, L. A. S. (1970) · REVISTA CIÊNCIAS EM SAÚDE · doi:10.21876/rcsfmit.v2i2.80
Al-Naqshbandi, A. A., & AL-Barzinji, R. M. (2017) · Cihan University-Erbil Scientific Journal · doi:10.24086/cuesj.si.2017.n2a19
Special Issue: SBiRM: Focus on Impact of Environmental Toxicants on Reproductive Function
Wirth, J. J., & Mijal, R. S. (2010)
Environmental Issues in Maintaining Reproductive Health
Lao, M. R., Harnisch, B. A., & Honig, S. C. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801299-4.00011-6
Effect of Lycopene on Peritoneal Fluid Malondialdehyde Level in Endometriosis
Astarto, N. W., Djuwantono, T., & Yelliantty (2015) · Journal Of Medicine & Health · doi:10.28932/jmh.v1i1.501
Hussein, Z. M. (2018) · Journal of Al-Nahrain University-Science · doi:10.22401/jnus.21.1.12
Nutraceuticals and Male Fertility: A Review
Lightfoot, M. A., Alsyouf, M. M., & Ko, E. (2015) · CRC Press eBooks · doi:10.1201/b19308-46
Nutraceuticals for male fertility in human
Shivakumar, S. P., & Vidyasagar, G. M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-820284-5.00020-4
Effect of Antioxidants on Pig Semen Cryopreservation to Preserve Sperm Fertility after Thawing
da Costa Silva, R. J., da Silva, M. H. M., Valadão, L., & da Silva, F. M. (2021) · Annals of Agricultural & Crop Sciences · doi:10.26420/annagriccropsci.2021.1090
Guimarães, A. C. G. (2013) · Americanae (AECID Library)
Kusumawardani, E., Santoso, B. I., Widjiati, W., Notobroto, H. B., & Nugroho, H. S. W. (2021) · Indian Journal of Forensic Medicine & Toxicology · doi:10.37506/ijfmt.v16i1.17490
Male Subfertility and Sperm Chromatin Damage
Bungum, M., Giwercman, A., & Spanò, M. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7843-0_6
Basic and Clinical Aspects of Sperm Comet Assay
Simon, L., & Lewis, S. E. M. (2013) · Springer eBooks · doi:10.1007/978-1-4614-8459-2_18
Epidemiological Considerations in Male Infertility
Faasse, M. A., & NIEDERBERGER, C. S. (2013) · Springer eBooks · doi:10.1007/978-1-4614-9158-3_3
Parekh, N. V., & Sabanegh, E. (2020) · Springer eBooks · doi:10.1007/978-3-030-32300-4_41
Self-citationSperm Chromatin and ART (IUI, IVF and ICSI) Pregnancy
Bungum, M. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7843-0_13
Khodadadi, H., Khodaei‐Motlagh, M., Kazemi, M., & Hamidreza, M. (2022) · Research on Animal Production · doi:10.52547/rap.13.35.118
Kamrani, N., Karimi, A., Nemati, Z., & Besharati, M. (2020) · Research on Animal Production · doi:10.52547/rap.11.30.1
Khakzad, N., Barmi, F. G., Hammami, F., Zarrin, T. K., Dafchahi, H. B., Rostami, S., Shahriary, A., & Saraabestan, S. S. (2023) · PubMed Central · doi:10.22074/ijfs.2022.546434.1249
Raoul, D. N., Jaures, T. N. M., Cyrille, I. P., Annie, D. F., Fifen, R. N., Tcheutchoua, Y. C., & Nga, E. N. (2023) · The Journal of Phytopharmacology · doi:10.31254/phyto.2023.12405
Alternative therapy of male infertility
Le, T. V., Pham, P. V., & Nguyen, H. P. C. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-93047-5.00027-1
Altun, E., Tok, D. S., Loglı, R., Hasırcı, E., Ceylan, Ş., Çolak, F., Cincorop, S., Atkın, M. S., Aksoy, H. Z., Akça, G., et al. (2024) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.3059
Oyelowo, O., & Bolarinwa, A. F. (2023) · Science, Engineering and Health Studies · doi:10.69598/sehs.17.23030005
Management of Male Oxidative Stress Infertility (MOSI)
Ko, E., & Karthikeyan, V. S. (2024) · Springer eBooks · doi:10.1007/978-3-031-62648-7_7
Mohd‐Zainurian, N. F. N., Esah, H. D., Mohamad‐Fauzi, N., Hashim, N. H., Mazlishah, M. S. H., Shamsuddin, S. A. A., Mohd‐Yusuf, Y., & Aziz, N. A. A. (2024) · Animal Science Journal · doi:10.1111/asj.70005
Oxidative Stress Factors is Effective on Reproductive Functions: A Review
Gözüyukarı, H., & Kılıç, S. H. (2025) · Anatolian journal of obstetrics and gynecology research. · doi:10.4274/anajog.galenos.2025.83997
Maghsoumi‐Norouzabad, L., Zare Javid, A., Mansoori, A., Dadfar, M., & Serajian, A. (2021) · Figshare · doi:10.6084/m9.figshare.14721891
Technological and clinical advances in sperm cryopreservation: A literature review
Nocoń, J., Spyrka, A., Domagała, S., Kania, K., Stojko, M., Marcinek, M., & Tkocz, M. T. (2026) · Annales Academiae Medicae Silesiensis · doi:10.18794/aams/217117
Chaudhary, A., Tyagi, G., Singh, K. R., & Behera, A. (2026) · Discover Environment · doi:10.1007/s44274-026-00672-w
Betsy, C. J., Sangavi, S., & Saravanan, M. (2026) · Indian Journal of Fisheries · doi:10.21077/ijf.2026.73.2.174339-12
Berrada, K., Touhamia, Y., Serbouti, A., Aamiri, A., Ousaid, F. E., Housbane, S., Kabine, M., Louanjli, N., & Aboutaieb, R. (2026) · The Scientific World JOURNAL · doi:10.1155/tswj/8887567
Ibrahim, E.-S. M., Shehab-El-Deen, M., Algherair, I., AbdElhakeam, A. A., & Kassim, Y. (2026) · Animals · doi:10.3390/ani16213469
Sperm Chromatin and ART (IUI, IVF and ICSI) Pregnancy
Bungum, M. (2011) · Springer eBooks · doi:10.1007/978-1-4419-6857-9_31
Metadata
- Authors
- Kefer, J. C., Agarwal, A., & Sabanegh, E.
- Affiliations
- Cleveland Clinic (US)
- Corresponding author
- Agarwal, Ashok
- ORCID
- Agarwal, Ashok
- Venue
- International Journal of Urology
- Publisher
- Wiley
- Published
- 2009-04-28
- Volume
- 16
- Issue
- 5
- Pages
- 449-457
- ISSN
- 0919-8172 (ISSN-L)
- 1442-2042
- OpenAlex
- W2166623820
- Cited by
- 273
- References
- 97
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 10 · 2023: 20 · 2022: 16 · 2021: 14 · 2020: 21 · 2019: 17 · 2018: 17 · 2017: 15 · 2016: 16 · 2015: 16 · 2014: 23 · 2013: 19 · 2012: 19
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
- Keywords
- male infertility, antioxidants, oxidative stress, reactive oxygen species, semen quality, male factor infertility, antioxidant therapy, sperm function
- MeSH terms
- Antioxidants, Humans, Infertility, Male, Male, Spermatozoa, Oxidants, Oxidative Stress
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review