The association of seminal oxidation reduction potential with sperm parameters in patients with unexplained and male factor ınfertility
Open accessAbstract
PURPOSE: Understanding the effects of high oxidation reduction potential (ORP) levels on sperm parameters will help to identify patients with unexplained and male factor infertility who may have seminal oxidative stress and determine if ORP testing is needed. This study aimed to evaluate the association between seminal ORP and conventional sperm parameters. MATERIALS AND METHODS: A total of 58 patients who provided a semen sample for simultaneous evaluation of sperm parameters and ORP between January and September 2019 were enrolled in this retrospective study. To identify normal and high ORP levels, a static ORP (sORP) cut-off value of 1.36mV/106sperm/mL was used. Sperm parameters were compared between infertile men with normal sORP (control group, n=23) and high sORP values (study group, n=35). RESULTS: Men with sORP values >1.36mV/106sperm/mL had significantly lower total sperm count (TSC) (p <0.001), sperm concentration (p <0.001) and total motile sperm count (TMSC) (p <0.001). In addition, progressive motility (p=0.04) and fast forward progressive motility (p <0.001) were significantly lower in the study group. A negative correlation was found between sORP and TSC (r=-0.820, p <0.001), sperm concentration (r=-0.822, p <0.001), TMSC (r=-0.808, p <0.001) and progressive motility (r=-0.378, p=0.004). Non-progressive motility positively correlated with sORP (r=0.344, p=0.010). CONCLUSIONS: This study has shown that TSC, sperm concentration, progressive motility and TMSC are associated with seminal oxidative stress, indicated by a sORP cut-off of 1.36mV/106sperm/mL. Presence of oligozoospermia, reduced progressive motilty or low TMSC in sperm analysis should raise the suspicion of oxidative stress and warrants seminal ROS testing.
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OS negatively affects all sperm functions, including sperm DNA integrity, and thereby the fertilization process and reproductive outcomes.
“Consequently, OS negatively affects all sperm functions, including sperm DNA integrity [47,48], and thereby the fertilization process and reproductive outcomes [49,50,51,52,53,54,55].”
From The Sixth Edition of the WHO Manual for Human Semen Analysis: A Critical Review and SWOT Analysis (2021) · cites this paper as [47]
The Introduction says excessive ROS can cause sperm DNA damage and dysfunction, supporting the claim's general point. But the Results report no correlation between oxidative-stress measure sORP and total motility or immotility, so the source does not support the unqualified assertion that oxidative stress negatively affects *all* sperm functions. The later clause about fertilization and reproductive outcomes is attached to different citations in the citing sentence. (LLM, conf=0.86)
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Cites
Oxidative stress and male infertility--a clinical perspective.
Tremellen, K. (2008) · Human Reproduction Update · doi:10.1093/humupd/dmn004 · Cited by 1,540 · see citing works
Role of ROS and Nutritional Antioxidants in Human Diseases
Liu, Z., Ren, Z., Zhang, J., Chuang, C.-C., Kandaswamy, E., Zhou, T., & Zuo, L. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00477 · Cited by 860 · see citing works
Reactive oxygen species and sperm cells
Sanocka, D., & Kurpisz, M. K. (2004) · Reproductive Biology and Endocrinology · doi:10.1186/1477-7827-2-12 · Cited by 631 · see citing works
Oxidative stress and sperm function: A systematic review on evaluation and management
Dutta, S., Majzoub, A. A., & Agarwal, A. K. (2019) · Arab Journal of Urology · doi:10.1080/2090598x.2019.1599624 · Cited by 505 · see citing works
Agarwal, A. K., Parekh, N. V., Selvam, M. K. P., Henkel, R., Shah, R. S., Homa, S. T., Ramasamy, R., Ko, E., Tremellen, K. P., Esteves, S. C., et al. (2019) · The World Journal of Men s Health · doi:10.5534/wjmh.190055 · Cited by 479 · see citing works
Effects of hydrogen peroxide on DNA and plasma membrane integrity of human spermatozoa
Duru, N. K., Morshedi, M., & Oehninger, S. (2000) · Fertility and Sterility · doi:10.1016/s0015-0282(00)01591-0 · Cited by 328 · see citing works
Role of reactive oxygen species in male infertility: An updated review of literature
Wagner, H., Cheng, J., & Ko, E. Y. (2017) · Arab Journal of Urology · doi:10.1016/j.aju.2017.11.001 · Cited by 321 · see citing works
Antioxidants for male subfertility
Smits, R. M., Mackenzie-Proctor, R., Yazdani, A., Stankiewicz, M. T., Jordan, V., & Showell, M. G. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007411.pub4 · Cited by 277 · see citing works
Leukocytes and oxidative stress: dilemma for sperm function and male fertility
Henkel, R. (2010) · Asian Journal of Andrology · doi:10.1038/aja.2010.76 · Cited by 265 · see citing works
Hamilton, J. A. M., Cissen, M., Brandes, M., Smeenk, J. M. J., de Bruin, J. P., Kremer, J. A. M., Nelen, W. L. D. M., & Hamilton, C. J. C. M. (2015) · Human Reproduction · doi:10.1093/humrep/dev058 · Cited by 236 · cited 2× · see citing works
“showed that TMSC has prognostic value for natural ongoing pregnancy rates and suggested using TMSC as the method of choice to express the severity of male infertility (10).”
MethodComhaire, F., Garem, Y. F. E., Mahmoud, A., Eertmans, F., & Schoonjans, F. (2005) · Asian Journal of Andrology · doi:10.1111/j.1745-7262.2005.00047.x · Cited by 197 · see citing works
Effects of treatment with carnitines in infertile patients with prostato-vesiculo-epididymitis
Vicari, E. S. D., & Calogero, A. E. (2001) · Human Reproduction · doi:10.1093/humrep/16.11.2338 · Cited by 180 · see citing works
Oxidative Stress in Normospermic Men Undergoing Infertility Evaluation
Pasqualotto, F. F., Sharma, R. K., Kobayashi, H., Nelson, D. R., Thomas, A. J., & Agarwal, A. K. (2001) · Journal of Andrology · doi:10.1002/j.1939-4640.2001.tb02185.x · Cited by 167 · see citing works
Chen, S.-J., Allam, J., Duan, Y.-G., & Haidl, G. (2013) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-013-2801-4 · Cited by 163 · see citing works
MiOXSYS: a novel method of measuring oxidation reduction potential in semen and seminal plasma
Agarwal, A. K., Sharma, R. K., Roychoudhury, S., du Plessis, S. S., & Sabanegh, E. (2016) · Fertility and Sterility · doi:10.1016/j.fertnstert.2016.05.013 · Cited by 149 · see citing works
Agarwal, A., Roychoudhury, S., Sharma, R., Gupta, S., Majzoub, A., & Sabanegh, E. (2017) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2016.10.008 · Cited by 127 · see citing works
(2001) · PubMed · Cited by 108 · see citing works
Semen analysis and sperm function testing
Franken, D. R., & Oehninger, S. (2011) · Asian Journal of Andrology · doi:10.1038/aja.2011.58 · Cited by 102 · see citing works
Incidence and level of seminal reactive oxygen species in normal men
Shekarriz, M., Thomas, A. J., & Agarwal, A. K. (1995) · Urology · doi:10.1016/s0090-4295(95)97088-6 · Cited by 90 · see citing works
Said, T. M., Aziz, N., Sharma, R. K., Lewis‐Jones, I., Thomas, A. J., Jr., & Agarwal, A. K. (2005) · Asian Journal of Andrology · doi:10.1111/j.1745-7262.2005.00022.x · Cited by 83 · see citing works
Sperm Morphology: History, Challenges, and Impact on Natural and Assisted Fertility
Danis, R. B., & Samplaski, M. K. (2019) · Current Urology Reports · doi:10.1007/s11934-019-0911-7 · Cited by 81 · see citing works
Borges, E., Setti, A. S., Braga, D. P. A. F., Figueira, R. C. S., & Iaconelli, A. (2016) · Andrology · doi:10.1111/andr.12199 · Cited by 77 · see citing works
Majzoub, A. A., Arafa, M. M., Mahdi, M., Agarwal, A. K., Said, S. A., Al‐Emadi, I., Ansari, W. E., Alattar, A., Al‐Rumaihi, K., & Elbardisi, H. (2018) · Arab Journal of Urology · doi:10.1016/j.aju.2017.11.014 · Cited by 74 · see citing works
Correlation of oxidation–reduction potential with hormones, semen parameters and testicular volume
Arafa, M. M., Henkel, R., Agarwal, A. K., Majzoub, A. A., & Elbardisi, H. (2019) · Andrologia · doi:10.1111/and.13258 · Cited by 28 · see citing works
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1 of the 25 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [13]Arafa M Agarwal A Al Said S Majzoub A Sharma R Bjugstad KB Elbardisi H. Semen quality and infertility status can be identified through measures of oxidation-reduction potential Andrologia 2018 50 50 28771782 13. Arafa M, Agarwal A, Al Said S, Majzoub A, Sharma R, Bjugstad KB, et al. Elbardisi H. Semen quality and infertility status can be identified through measures of oxidation-reduction potential. Andrologia. 2018; 50. 28771782
Cited by
Sorted by citations
The Sixth Edition of the WHO Manual for Human Semen Analysis: A Critical Review and SWOT Analysis
Boitrelle, F., Shah, R., Saleh, R., Henkel, R., Kandil, H., Chung, E., Vogiatzi, P., Zini, A., Arafa, M., & Agarwal, A. (2021) · Life · doi:10.3390/life11121368 · Cited by 271 · see citing works
“Consequently, OS negatively affects all sperm functions, including sperm DNA integrity [47,48], and thereby the fertilization process and reproductive outcomes [49–55].”
BackgroundHumaidan, P., Haahr, T., Povlsen, B. B., Kofod, L., Laursen, R., Alsbjerg, B., Elbæk, H. O., & Esteves, S. C. (2022) · International braz j urol · doi:10.1590/s1677-5538.ibju.2021.0604 · Cited by 50 · see citing works
Predictive value of seminal oxidation-reduction potential analysis for reproductive outcomes of ICSI
Henkel, R., Morris, A., Vogiatzi, P., Saleh, R. A., Sallam, H. N., Boitrelle, F., Garrido, N., Arafa, M. M., Gül, M., Rambhatla, A., et al. (2022) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2022.05.010 · Cited by 30 · see citing works
Gill, K., Machałowski, T., Harasny, P., Kupś, M., Grabowska, M., Duchnik, E., Sipak‐Szmigiel, O., Frączek, M., Kurpisz, M. K., Kurzawa, R., et al. (2022) · Antioxidants · doi:10.3390/antiox11101987 · Cited by 23 · see citing works
A microplate-based DCFH-DA assay for the evaluation of oxidative stress in whole semen
Benedetti, S., Catalani, S., Stefani, S. D., Primiterra, M., Fraternale, A., Palma, F., & Palini, S. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10642 · Cited by 21 · see citing works
Cornejo-Guerra, C., Salazar‐Ardiles, C., Morales, P. J., & Andrade, D. C. (2024) · Cells · doi:10.3390/cells13070592 · Cited by 13 · see citing works
Hodeeb, Y. M. I., El-Rewiny, E. M., Gaafar, A. M. I., Zayed, A. N., Hasan, M. S., & Elsaie, M. L. (2022) · Human Fertility · doi:10.1080/14647273.2021.2025271 · Cited by 6 · see citing works
Semen static oxidation–reduction potential is not helpful in evaluating male fertility
Furtado, T., Osadchiy, V., & Furtado, M. H. (2024) · Andrology · doi:10.1111/andr.13759 · Cited by 5 · see citing works
Chen, L., Mori, Y., Nishii, S., Sakamoto, M., Ohara, M., Yamagishi, S., & Sekizawa, A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237158 · Cited by 5 · see citing works
Christoforaki, V., Venetis, C. A., Goulis, D. G., Zepiridis, L. I., Chatzimeletiou, K., Mitsoli, A., Savvaidou, D., Grimbizis, G., & Kolibianakis, E. M. (2025) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2025.104858 · Cited by 5 · see citing works
Hallak, J., & Teixeira, T. A. (2021) · International braz j urol · doi:10.1590/s1677-5538.ibju.2019.0751.1 · Cited by 4 · see citing works
Tan, Y., Yuan, Y., Yang, X., Wang, Y., & Liu, L. (2024) · Translational Andrology and Urology · doi:10.21037/tau-24-32 · Cited by 4 · see citing works
Organophosphate Pesticide Exposure and Semen Quality in Healthy Young Men: A Pilot Study
Stapleton, J. L., Adelman, S., Najari, B. B., Kannan, K., Albergamo, V., & Kahn, L. G. (2025) · Antioxidants · doi:10.3390/antiox14101158 · Cited by 2 · see citing works
Infertilidade masculina: principais causas e terapêuticas emergentes, uma revisão
Marconato, T. C., Donne, R. D. D., Romano, R. M., & Romano, M. A. (2022) · Research Society and Development · doi:10.33448/rsd-v11i10.33139 · Cited by 1 · see citing works
Mori, Y., Chen, L., Nishii, S., Sakamoto, M., Ohara, M., Sekizawa, A., & Yamagishi, S. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14248892 · Cited by 1 · see citing works
A decisive year to International Brazilian Journal of Urology
Favorito, L. A. (2020) · International braz j urol · doi:10.1590/s1677-5538.ibju.2021.01.01
Redox potential in animal andrology: An experimental study on boar semen
Pintus, E., Scaringi, M., Engelen, J., & Ros‐Santaella, J. L. (2026) · Theriogenology · doi:10.1016/j.theriogenology.2026.118051
- Authors
- Cicek, O. S. Y., Kaya, G., Alyuruk, B., Doger, E., Girisen, T., & Filiz, S.
- Affiliations
- Kocaeli Üniversitesi (TR)
- Kocaeli University, Turkey
- Kocaeli University, Turkey; Kocaeli University, Turkey
- Corresponding author
- Cicek, Ozge Senem Yucel
- Venue
- International braz j urol
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2021-02
- Volume
- 47
- Issue
- 1
- Pages
- 112-119
- ISSN
- 1677-5538 (ISSN-L)
- 1677-6119
- PMC
- PMC7712687
- OpenAlex
- W3092044727
- Cited by
- 17
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2022: 6 · 2021: 2 · 2020: 1
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- International braz j urol (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Kocaeli Üniversitesi - AVESİS (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- redox potential, seminal oxidative stress, male infertility, unexplained infertility, semen parameters, sperm motility, total sperm count, sperm concentration, oligozoospermia, reactive oxygen species
- MeSH terms
- Humans, Infertility, Male, Male, Oxidation-Reduction, Retrospective Studies, Semen, Sperm Count, Sperm Motility, Spermatozoa
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