Elnashar Abdelrahman, Farag Mohamed Abd El Fattah, GamalEl Din Sameh Fayek, AbdElSalam Mohamed Ahmed, Elseginy Amgad, Mohamed Ahmed Osman Sayed, Ragab Mohamed Wael
Department of Andrology and STDs Kasr Al-Ainy, Faculty of Medicine, Cairo University, Al-Saray Street, El Manial, Cairo, 11956, Egypt.
Int Urol Nephrol. 2025 Jan;57(1):135-142. doi: 10.1007/s11255-024-04187-2. Epub 2024 Sep 9.
The study aimed to evaluate the effect of fertitonex containing L-carnitine L-tartrate together with other micronutrients on different semen parameters in idiopathic male infertility as well as male reproductive hormones.
100 randomized infertile patients were recruited from July 2023 to February 2024. They were randomized into two groups. Group (A) received fertitonex twice daily for the first 3 months. Group (B) received placebo twice daily for the first 3 months. Crossover was done after 1 month wash-out period for additional 3 months.
Group (A) who started fertitonex first showed significant improvement in sperms concentration and motility and progressive motility as well as significant reduction in abnormal forms after 3 months from beginning the study (p < 0.001, p < 0.001, p < 0.001, p < 0.001, respectively). Interestingly, these improvements continued for additional 3 months after placebo intake (p < 0.001, p 0.005, p < 0.001, p < 0.001, respectively). Group (B) who started placebo first showed significant improvement in sperms concentration and motility and progressive motility as well as significant reduction in abnormal forms after 6 months from beginning the study (p < 0.001, p < 0.001, p < 0.001, p < 0.001, respectively). LH level was significantly higher among group (A) compared to group (B) at baseline and 3 months and 6 months (p value 0.02, 0.032. 0.024, respectively).
We finally concluded that fertitonex is an effective, tolerable and safe drug that can be used for treating idiopathic male infertility.
本研究旨在评估含有L-酒石酸左旋肉碱以及其他微量营养素的Fertitonex对特发性男性不育患者不同精液参数以及男性生殖激素的影响。
2023年7月至2024年2月招募了100例随机分组的不育患者。他们被随机分为两组。A组在前3个月每天服用两次Fertitonex。B组在前3个月每天服用两次安慰剂。在1个月的洗脱期后进行交叉,再持续3个月。
从研究开始3个月后,首先服用Fertitonex的A组精子浓度、活力和前向运动能力显著改善,异常形态显著减少(分别为p<0.001、p<0.001、p<0.001、p<0.001)。有趣的是,在服用安慰剂后的另外3个月里,这些改善仍持续存在(分别为p<0.001、p 0.005、p<0.001、p<0.001)。从研究开始6个月后,首先服用安慰剂的B组精子浓度、活力和前向运动能力显著改善,异常形态显著减少(分别为p<0.001、p<0.001、p<0.001、p<0.001)。在基线、3个月和6个月时,A组的促黄体生成素(LH)水平显著高于B组(p值分别为0.02、0.032、0.024)。
我们最终得出结论,Fertitonex是一种有效、可耐受且安全的药物,可用于治疗特发性男性不育。