Efficacy of Clomiphene Citrate Versus Enclomiphene Citrate for Male Infertility Treatment: A Retrospective Study.

anabolic steroid abuse clomiphene citrate enclomiphene citrate gonadotropins hypogonadism male factor infertility sperm

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 23 05 2023
accepted: 06 07 2023
medline: 7 8 2023
pubmed: 7 8 2023
entrez: 7 8 2023
Statut: epublish

Résumé

Introduction Infertility and hypogonadism in males can greatly affect their reproductive health and overall well-being. Since exogenous testosterone administration for hypogonadism management may disrupt the normal hormonal cascade necessary for spermatogenesis, clomiphene citrate (CC) and enclomiphene citrate (EC) are medications often used to manage hypogonadism and male infertility. This study aims to directly compare the effects of CC and EC on serum testosterone levels and semen parameters in men to determine which medication may have an advantage in managing these conditions. Materials and methods We retrospectively analyzed ≥18-year-old men presenting with primary infertility, abnormal semen parameters, or hypogonadism who received CC or EC monotherapy for at least three months between January 2021 and December 2022. We compared baseline and follow-up hormone levels, semen parameters, and demographics. Variables were compared using paired and unpaired t-tests. Significance was assessed at

Identifiants

pubmed: 37546076
doi: 10.7759/cureus.41476
pmc: PMC10404117
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e41476

Informations de copyright

Copyright © 2023, Thomas et al.

Déclaration de conflit d'intérêts

The authors have declared financial relationships, which are detailed in the next section.

Références

J Clin Endocrinol Metab. 2021 Jan 23;106(2):442-449
pubmed: 33196845
Andrology. 2013 Sep;1(5):749-57
pubmed: 23970453
Int J Gen Med. 2020 Feb 05;13:29-41
pubmed: 32104049
J Sex Med. 2013 Jun;10(6):1628-35
pubmed: 23530575
Ann Epidemiol. 2014 May;24(5):383-98
pubmed: 24582699
Andrology. 2022 Sep;10(6):1134-1142
pubmed: 35726049
J Clin Endocrinol Metab. 2019 Jul 1;104(7):2490-2500
pubmed: 30753550
Urol J. 2010 Summer;7(3):188-93
pubmed: 20845296
Fertil Steril. 2014 Sep;102(3):720-7
pubmed: 25044085
Andrology. 2022 Jul;10(5):894-909
pubmed: 35438843
Arab J Urol. 2021 Jul 24;19(3):215-220
pubmed: 34552772
Asian J Androl. 2012 Jan;14(1):57-60
pubmed: 22179517
Can Urol Assoc J. 2021 Jul;15(7):E340-E345
pubmed: 33382370
F S Rev. 2021 Jan;2(1):32-42
pubmed: 33615283
J Urol. 2012 Mar;187(3):973-8
pubmed: 22264467
Sex Med Rev. 2019 Apr;7(2):272-276
pubmed: 30522888
Expert Opin Pharmacother. 2016 Aug;17(11):1561-7
pubmed: 27337642
J Urol. 2019 Nov;202(5):1029-1035
pubmed: 31216250
BJU Int. 2013 Mar;111(3 Pt B):E110-4
pubmed: 22958644
J Urol. 2021 Jan;205(1):36-43
pubmed: 33295257
Eur Urol. 2021 Sep;80(3):333-357
pubmed: 34183196
J Sex Med. 2015 Aug;12(8):1761-9
pubmed: 26176805
BJU Int. 2016 Apr;117(4):677-85
pubmed: 26496621
J Sex Med. 2005 Sep;2(5):716-21
pubmed: 16422830
Int J Obes (Lond). 2018 Jun;42(5):953-963
pubmed: 29777228
Expert Rev Endocrinol Metab. 2019 May;14(3):157-165
pubmed: 31063005
BJU Int. 2013 Jul 12;:
pubmed: 23875626
J Androl. 2005 Nov-Dec;26(6):787-91; discussion 792-3
pubmed: 16291975

Auteurs

Jamie Thomas (J)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Maria Camila Suarez Arbelaez (MC)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Manish Narasimman (M)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Alexander R Weber (AR)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Ruben Blachman-Braun (R)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, USA.

Joshua T White (JT)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Braian Ledesma (B)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Armin Ghomeshi (A)

Urology, Florida International University/Herbert Wertheim College of Medicine, Miami, USA.

Miguel A Jara-Palacios (MA)

Endocrinology, University of Miami Miller School of Medicine, Miami, USA.

Ranjith Ramasamy (R)

Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, USA.

Classifications MeSH