About this trial
This randomized, double-blind, placebo-controlled clinical trial investigates the effects of oral Royal Jelly supplementation on sperm DNA fragmentation and pregnancy rates in couples with unexplained infertility. While routine semen analysis appears normal (normozoospermia) in these patients, underlying Sperm DNA Fragmentation (SDF) and oxidative stress are believed to contribute to reproductive failure.
Participants will be randomized to receive either 750 mg of lyophilized Royal Jelly or a placebo daily for a period of 3 months (90 days). The study aims to evaluate whether the antioxidant properties of Royal Jelly can improve sperm chromatin integrity, reduce oxidative stress markers, and increase spontaneous pregnancy rates compared to the control group
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men aged 18-45 years. History of infertility for at least 1 year despite unprotected intercourse.
Disqualifiers
Any abnormality in spermiogram (Oligo-, Asteno-, or Teratozoospermia). Presence of clinical varicocele. Leukocytospermia (>1 million/mL) or active infection. History of smoking (>5 cigarettes/day) or BMI > 30 kg/m². Use of any antioxidant supplementation within the last 3 months.
Trial design
Parallel
Treatments tested in this trial
Lyophilized Royal Jelly
Dietary supplementParticipants will receive 750 mg of Lyophilized Royal Jelly capsules daily for 3 months (90 days).
Placebo
Other interventionParticipants will receive inert capsules identical in appearance and taste to the experimental drug daily for 3 months (90 days)
Treatment groups
Trial outcomes
Primary outcomes
Change in Sperm DNA Fragmentation Index (SDF)
DNA damage will be assessed using the HaloSperm to determine the percentage of spermatozoa with fragmented DNA
Spontaneous Pregnancy Rate
Number of couples achieving spontaneous pregnancy during the study period.
Secondary outcomes
Serum Hormonal Profile
Measurement of serum Total Testosterone, FSH, and LH levels.
Seminal Oxidative Stress Markers (TAS/TOS/OSI)
Evaluation of Total Antioxidant Status (TAS), Total Oxidant Status (TOS), and Oxidative Stress Index (OSI) using spectrophotometric analysis.
Sperm Chromatin Integrity
Assessment of chromatin integrity using Toluidine Blue staining.
Immunohistochemical Analysis (Exploratory)
Evaluation of Mapk erk 1/2, Pten, and Mtor antibody expression in sperm samples.
Sponsors and contacts
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