Royal Jelly Supplementation in Unexplained Male Infertility

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18-45
SponsorMedipol University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Lyophilized Royal Jelly

    Dietary supplement

    Participants will receive 750 mg of Lyophilized Royal Jelly capsules daily for 3 months (90 days).

  • Placebo

    Other intervention

    Participants will receive inert capsules identical in appearance and taste to the experimental drug daily for 3 months (90 days)

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: Royal JellyExperimental treatment 1 intervention
Group B: Placebo GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Sperm DNA Fragmentation Index (SDF)

DNA damage will be assessed using the HaloSperm to determine the percentage of spermatozoa with fragmented DNA

Time frame
Baseline (Day 0) and Post-treatment (Day 90)
2

Spontaneous Pregnancy Rate

Number of couples achieving spontaneous pregnancy during the study period.

Time frame
Up to 3 months (90 days)

Secondary outcomes

1

Serum Hormonal Profile

Measurement of serum Total Testosterone, FSH, and LH levels.

Time frame
Baseline (Day 0) and Post-treatment (Day 90)
2

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.

Time frame
Baseline (Day 0) and Post-treatment (Day 90)
3

Sperm Chromatin Integrity

Assessment of chromatin integrity using Toluidine Blue staining.

Time frame
Baseline (Day 0) and Post-treatment (Day 90)
4

Immunohistochemical Analysis (Exploratory)

Evaluation of Mapk erk 1/2, Pten, and Mtor antibody expression in sperm samples.

Time frame
Baseline (Day 0) and Post-treatment (Day 90)

Other outcomes

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