Towards Optimal Fertility, Fathering and Fatherhood studY

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age21-49
SponsorKK Women's and Children's Hospital

About this trial

This case-control study involving fertile and subfertile couples aims to identify male factors related to pregnancy likelihood, create a fertility index measure combining male and female factors to predict pregnancy likelihood, and examine how male factors relate to the semen physical and biological characteristics.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

men aged ≥21-49 years

men with a female partner aged 21-39 years

couples who are not able to conceive for at least 12 months

couples who are Singapore citizen or permanent resident

Disqualifiers

male infertility of a known aetiology including azoospermia, retrograde ejaculation, genetic disorders, cancer treatment, or testes trauma

female infertility diagnosis as confirmed by diagnostic imaging or having severe endometriosis

female partners with irregular menstrual cycle >35 days

couples with known chromosomal abnormalities

Trial population

The subfertile couples will be recruited from the infertility clinics, while the fertile couples will be recruited from the antenatal clinics. Both groups will also be recruited from on-going preconception and pregnancy programs in the hospital.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

  • Lifestyle and metabolic indicators

    Other intervention

    Socio-demographics, health history, behavioural characteristics, environmental exposures, anthropometric measurements, body fat composition, metabolic and stress biomarkers, semen physical and molecular characteristics.

Treatment groups

960 Participants
are divided into 2 treatment groups
Group A: Subfertile couples1 intervention
Group B: Fertile couples1 intervention

Trial outcomes

Primary outcomes

1

Pregnancy rate

Defined by viable intrauterine pregnancy at gestational weeks of less or equal to 16 at the time of the study

Time frame
Up to 16 weeks of gestation

Secondary outcomes

1

Fertility index

Defined by a composite index score derived from both male and female predictive factors

Time frame
Through study completion, an average of 3 years
2

Oxidative stress

Defined by oxidative status measured from blood and semen samples using the micro-NMR

Time frame
Through study completion, an average of 3 years
3

Semen volume

Assessed by semen analysis in ml

Time frame
Up to 2 years
4

Sperm concentration

Assessed by semen analysis in million/ml

Time frame
Up to 2 years

Other outcomes

1

Sperm morphology

Assessed by semen analysis

Time frame
Up to 2 years

Sponsors and contacts

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