Cochrane · systematic review · CD007411

Antioxidants for male subfertility

de Ligny, W, Smits, RM, Mackenzie-Proctor, R, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Gynaecology and Fertility4 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 50%Low 2 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Antioxidants compared to placebo or no treatment for patients with male subfertility

Population: patients with male subfertility
CD007411.PUB5 (current) · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per couple randomised
Antioxidants vs placebo or no treatment
OR 1.43 [1.07, 1.91]12 studies · 1283 participantsVery low
Downgraded: risk of bias
Clinical pregnancy rate per couple randomised
Antioxidants vs placebo or no treatment
OR 1.89 [1.45, 2.47]20 studies · 1706 participantsLow
Downgraded: risk of bias
Adverse events ‐ Miscarriage
Antioxidants vs placebo or no treatment
OR 1.46 [0.75, 2.83]6 studies · 664 participantsVery low
Downgraded: risk of bias
Adverse events ‐ Gastrointestinal
Antioxidants vs placebo or no treatment
OR 2.7 [1.46, 4.99]16 studies · 1355 participantsLow
Downgraded: risk of bias

Antioxidants compared to placebo or no treatment for patients with male subfertility

Population: patients with male subfertility
CD007411.PUB4 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate per couple randomised
Antioxidants vs placebo or no treatment
OR 1.79 [1.2, 2.67]7 studies · 750 participantsLow
Downgraded: risk of bias
Clinical pregnancy rate per couple randomised
Antioxidants vs placebo or no treatment
OR 2.97 [1.91, 4.63]11 studies · 786 participantsLow
Downgraded: risk of bias
Adverse events ‐ Miscarriage
Antioxidants vs placebo or no treatment
OR 1.74 [0.4, 7.6]3 studies · 247 participantsVery low
Downgraded: risk of bias
Adverse events ‐ Gastrointestinal
Antioxidants vs placebo or no treatment
OR 2.51 [1.25, 5.03]11 studies · 948 participantsVery low
Downgraded: risk of bias

Antioxidants versus placebo or no treatment for male subfertility

Population: patients with male subfertility
CD007411.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Live Birth per couple randomised
Antioxidants vs placebo or no treatment
OR 4.21 [2.08, 8.51]4 studies · 277 participantsLow
Downgraded: imprecision
Clinical Pregnancy rate per couple randomised
Antioxidants vs placebo or no treatment
OR 3.43 [1.92, 6.11]7 studies · 522 participantsLow
Downgraded: imprecision
Adverse event: Miscarriage rate per couple randomised
Antioxidants vs placebo or no treatment
OR 1.74 [0.4, 7.6]3 studies · 247 participantsVery low
Downgraded: imprecision

Antioxidant/s versus control for male subfertility

Population: patients with male subfertility
CD007411.PUB2 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Live Birth per couple randomised
Antioxidant/s vs control
OR 4.85 [1.92, 12.24]3 studies · 214 participantsVery low
Downgraded: imprecision
Pregnancy rate per couple randomised
Antioxidant/s vs control
OR 4.18 [2.65, 6.59]15 studies · 964 participantsVery low
Adverse event: Miscarriage rate per couple randomised
Antioxidant/s vs control
OR 1.54 [0.32, 7.3]3 studies · 242 participantsVery low
Downgraded: inconsistency