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Male Infertility and Glutathione
by: Priya Shah
Are You Half The Man Your Father
Was?
It is a well-known fact that sperm
counts have dropped by half in the last 50 years, and that modern
men have 20 percent less semen volume than their fathers (BMJ, 1992,
volume 305).
A recent report from researchers in
Aberdeen presented preliminary data that suggests the sperm
concentration of the men seen in their clinic had declined by 29%
over the past 14 years. (British Fertility Society; 5 January 2004)
Persistent organic pollutants (POPs)
and endocrine-disrupting chemicals from normal, everyday plastics
are known to cause reproductive damage, as documented in Theo
Colborn's book "Our Stolen Future."
Damage to sperm caused by exposure
to common chemicals like alcohol, pesticides in food, has been
linked to lowered intelligence and behavioral disorders in children.
Lifestyle risk factors known to
decrease sperm quality include
- Cigarette smoking
- Alcohol consumption
- Chronic stress
- Nutritional deficiencies.
Other reasons for infertility
include congenital factors, and health conditions like prostatitis
and diabetes that can affect sperm production.
Pollution is stealing our future,
and there's little anyone can do to avoid it. There may not be a lot
you can do to reduce your exposure to persistent environmental
toxins.
But there are definite measures you
can take to reduce the impact of the environmental pollutants and
toxins on your body.
You can prevent and, to a certain
extent, repair the damage they cause to your body, through a better
lifestyle and nutrition.
Some nutritional therapies and
antioxidants that have proven beneficial in treating male
infertility and improving sperm counts, sperm morphology and
motility include:
- Carnitine
- Arginine
- Zinc
- Selenium
- Vitamin B-12
- Vitamin C
- Vitamin E
- Glutathione
- Coenzyme Q10
Studies show that anti-oxidant
supplementation - glutathione in particular - can improve sperm
quality, and possibly increase your chances of conceiving.
If you smoke, drink, are exposed to
stress, chemicals, radiation, pesticides or take medication or drugs
(like sulfasalazine, ketoconazole, azulfidine, anabolic steroids,
marijuana) that affect fertility, you should consider taking an
antioxidant supplement to reverse some of the damage.
Why are Antioxidants Important for
Sperm Quality?
Mammalian spermatozoa are coated by
a membrane rich in polyunsaturated fatty acids. These fatty acids
are extremely susceptible to oxidative damage by free radicals or
Reactive Oxygen Species (ROS) by a process called lipid peroxidation
(LPO).
Lipid peroxidation damages the
sperm cell membrane. It is considered to be the key mechanism of ROS-induced
sperm damage and leads to
- Loss of sperm motility
- Abnormal sperm morphology
- Reduced capacity for oocyte
penetration
- Infertility
To protect sperm from damage, the
body depends on powerful antioxidant enzymes in the body such as
superoxide dismutase (SOD), catalase, and glutathione peroxidase/reductase
(GPX/GRD).
Seminal plasma and spermatozoa have
several antioxidant enzymes - glutathione peroxidase, glutathione
reductase, superoxide dismutase.
Some amount of all the antioxidant
enzymes, which may protect spermatozoa from oxidative attack, are
also made by the epididymis during storage.
The glutathione peroxidase/reductase
enzymes play a central role in the defense against oxidative damage
in human sperm.
Why is Glutathione important for
Sperm Quality and Fertility?
A decrease in levels of reduced
glutathione (GSH) during sperm production is known to disrupt the
membrane integrity of spermatozoa due to increased oxidative stress.
Intracellular glutathione levels of
spermatozoa are known to be decreased in certain populations of
infertile men. Compared with a control group, the infertile men in
all groups had significantly higher levels of ROS and lower levels
of total antioxidants.
There is strong clinical evidence
to show that men diagnosed with infertility have high levels of
oxidative stress that may impair the quality of their sperm.
In some groups, higher levels of
ROS were associated with lower sperm counts and defective sperm
structure, while lower antioxidant levels correlated with reduced
sperm movement.
Previous evidence has also shown
that oxidative stress can decrease a sperm's life span, its
motility, and its ability to penetrate the oocyst, or egg cell.
Up to 40% of men with unexplained
male infertility have higher levels of free radical activity in
their bodies.
Because men with high levels of ROS
have a seven-fold lower likelihood of inducing a pregnancy than men
with lower levels, researchers recommend that treatment for
infertile men should include strategies to reduce oxidative stress
and improve sperm quality.
How can Glutathione help in the
Treatment of Infertility?
Glutathione is not only vital to
sperm antioxidant defenses, but selenium and glutathione are
essential to the formation of "phospholipid hydroperoxide
glutathione peroxidase" - an enzyme present in spermatids - which
becomes a structural protein in the mid-piece of mature spermatozoa.
When either substance is deficient,
it can lead to instability of the mid-piece of the spermatozoa,
resulting in defective motility.
Free radical scavengers - such as
glutathione - that restore the structure and function of
poly-unsaturated fatty acids (PUFA) in the cell membrane, can be
used to treat these cases.
In a double-blind cross-over study
of twenty infertile men, treatment with glutathione led to a
statistically significant improvement of the sperm quality.
The study concerned men in whom the
sperm quality was poor due to unilateral varicocele or germ-free
genital tract inflammation - two conditions in which ROS or other
toxic compounds are indicated as causative factors.
Treatment with glutathione was also
found to have a statistically significantly positive effect on sperm
motility (in particular forward motility) and on sperm morphology.
The findings of these studies
indicate that glutathione therapy could represent a possible
therapeutical tool in cases where ROS or exposure to toxins is the
probable cause of infertility.
Read the complete report with
references on Male Infertility and Glutathione
http://www.1whey2health.com/glutathione_infertility_sperm.htm
Copyright © 2004 Priya Shah
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