Summary
Because of previous contradictory results, we reevaluted the effects of tamoxifen on 29 men presenting with idiopathic oligozoospermia. To determine whether a possible increase in sperm concentration might be correlated with an improvement of sperm quality, the hamster ovum penetration (HOP) test and the hypo-osmotic swelling (HOS) test were included as additional tests of sperm function. Patients were treated with tamoxifen (20 mg/day) for 3 months. From 4 weeks until the end of the study, tamoxifen had a significant effect (P<0.001) on blood levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone (T), and estradiol (E2). Prolactin (PRL) concentrations were not altered significantly (P>0.05). There was no significant improvement (P>0.05) of conventional semen parameters (volume, concentration, motility, morphology), and of HOP and HOS test results. The lack of correlation between a rise in hormone levels and improvement of sperm quality suggests that tamoxifen is of questionable value in men with idiopathic oligozoospermia.
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References
AinMelk Y, Belisle S, Carmel M, Tetreault J-P (1987) Tamoxifen citrate therapy in male infertility. Fertil Steril 48:113–116
Aitken RJ, Best FSM, Richardson DW, Djahanbakhch O, Templeton A, Lees M (1982) An analysis of semen quality and sperm function in cases of oligozoospermia. Fertil Steril 38:705–711
Bartsch G, Scheiber K (1981) Tamoxifen treatment in oligozoospermia. Eur Urol 7:283–287
Buvat J, Ardaens K, Lemaire A, Gauthier A, Gasnault JP, Buvat-Herbaut M (1983) Increased sperm count in 25 cases of idiopathic normogonadotropic oligospermia following treatment with tamoxifen. Fertil Steril 39:700–703
Comhaire F (1976) Treatment of oligospermia with tamoxifen. Int J Fertil 21:232–238
Danner C, Frick J, Maier F (1983) Results of treatment with tamoxifen in oligozoospermic men. Andrologia 15:584–587
Glass AR (1988) Paradoxical suppression of spermatogenesis during tamoxifen treatment of oligospermia. Fertil Steril 49:376–377
Jeyendran RS, Van der Ven HH, Perez-Pelaez M, Crabo BG, Zaneveld LJD (1984) Development of an assay to assess the functional integrity of the human sperm membrane and its relationship to other semen characteristics. J Reprod Fertil 70:219–228
Krause W, Hübner HM, Wichmann U (1985) Treatment of oligozoospermia by tamoxifen: no evidence for direct testicular action. Andrologia 17:285–290
Sokol RZ, Steiner BS, Bustillo M, Petersen G, Swerdloff RS (1988) A controlled comparison of the efficacy of clomiphene citrate in male infertility. Fertil Steril 49:865–870
Sterzik K, Rosenbusch B, Sasse V, Wolf A, Lauritzen C (1988) In vitro fertilization: a comparison with the results of the hamster ova penetration test (HOPT). Geburtshilfe Frauenheilkd 48:630–633
Vermeulen A, Comhaire F (1978) Hormonal effects of an antiestrogen, tamoxifen, in normal and oligospermic men. Fertil Steril 29:320–327
Willis KJ, London DR, Bevis MA, Butt WR, Lynch SS, Holder G (1977) Hormonal effects of tamoxifen in oligospermic men. J Endocrinol 73:171–178
World Health Organization (1987) WHO laboratory manual for the examination of human semen and semen — cervical mucus interactions. 2nd edition, Cambridge University Press
Yanagimachi R (1984) Zona-free hamster eggs: their use in assessing fertilizing capacity and examining chromosomes of human spermatozoa. Gamete Res 10:187–232
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Sterzik, K., Rosenbusch, B., Mogck, J. et al. Tamoxifen treatment of oligozoospermia: a re-evaluation of its effects including additional sperm function tests. Arch Gynecol Obstet 252, 143–147 (1993). https://doi.org/10.1007/BF02456678
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DOI: https://doi.org/10.1007/BF02456678