Male Idiopathic Infertility. Poisoning by, adverse effect of and underdosing of iminostilbenes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Idiopathic infertility (=1 year) Age 20-50 years =2 semen abnormalities (WHO criteria) Normal or mildly elevated FSH Healthy, non-pregnant wife No fertility-affecting medications (past 3 months) Signed informed consent
Exclusion criteria
Exclusion criteria: Infertility with known cause (e.g., varicocele, obstruction, infection) Azoospermia (no sperm) History of vasectomy or groin surgery Hypogonadotropic hypogonadism (low FSH/LH) Chromosomal abnormalities (e.g., Klinefelter syndrome) Systemic diseases (diabetes, hypothyroidism, malignancy) Smoking, alcohol, or drug abuse Hypersensitivity to Letrozole or Tamoxifen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sperm parameters. Timepoint: Before and after treatment (baseline and 3 months). Method of measurement: Semen analysis (WHO 2021) and ELISA.;Hormonal profile. Timepoint: Baseline and 3 months post-treatment. Method of measurement: Measurement of FSH, LH, testosterone, and estradiol levels in blood samples using ELISA method.;Testosterone/estradiol ratio. Timepoint: Baseline and end of month 3. Method of measurement: Calculation of testosterone (ng/dL) to estradiol (pg/mL) ratio from blood test results. | — |
Countries
Iran (Islamic Republic of)
Contacts
Zahedan University of Medical Sciences