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303276

The Relationship between Seminal Total Antioxidant Capacity and Idiopathic Repeated Pregnancy Loss

Article

Last updated: 23 Dec 2024

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Abstract

Background: Attempts to demonstrate a link between idiopathic recurrent pregnancy loss (RPL) and sperm quality have been contentious. Based on this debate, other factors such as the antioxidant capacity of seminal plasma and the amounts of free oxygen radicals known as seminal reactive oxygen spices (ROS) should be considered. Objective: Evaluation of the role of seminal total antioxidant capacity (TAC), in idiopathic recurrent pregnancy loss. Methods: One hundred men were enrolled. Wife of these men had undergone full gynecologic evaluation and basic investigations of infertility and recurrent pregnancy loss of them were normal. Cases were divided into two groups; group 1 “Recurrent pregnancy loss (RPL) group" composed of 50 male partners of couples who had previously experienced at least two clinical first trimesteric idiopathic miscarriages and group 2 “Control group"; composed of 50 fertile men, with at least one child without assisted reproduction treatments, normal karyotype, normal sperm parameters, and wives who had no history of miscarriage. Results: Seminal total antioxidant capacity was significantly lower in RPL group; 1.25 ± 0.36 vs. 1.75 ± 0.64, p<0.001. Also, there was no significant correlation between seminal total antioxidant capacity and paternal age, BMI and seminal fluid examination. On the other hand, there was positive correlation between it and number of previous abortions. Regarding performance of seminal total antioxidant capacity to predict cases with RPL; statistical analysis of current results showed that AUC was 0.741 (95% confidence interval: 0.641-0.842). At a cut-off point > 1.46, the sensitivity was 70% and specificity was 64%. Conclusion: Seminal total antioxidant capacity is a major contributor to idiopathic repeated pregnancy loss. At cutoff point > 1.46; it had sensitivity 70% and specificity 64% in prediction of cases of RPL.

DOI

10.21608/egyfs.2023.303276

Keywords

Seminal, antioxidant capacity, Repeated Pregnancy Loss

Authors

First Name

Osama

Last Name

Ammar

MiddleName

A.

Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Benha University, Benha, Egypt

Email

osamaammar449@gmail.com

City

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Orcid

-

First Name

Mohamed

Last Name

El-Gazzar

MiddleName

A.

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Benha, Egypt

Email

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City

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Orcid

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First Name

Abou Bakr

Last Name

El-Nashar

MiddleName

M.

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Benha, Egypt

Email

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City

-

Orcid

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First Name

Ahmed

Last Name

Saad

MiddleName

S.

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Benha, Egypt (M.B.B.Ch)

Email

drahmedsaad@hotmail.com

City

-

Orcid

-

Volume

27

Article Issue

3

Related Issue

41782

Issue Date

2023-05-01

Receive Date

2023-06-12

Publish Date

2023-05-01

Page Start

77

Page End

85

Print ISSN

1110-6352

Online ISSN

2536-9768

Link

https://egyfs.journals.ekb.eg/article_303276.html

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https://egyfs.journals.ekb.eg/service?article_code=303276

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Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

The Relationship between Seminal Total Antioxidant Capacity and Idiopathic Repeated Pregnancy Loss

Details

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Article

Created At

23 Dec 2024