Vaginal sildenafil may be a therapeutic option for improving the chances of successful pregnancy in women with a history of recurrent miscarriage, study findings show. Malgorzata Jerzak (Military Institute of Health Sciences, Warsaw, Poland) and colleagues found that sildenafil citrate improved the quality of the endometrium and the immunologic environment in these patients.
For the study, 38 nonpregnant women with a history of recurrent miscarriage and 37 healthy women with previous successful pregnancies self-administered sildenafil suppositories 25 mg intravaginally, four times a day for 36 days. Peripheral blood natural killer (NK)-cell activity was significantly increased in the miscarriage patients compared with controls before treatment, at 15.67 versus 8.29 percent. But after vaginal sildenafil therapy, NK-cell activity was significantly reduced in the miscarriage patients by an average of 5.45 percent.
Endometrial thickness, which was significantly reduced in the miscarriage group compared with the control group, increased significantly after sildenafil therapy, from 8.06 mm to 9.25 mm.
"The mechanism of sildenafil's influence on NK cells is unknown; however, it can not be excluded that improvement in uterine artery flow has efficient influence on the local endometrial NK-cell population, and the diminished NK cell activity may promote successful pregnancy outcome," say Jerzak et al.
"Additionally, sildenafil significantly improves endometrial thickness, which is especially important in successful implantation."
Showing posts with label Viagra Effects. Show all posts
Showing posts with label Viagra Effects. Show all posts
Thursday, June 26, 2008
Tuesday, March 18, 2008
Viagra could harm sperm and reduce fertility
Two new studies have identified factors that could be causing a decline in male fertility. Research published in the journal Fertility and Sterility on the anti-impotence drug Viagra concluded that men taking the drug could be damaging their sperm and lowering their ability to conceive. Another study, published in the environmental journal the Ends Report, suggests that pollution from chemicals such as dioxin can lower a man's sperm count.
The first study, led by Dr David Glenn at Queen's University Belfast, , treated sperm in vitro with Viagra, and found treated sperm to be more active than untreated sperm, but also that the 'acrosome', which produces enzymes that help the sperm penetrate the egg, was damaged by the drug. Tests in mice showed that sperm treated with Viagra produced 40 per cent
less embryos than untreated. Dr Glenn is concerned that the drug is being prescribed to couples seeking help for fertility problems, and says that 'giving male partners something that could make the problem worse is scarcely the right approach'. He has also raised issues with younger males using the drug recreationally, who may be harming their chances of starting
a family in the future. The second study identified another factor thought to influence male fertility rates: pollution from chemicals such as dioxin, released through industrial processes and found in the atmosphere. A chemical explosion in
Italy in 1976 exposed people to a cloud of highly toxic dioxin. A study 22 years later of male volunteers who were exposed found that men who were aged under nine at the time of the explosion had 43 per cent lower sperm counts than a control group. Men who were aged between ten and 17 when exposed, however, had sperm counts 62 per cent higher, and men who were over 17 were unaffected. The findings suggest that dioxin is a potential factor responsible for falling sperm counts, and also puts a question mark over other industrial chemicals.
Endocrine-disrupting chemicals are also thought to be affecting fertility rates. Three such chemicals have been investigated by scientists at the National Food Institute, Technical University of Denmark. When the chemicals were administered separately, they were harmless. Concurrent exposure, however, resulted in malformed sexual organs in the fetuses, showing potential cocktail effects of chemicals should be taken into account when investigating their effects on fertility rates. In Denmark, just under five per cent of boys are born with a certain malformation of their sexual organs. Meanwhile, new hope was given to infertile couples in Australia, where Menevit, the 'first ever drug to for male infertility', has been developed. It contains antioxidants and works by acting on free radicals that fragment sperm, the main cause of infertility. In a preliminary study of 60 infertile men, the rate of pregnancy was increased significantly, but larger clinical trials are required before the drug can be merited.
The first study, led by Dr David Glenn at Queen's University Belfast, , treated sperm in vitro with Viagra, and found treated sperm to be more active than untreated sperm, but also that the 'acrosome', which produces enzymes that help the sperm penetrate the egg, was damaged by the drug. Tests in mice showed that sperm treated with Viagra produced 40 per cent
less embryos than untreated. Dr Glenn is concerned that the drug is being prescribed to couples seeking help for fertility problems, and says that 'giving male partners something that could make the problem worse is scarcely the right approach'. He has also raised issues with younger males using the drug recreationally, who may be harming their chances of starting
a family in the future. The second study identified another factor thought to influence male fertility rates: pollution from chemicals such as dioxin, released through industrial processes and found in the atmosphere. A chemical explosion in
Italy in 1976 exposed people to a cloud of highly toxic dioxin. A study 22 years later of male volunteers who were exposed found that men who were aged under nine at the time of the explosion had 43 per cent lower sperm counts than a control group. Men who were aged between ten and 17 when exposed, however, had sperm counts 62 per cent higher, and men who were over 17 were unaffected. The findings suggest that dioxin is a potential factor responsible for falling sperm counts, and also puts a question mark over other industrial chemicals.
Endocrine-disrupting chemicals are also thought to be affecting fertility rates. Three such chemicals have been investigated by scientists at the National Food Institute, Technical University of Denmark. When the chemicals were administered separately, they were harmless. Concurrent exposure, however, resulted in malformed sexual organs in the fetuses, showing potential cocktail effects of chemicals should be taken into account when investigating their effects on fertility rates. In Denmark, just under five per cent of boys are born with a certain malformation of their sexual organs. Meanwhile, new hope was given to infertile couples in Australia, where Menevit, the 'first ever drug to for male infertility', has been developed. It contains antioxidants and works by acting on free radicals that fragment sperm, the main cause of infertility. In a preliminary study of 60 infertile men, the rate of pregnancy was increased significantly, but larger clinical trials are required before the drug can be merited.
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