Main Article Content

Abstract

Infertility is a problem for husband and wife, in the last 20 years the number of infertile couples has tended to increase by around 6.5 million pairs. The infertile couple can use the intrauterine insemination method to obtain offspring if a conventional method approach cannot be performed. Insemination requires a sperm preparation stage in which there are centrifugation and resuspension procedures that tend to produce excess reactive oxygen species (ROS). Excessive ROS will damage the motility of the spermatozoa. This study aims to prove the addition of alpha lipoic acid (ALA) as an antioxidant in the process of sperm preparation to improve and maintain better sperm motility. This research is a laboratory study with an experimental research design. The sample consisted of 10 infertile men who visited the Andrology section of the Sayyidah Jakarta Mother and Child Hospital (RSIA), where each ejaculate from the patient would be divided into 3 groups namely (k1) fresh semen as a control group, (k2) sperm preparation group without ALA, (k3) group of sperm preparation with the addition of ALA. The motility of spermatozoa was observed with the WHO 1999 method for 4 hours in units of percent. Progressive motility in k3 (47.95 ± 3.617) was higher than in k2 (38.05 ± 3.278) statistically significantly different after 3 hours of observation (p<0.0001). Progressive motility in k3 (78.8 ± 5.841) was higher than k1 (56.55 ± 7.511) from the initial observation (p <0.0001). The progressive motility of k2 (76.05 ± 6.768) was higher than k1 (56.55 ± 7.511) from the start of the observation (0.0001). It can be concluded that the addition of ALA in the sperm preparation process increases and maintains progressive motility that is better than sperm preparation without ALA addition after 3 hours of observation.

Keywords

ALA sperm preparation motility

Article Details

How to Cite
Buanayuda, G. W., Lunardhi, H., & Mansur, I. G. (2019). Effect of In-Vitro Alpha Lipoic Acid Addition on Spermatozoa Motility in Sperm Preparation Process. Folia Medica Indonesiana, 55(4), 246–250. https://doi.org/10.20473/fmi.v55i4.24382

References

  1. Agarwal A, Sushil A, Prabakaran, Said TM (2005). Prevention of oxidative stress injury to sperm. Journal of Andrology 26, 654-660
  2. Bourne H, Archer J, Edgar D. H, Baker HWG (2009). Textbook of assisted reproductive technologies laboratory and clinical perspective. 3rd Ed; Sperm Preparation Techniques. United Kingdom, Informa Healthcare, p 53-66
  3. Chi HJ, Kim JH, Ryu CS, Lee JY, Park JS, Chung DY, Choi SY, Kim MH, Chun EK, Roh SI (2008). Protective effect of antioxidant supplementation in sperm-preparation medium against oxidative stress in human spermatozoa. Human Reproduction; European Society for Human Reproduction & Embryology 23, 1023-1028
  4. Cooper TG, Yeung CH (2010). Andrology male reproductive health and dysfunction. 3rd Ed. Berlin, Physiology of Sperm Maturation and Fertilization. Springer, p 62-79
  5. Fraser LR (1998). Sperm capacitation and the acrosome reaction. Human Reproduction; European Society for Human Reproduction & Embryology 1, 9-19
  6. Geyter CD, Geyter MD, Behre HM (2010). Andrology male reproductive health and dysfunction. 3rd Ed. Berlin, Assisted Reproduction. Springer. p 469-497
  7. Haghighian HK, Mohammadi-asl, Dadfar M (2015). Randomized, triple-blind, placebo-controled clinical trial examining the effects of alpha-lipoic acid supplement on the spermatogram and seminal oxidative stress in infertile men. American Society for Reproductive Medicine 104, 318-324
  8. Hammadeh ME, Fillippos AA, Hamad MF (2009). Reactive oxygen species and antioxidant in seminal plasma and their impact on male fertility. International Journal of Fertility and Sterility 3, 87-110
  9. Hussain J, Salam A, Gohar A (2001). A study on the cryopreservation of stallion semen with alpha lipoic acid. Intl. R. J. of Pharmaceuticals 01, 21-26
  10. Ibrahim SF, Fathihah FH, Jaffar, Osman K, Syed, Mohamed SF, Nang CF, Ismail NH, Ismail MI (2011). Bull spermatozoa motility: Optimization of coenzyme q10 and alpha-lipoic acid concentration. IIOABJ 2, 8-13
  11. Ibrahim SF, Osman K, Das S, Othman AM, Majid NA, Rahman MPA (2008). A study of the antioxidant effect of alpha lipoic acids on sperm quality. Clinics 63, 545-50
  12. Islam TM (2009). Antioxidant activities of dithiol alpha-lipoic acid. Bangladesh Journal Of Medical Science 8
  13. Mascarenha MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA (2012). National, regional, and global trends in infertility prevalence since 1990: A Systematic Analysis of 277 Health Surveys. PLOS Medicine 9, 1-12
  14. Pyrzak R (2010). Manual of intrauterine insemination and ovulation induction; Semen preparation for intrauterine insemination. New York, Cambrige University Press, p 53-67
  15. Raaia. MF, Atyeah AA, Elkhiat YI, Elenany HG (2012). Treatment of idiopathic asthenozoospermia, either isolated or oligoasthenozoospermia, with a-lipoic acid: A placebo-controlled, double-blind study. Human Andrology 2, 94-98
  16. Rutstein SO, Shah IH (2004). Infecundity, infertility, and childlessness in developing countries. DHS Comparative Reports No. 9. Calverton, Maryland. USA, ORC Macro and the World Health Organization, p 1-41
  17. Sikka SC (2004). Role of oxidative stress and antioxidant in andrology and assited reproductive technology. Journal of Andrology 25, 5-18
  18. WHO (1999). Laboratory manual for the examination of human semen and sperm–cervical mucus interaction. 4th Ed. New York, WHO-Cambrige University Press