Effect of phenytoin on semen.
Male patients receiving antiepileptic drugs (AEDs) have often complained of hyposexuality. Few studies have been done on semen analysis, which is relevant for assessment of potential and possible reproductive outcome in such cases. We evaluated the effect of epilepsy itself and/or phenytoin (PHT) on the male reproductive system. Fifty-five patients with epilepsy (42 with PHT and 13 untreated) and 28 healthy normal controls were studied by semen analysis. Serum samples from 21 of the 55 patients were also analyzed for testosterone, luteinizing hormone (LH), and follicle-stimulating hormone. Results showed lower volume of seminal fluid, spermatozoa concentration, and total sperm count in untreated and PHT-treated patients as compared with controls, although no difference was evident between the patient groups. Morphologically abnormal sperm were more increased in untreated patients than in PHT treated and control subjects. Hormonal analysis showed lower levels of testosterone in 9 patients. LH levels were increased in one third of the patients. Our results suggests an effect of seizures on the male reproductive system, and PHT may have a slight additive (if any) influence.
Taneja
N
N
Department of Anatomy and Neurology, AIIMS, Ansari Nagar, New Delhi, India.
Kucheria
K
K
Jain
S
S
Maheshwari
M C
MC
D000328:Adult; D004827:Epilepsy / Q000097:blood / Q000188:drug therapy / Q000503:physiopathology*; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D010672:Phenytoin / Q000009:adverse effects* / Q000494:pharmacology; D012661:Semen / Q000187:drug effects / Q000502:physiology*; D013076:Sperm Count / Q000187:drug effects; D013091:Spermatogenesis / Q000187:drug effects; D013094:Spermatozoa / Q000187:drug effects / Q000502:physiology; D013737:Testis / Q000187:drug effects / Q000503:physiopathology; D013739:Testosterone / Q000097:blood
D013739:Testosterone; D010672:Phenytoin; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone