title: Ketotifen, a mast cell blocker improves sperm motility in asthenospermic infertile men.
abstract: OBJECTIVE
  This study aimed to evaluate the efficacy of ketotifen on sperm motility of asthenospermic infertile men.
  
  
  METHODS
  It is a prospective study designed in vivo.
  
  
  METHODS
  In this interventional experimental study, a total of 40 infertile couples with asthenospermic infertility factor undergoing assisted reproductive technology (ART) cycles were enrolled. The couples were randomly assigned to one of two groups at the starting of the cycle. In control group (n = 20), the men did not receive Ketotifen, while in experiment group (n = 20), the men received oraly ketotifen (1 mg Bid) for 2 months. Semen analysis, under optimal circumferences, was obtained prior to initiation of treatment. The second semen analysis was done 2-3 weeks after stopped ketotifen treatment and sperm motility was defined. Clinical pregnancy was identified as the presence of a fetal sac by vaginal ultrasound examination.
  
  
  METHODS
  All data are expressed as the mean ± standard error of mean (SEM). t test was used for comparing the data of the control and treated groups.
  
  
  RESULTS
  The mean sperm motility increased significantly (from 16.7% to 21.4%) after ketotifen treatment (P < 0.001). This sperm motility improvement was more pronounced in the primary infertility cases (P < 0.003). The rate of pregnancy was 12.5% in infertile couples that their men receiving 1 mg/twice a day ketotifen. In 52% of infertile men's semen, the percentage of sperm motility was increased from 5% to 35% and this sperm motility improvement was also observed in 33% of necrospermia (0% motility) cases.
  
  
  CONCLUSIONS
  These results suggest that ketotifen may represent as a novel therapeutic approach to improve sperm motility in the infertile men with cause of asthenospermia or necrospermia.
authors.affiliation: Infertility and In Vitro Fertilization Center, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Saharkhiz
authors.forename: Roshan
authors.initials: R
authors.lastname: Nikbakht
authors.forename: Masoud
authors.initials: M
authors.lastname: Hemadi
keywords: Infertility; ketotifen; male factor; sperm motility