Clinical trial Recruiting at 1 site Interventional Ages 20 to 45 Men only

Probiotics to improve sperm count, motility, and morphology in men with low sperm quality

Official title: Effect of Probiotics on Sperm Quality in Male Infertility Patients

Run by Mackay Memorial Hospital · NCT07345455 · Data updated 2026-11-12

This study tests whether daily probiotic supplements can improve sperm count, motility, and morphology in men with unexplained low sperm quality.

More Male Infertility trials

Quick facts

Study typeInterventional
Ages20 Years to 45 Years
SexMen only
Enrollment60 (estimated)
SponsorMackay Memorial Hospital
Academic / other
Locations1 site (New Taipei City)
StatusRecruiting
StartedSeptember 16, 2023
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedJanuary 15, 2026
Trial IDNCT07345455 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Men aged 20–45 with unexplained oligozoospermia, asthenozoospermia, or oligoasthenoteratozoospermia who meet sperm criteria (sperm concentration less than 5 million/mL, total motility under 40%, Kruger morphology under 4%) and without excluded medical or exposure histories are ideal candidates.

Probably not a fit

Men with known causes of infertility such as varicocele, hormonal disorders, diabetes, chronic liver or kidney disease, significant occupational toxin exposure, recent antioxidant use, BMI ≥ 30 kg/m2, or current interfering medications are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, placebo-controlled pilot trial enrolling 60 men with unexplained oligozoospermia, asthenozoospermia, or oligoasthenoteratozoospermia. Participants receive either a probiotic supplement or placebo for about 100 days with semen samples collected at baseline (day 0), mid-intervention (day 60), and post-intervention (day 100). Sperm concentration, motility, and morphology will be measured using computer-aided sperm analysis (CASA) alongside tests for DNA fragmentation and other sperm function markers. The trial tests whether probiotic modulation of the gut and immune environment can translate into measurable improvements in sperm parameters.

Why it matters

Potential benefit: If successful, probiotics could offer a low-cost, well-tolerated approach to improve sperm quality and potentially increase chances of natural conception for some men.

How similar studies have gone: Small early studies and preliminary reports suggest probiotics may improve motility and reduce DNA fragmentation in some men, but clinical evidence in larger human trials remains limited and mixed.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Males aged 20 to 45 years
* Diagnosis of unexplained oligozoospermia, asthenozoospermia, or oligoasthenoteratozoospermia
* Sperm concentration \< 5 x 10\^6/mL
* Sperm total motility \< 40%
* Sperm morphology (Kruger strict criteria) \< 4%

Exclusion Criteria:

* History of hormonal disorders or epididymo-orchitis
* Substance abuse, including drugs or excessive alcohol consumption
* Diabetes mellitus
* Kidney disease (defined as a doubling of creatinine levels or more)
* Chronic liver disease
* Varicocele
* Current use of medications that interfere with hormones
* Occupational or environmental exposure to pesticides, heavy metals, or solvents
* Intake of antioxidant supplements within the past three months
* Body Mass Index (BMI) of 30 kg/m\^2 or higher

Where it's running

  • MacKay Memorial Hospital
    New Taipei City, Taiwan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.