Huda Mahmood Alfatal

By Huda Mahmood Shakir

Unexplained sub-fertility is commonly identified if couples fail to conceive after 1 yr. of everyday unprotected sexual intercourse even though investigations for ovulation, tubal patency and semen evaluation are ordinary. Many previous studies had shown that oxidative stress plays an important role in human fertility. Free radicals are neutralized by an elaborate antioxidant defense system. In a healthy body, pro-oxidants and antioxidants maintain a ratio and a shift in this ratio towards pro-oxidants gives rise to oxidative stress. There are two types of antioxidants in the human body: enzymatic and non-enzymatic antioxidants. Under normal conditions, antioxidants convert ROS to H2O to prevent overproduction of ROS. All cells in the human body are capable of synthesizing glutathione specially the liver. Free radicals appear to have a physiological role in female reproductive system in many different processes such as: oocyte maturation, fertilization, luteal regression, endometrial shedding and progesterone production by the corpus luteum. Protection from ROS is afforded by scavengers present in both male and female reproductive tract fluids, as well as in seminal plasma elevated concentrations of ROS in these environments may have detrimental effects on the spermatozoa, oocytes, sperm oocyte interaction and embryos both in the Fallopian tube and the peritoneal cavity; therefore oxidative stress modulates a host of reproductive pathologies affecting natural fertility in a woman’s life.

Part of the book: Antioxidants