Table 1. General characteristics of the included RCTs
First author/ year
Country
Study design Mean age, years (I/C) Sample size (I/C) Type of intervention Intervention dose (mg/ day) Control group
Outcomes contributed
Duration of intervention Quality assessment
Ahmadian et al., 2023 Iran RCT 34.79/
33.53
21/19 Capsule 800 / 1 time Pentoxifylline
/800 mg
Sperm motility (Fig. 4A) Testosterone (Fig. 5A) 12 weeks Fair

Sanagoo et al., 2021


Iran


TRCT

35.04/
34.88


25/24


Capsule


1500 / 1 time


Vitamin E
Sperm motility (Fig. 4A) Sperm count (Fig. 4B) Sperm morphology (Fig.
4C)
FSH (Fig. 5B) LH (Fig. 5C)


90 days


Good


Aghajani et al., 2021


Iran


RCT


35.57/
34.40


30/30


Syrup


750 / 2 times


Vitamin E
Sperm motility (Fig. 4A) Sperm count (Fig. 4B) Sperm morphology (Fig.
4C)
Testosterone (Fig. 5A) FSH (Fig. 5B)
LH (Fig. 5C)


90 days


Good
Pilehvari et al., 2023* Iran BRCT 33.67/
34.83
27/23 Capsule 500 / 3 times Placebo Excluded from meta-analysis 12 weeks Poor


Mahdiani et al., 2018


Iran


BRCT


31.08/30


29/28


Capsule


500 / 3 times


Placebo
Sperm motility (Fig. 4A) Sperm count (Fig. 4B) Sperm morphology (Fig.
4C)
Testosterone (Fig. 5A) FSH (Fig. 5B)
LH (Fig. 5C)


12 weeks


Poor

a RCT: Randomized controlled trial; b BRCT: double-blind randomized controlled trial; c TRCT: triple-blind randomized controlled trial.
* Pilehvari et al. (2023) was included in the systematic review but excluded from all quantitative meta-analyses due to reporting of sperm parameters as percentages without extractable mean and standard deviation values.