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Abstract
THE EFFECT OF SYSTEMIC ISOTRETINOIN ON FERTILITY IN MALE PATIENTS WITH ACNE VULGARIS
Noura Ali*, Mohamad Ismaiel and Faisal Radwan
ABSTRACT
Background: Acne vulgaris is a common dermatological problem that affects males and femals in the adolescent period and early adulthood. Isotretinoin is the treatment of choice for moderate to severe cases of acne vulgaris, as it provides complete cure with minimal scarring. Males receiving isotretinoin are always concerned about its adverse effects, especially on their fertility potential. Objective: To study the effect of systemic isotretinoin on semen parameters of male patients treated for acne vulgaris. Materials and Methods: This study was carried on 30 male patients with acne vulgaris presented to the Dermatology Clinic, Tishreen University Hospital, Lattakia. A dose of 0,5 mg/kg of systemic isotretinoin was given to all patients over a period of 6 months. Semen analysis was done for all patients before and after 6 months of use. Results: After the course of systemic isotretinoin, a statistically significant increase in sperm concentration (million/ml), total concentration (million) and progressive sperm motility % was observed, without any statistically significant increase in morphologically normal sperm% after isotretinoin use. Conclusion: Systemic isotretinoin in acne vulgaris is a safe modality of treatment with no harmful adverse effects on semen parameters, after 6 months of use.
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