Inclusion criteria:
Age of 18 to 40 years
Primary infertile men
Abnormality of at least one parameter of semen
Body mass index less than 30
Exclusion criteria:
Chromosomal abnormalities, testicular insufficiency, varicocele, cryptorchidism
Chronic diseases such as diabetes, kidney disease, infectious diseases, genital tract infection, or thyroid dysfunction
Using drug or alcohol
Using medications that disrupt spermatogenesis (methotrexate, nitrofurantoin, colchicine and chemotherapy)
Use of pituitary suppressants (testosterone, GnRh analogues) or anti-androgens (cimetidine, spironolactone)
Taking drugs result in ejaculation failure (alpha-blockers, antidepressants, phenothiazide)
Taking drugs result in erection dysfunction (beta-blockers, thiazide diuretics, metoclopramides)
Taking drugs such as anabolic steroids, cannabis, heroin or cocaine
History of surgical procedures on the testes
Contact with pesticides, heavy metals and solvents
Use of antioxidant supplements in the last three months
Intense physical activity
Having a slimming diet