Seminal F2-IsoP and RvD1 Levels in Idiopathic Infertile Men

30 percent of infertile men are diagnosed with idiopathic infertility. This study aimed to assess oxidative stress in the semen of 77 patients with idiopathic infertility by measuring F₂-isoprostane (F₂-IsoP), resolvin D1 (RvD1) levels, and semen parameters. The presence and localization of 8-IsoProstaglandin F_2α were determined using immunofluorescence. No significant correlations were observed for F₂-IsoP and RvD1 levels with the semen variables. Based on F₂-IsoP levels, individuals were classified into two groups: Group 1 (F₂-IsoPs ≤ 29.96 ng/mL, 51%) and Group 2 (F₂-IsoPs > 29.96 ng/mL, 49%). In comparison to Group 1, Group 2 showed significantly higher F₂-IsoP levels (13.33 ng/mL vs. 44.80 ng/mL; <i>p</i> < 0.05), a lower progressive motility percentage (30% vs. 25%; <i>p</i> < 0.05), and increased RvD1 levels (36.09% vs. 44.94%). Immunofluorescence analysis revealed a different localization of 8-IsoProstaglandin F_2α in the ejaculated sperm of Group 1 compared to that observed in Group 2. A weak signal was detected in the sperm tail (Group 1, 79.1% vs. Group 2, 36.9; <i>p</i> < 0.01). In spermatozoa of Group 2 patients, a strong signal in the acrosome, midpiece, and tail was highlighted. These findings suggest the need to test oxidative stress during routine semen analysis in patients with idiopathic infertility to improve diagnosis and treatment.