脫氫表雄酮 DHEA × 男性不孕
The evidence base for DHEA in MALE infertility is essentially absent.
The evidence base for DHEA in MALE infertility is essentially absent. PubMed (L2) located no randomized intervention trial in actual infertile or oligospermic men; the only RCT touching the male reproductive axis is Acacio 2000 (PMID 15037408), a 3-month study of just 11 healthy non-infertile men that found no change in semen parameters and explicitly warned that longer duration or higher doses could exert toxic effects on the reproductive axis. Examine has no male-infertility block for DHEA (coverage gap, found_in_examine=false), and the joint AUA/ASRM Male Infertility Guideline does not mention DHEA anywhere. DHEA's documented reproductive-medicine role is for FEMALE diminished ovarian reserve / IVF, not male-factor infertility, so there is a clear evidence-to-indication mismatch. With no positive RCT, no society endorsement, a possible (theoretical) harm signal from androgenic gonadotropin suppression, and no clinical endpoint data, the only honest grade is U (insufficient/ungraded evidence).
評分透明度
所有分數由 7 層證據引擎計算，過程公開可查▸查看完整決策路徑（audit trail）
- compute_raw_score — 加權公式: L2×0.30 + L3×0.25 + L5×0.25 + L11×0.10 + L1×0.10 = 0.396
- tier_from_score — 依分數區間映射至 tier letter
- apply_hec_rules — 無高階證據可裁決
- tier_strict_requirement_check — D 級條件未達 (需 E1-E3 negative；實際 E7)
- detect_disputes — 偵測到 0 個 hard + 0 個 soft dispute
- decide_status — 依 tier + dispute 結果決定 status
台灣社群（PTT GoodPregnan、Dcard 親子/備孕）對 DHEA 的討論幾乎全集中在女性卵巢早衰、低 AMH、試管養卵；針對男性不孕/精蟲品質幾乎沒有實質實測討論，僅少數提到睪固酮偏低者經醫師建議補充，多為夫妻一起吃的附帶提及。男性精液參數改善的鄉民心得缺乏。
無共識（男性不孕方向幾乎無在地實測討論；DHEA 在社群被普遍視為女性養卵用品，男性精蟲改善心得極少）
- 掉髮
- 皮膚出油/長痘
- 腸胃不適、脹氣、胃酸
- 亂經（女性）
- 體毛增加、聲音變粗等男性化反應（女性使用者反映）
依論壇被提及頻率，非銷售或品質排序。
- 特補樂
- 賜汝蒙
- 思孕蒙
- 倍韻
⚠️ 列出僅代表「TW 社群討論度高」，不代表本站推薦或背書。本站不販售任何產品、無導購連結。
- 顯微精索靜脈曲張手術
- 輔助生殖技術（IUI／IVF／ICSI）
- 生活型態與危險因子調整
查看 ClaimReview 結構化資料 (JSON-LD)
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