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Manual of Sperm Function Testing in Human Assisted Reproduction Manual of Sperm Function Testing in Human Assisted Reproduction
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Chapter 20 - DNA Damage: Sperm Chromatin Structure Assay

Sperm Chromatin Structure Assay Test on its Fortieth Anniversary

Published online by Cambridge University Press:  05 April 2021

By
Don Evenson
Edited by
Ashok Agarwal ,
Ralf Henkel  and
Ahmad Majzoub
Ashok Agarwal
Affiliation:
The Cleveland Clinic Foundation, Cleveland, OH
Ralf Henkel
Affiliation:
University of the Western Cape, South Africa
Ahmad Majzoub
Affiliation:
Hamad Medical Corporation, Doha
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Summary

The year 2020 is the fortieth anniversary of the introduction of the concept of “sperm DNA fragmentation” as related to human and animal male factor fertility. This concept was introduced by Donald Evenson in a Science article (1980) that also introduced the first test for its detection, the Sperm Chromatin Structure Assay (SCSA®). Sperm DNA fragmentation is defined as sperm single and double DNA strand breaks. Experiments on bulls, boars and stallions clearly show that the SCSA test identifies the highest fertile animals. Thousands of measurements on clinical human semen samples also clearly show that when more than 25 percent of sperm (DFI pecentage) in an ejaculate have measurable DNA fragmentation the probability of live birth pregnancy is significantly diminished. SCSA data on percentage DFI and Mean DFI are the same, meaning that the SCSA test measures the total of sperm DNA strand breaks detected with acridine orange staining.

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Manual of Sperm Function Testing in Human Assisted Reproduction , pp. 192 - 201
Publisher: Cambridge University Press
Print publication year: 2021

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References

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