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36B - There Is Value in Examining Sperm DNA Fragmentation

Against

from Section VI - Male-factor Infertility

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
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Summary

One of the contemporary challenges in treating infertility is to identify those couples that will likely fail to conceive naturally or after assisted reproduction and will require more extensive interventions to achieve conception. The conventional sperm parameters (sperm concentration, motility, and morphology) provide us with information on the functionality of the seminiferous tubules and the reproductive tract. However, a major drawback of the semen analysis is that conventional sperm parameters are crude indicators of male fertility potential and the reference ranges for these parameters were set based on a population of fertile couples who succeeded in achieving a natural conception [1]. Moreover, these same parameters are not useful in predicting reproductive outcomes with assisted reproductive technologies. As such, there is a real need to identify markers that can accurately assess male fertility potential and help predict reproductive outcomes with assisted reproductive technologies

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Cooper, TG, Noonan, E, von Eckardstein, S, et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;May–June;16(3):231–45.Google ScholarPubMed
Zini, A, Sigman, M. Are tests of sperm DNA damage clinically useful? Pros and cons. J Androl. 2009 May–June;30(3):219–29.CrossRefGoogle ScholarPubMed
De Iuliis, GN, Thomson, LK, Mitchell, LA, et al. DNA damage in human spermatozoa is highly correlated with the efficiency of chromatin remodeling and the formation of 8-hydroxy-2’-deoxyguanosine, a marker of oxidative stress. Biol Reprod. 2009 Sept;81(3):517–24.CrossRefGoogle ScholarPubMed
Cissen, M, van Wely, M, Scholten, I, et al. Measuring sperm DNA fragmentation and clinical outcomes of medically assisted reproduction: a systematic review and meta-analysis. PLoS ONE. 2016;11(11):e0165125.CrossRefGoogle ScholarPubMed
Practice Committee of the American Society for Reproductive Medicine. The clinical utility of sperm DNA integrity testing: a guideline. Fertil Steril. 2013;99(3):673–7.Google Scholar

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