4.2 Article

Unraveling the Impact of Sperm DNA Fragmentation on Reproductive Outcomes

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THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0043-1777324

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sperm DNA fragmentation; male infertility; assisted reproduction; natural conception; recurrent pregnancy loss

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In recent years, there has been an increasing interest in identifying subcellular causes of male infertility, with a focus on sperm DNA fragmentation (SDF) research. SDF can occur during spermatogenesis or as sperm transit through the genital tract, negatively impacting male reproductive potential. Studies have found that DNA damage is associated with sperm morphological and functional abnormalities, ultimately affecting natural conception and assisted reproductive technology outcomes.
In recent years, there has been a growing interest in identifying subcellular causes of male infertility, and sperm DNA fragmentation (SDF) research has been at the forefront of this focus. DNA damage can occur during spermatogenesis due to faulty chromatin compaction or excessive abortive apoptosis. It can also happen as sperm transit through the genital tract, often induced by oxidative stress. There are several methods for SDF testing, with the sperm chromatin structure assay, terminal deoxynucleotidyl transferase d-UTI nick end labeling (TUNEL) assay, comet assay, and sperm chromatin dispersion test being the most commonly used. Numerous studies strongly support the negative impact of SDF on male fertility potential. DNA damage has been linked to various morphological and functional sperm abnormalities, ultimately affecting natural conception and assisted reproductive technology outcomes. This evidence-based review aims to explore how SDF influences male reproduction and provide insights into available therapeutic options to minimize its detrimental impact.

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