2020
DOI: 10.1111/and.13736
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Best laboratory practices and therapeutic interventions to reduce sperm DNA damage

Abstract: Infertility, defined as the failure to establish a clinical pregnancy after 1 year of regular unprotected sexual intercourse, is considered a worldwide health problem (Zegers-Hochschild, Adamson, Dyer, Racowsky, & de Mouzon, 2017). Globally, 1 out of 6 couples is suffering from failure to achieve clinical pregnancy after 1 year of regular and unprotected sexual intercourse (Sharlip et al., 2002). Poor reproductive potential due to male factor is responsible for 20%-70% of all cases (Agarwal, Mulgund, Hamada, &… Show more

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Cited by 11 publications
(8 citation statements)
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References 193 publications
(214 reference statements)
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“…Our results suggest that high level of DNA fragmentation may not be accompanied by oxidized macromolecules level elevation and additional factors such as, for example, coronavirus infection, can be required to alter the pro- and antioxidant systems balance in semen. Therefore, the absence of oxidative stress verification in men and monitoring of the ROS level during therapy is a potential problem [ 54 ], since there is a risk of reductive stress induction due to excessive therapy with antioxidants [ 55 ].…”
Section: Discussionmentioning
confidence: 99%
“…Our results suggest that high level of DNA fragmentation may not be accompanied by oxidized macromolecules level elevation and additional factors such as, for example, coronavirus infection, can be required to alter the pro- and antioxidant systems balance in semen. Therefore, the absence of oxidative stress verification in men and monitoring of the ROS level during therapy is a potential problem [ 54 ], since there is a risk of reductive stress induction due to excessive therapy with antioxidants [ 55 ].…”
Section: Discussionmentioning
confidence: 99%
“…Overall, several studies that explore the effects of antioxidants therapy on SDF have been published ( 116 , 117 ). Various antioxidant regimens, whether single agents or combination therapy, were supplied to the populations of infertile men by the different studies and for different treatment durations, mostly ranging from two to six months.…”
Section: Management Of Elevated Sdfmentioning
confidence: 99%
“…However, these effects on sperm function cannot be detected using routine semen analysis. Martinez and Majzoub (2020) reviewed the common techniques available to evaluate SDF and discussed the clinical indications for its testing, such as in cases of unexplained infertility, clinical varicocele, recurrent pregnancy loss, and poor ART outcomes (Martinez & Majzoub, 2020). The authors also reviewed the feasibility of antioxidant usage to counter sperm DNA damage in these patient cohorts as well as during sperm selection and in an ART setting.…”
mentioning
confidence: 99%