“…Pregnancy is unlikely in such cases. This suggests that a sperm population without seriously fragmented DNA and in contact with spermatozoa with SDF may sustain some DNA damage in what can be referred to as an iceberg effect (21)(22)(23). In this case, if the sperm cell has suffered only slight DNA damage, the oocyte should be able to repair it, but the extent of this repair will depend on the quality of the oocyte.…”