“…In this case, the main concern is that several tissue reductases, including sperm cytochromes (CP450R and Cb5R) [101,102], can reduce both probes and, therefore, lead to artefactual NAD(P)H-dependent reduction and the generation of O 2 • − by autoxidation [117,118] (Figures 2 and 3). However, despite these consistent factors, many studies have used this approach to indirectly report the presence of O 2 • − in sperm and further correlate it with semen quality [119][120][121], capacitation [122], hyperactivation [123], DNA integrity [120,124,125], apoptosis [120], IVF outcomes [121], among others. Yet, caution and a deep understanding of the limitations of both detection methods must guide the interpretation of these data.…”