Affiliation:
1. Department of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu Japan
2. Center of Advanced Reproductive Medicine Mie University Hospital Tsu Japan
3. Obstetrics and Gynecology Mie University Hospital Tsu Japan
Abstract
AbstractPurposeSperm DNA fragmentation (SDF) has recently received attention as a cause of male infertility. However, SDF cannot be fully assessed using conventional semen parameter evaluations alone. Therefore, the authors aimed to elucidate the relationship between SDF and sperm parameters via computer‐assisted sperm analysis (CASA) to improve treatment strategies in reproductive medicine.MethodsThis retrospective observational study analyzed the relationship between sperm parameters assessed by CASA and SDF values determined by the TUNEL assay in 359 patients who visited the Mie University Hospital for infertility treatment. The methodology involved semen analyses covering concentration, motility, and morphology, followed by SDF quantification using the flow cytometry.ResultsStatistical analysis revealed significant correlations between SDF and various factors, including age, sexual abstinence period, and specific CASA‐measured parameters. Notably, lower sperm motility rates and abnormal head dimensions were associated with higher SDF values, indicating that these parameters were predictive of SDF.ConclusionsThis study highlights the importance of sperm motility and head morphology as indicators of SDF, suggesting their usefulness in assessing male fertility. These findings demonstrate the efficacy of detailed sperm analysis, potentially increasing the success rate of assisted reproductive technologies by improving sperm selection criteria.