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Sperm DNA Fragmentation: A Critical Assessment of Clinical Practice Guidelines

  • Ashok Agarwal
  • , Alaa Farkouh
  • , Neel Parekh
  • , Armand Zini
  • , Mohamed Arafa
  • , Hussein Kandil
  • , Nick Tadros
  • , Gian Maria Busetto
  • , Rafael Ambar
  • , Sijo Parekattil
  • , Florence Boitrelle
  • , Hassan Sallam
  • , Sunil Jindal
  • , Edmund Ko
  • , Mara Simopoulou
  • , Hyun Jun Park
  • , Mohammad Ali Sadighi
  • , Ramadan Saleh
  • , Jonathan Ramsay
  • , Marlon Martinez
  • Haitham Elbardisi, Juan Alvarez, Giovanni Colpi, Jaime Gosalvez, Donald Evenson, Rupin Shah

Research output: Contribution to journalReview articlepeer-review

Abstract

Sperm DNA fragmentation (SDF) is implicated in male infertility and adverse reproductive outcomes. With the publication of many studies regarding the etiologies and contributors to SDF, as well as the effects of SDF, guidelines are necessary to aid clinicians in the application of SDF for male fertility evaluation. Two recent clinical practice guidelines were published by Agarwal et al and Esteves et al. In this article, we have evaluated and compared both guidelines. We have found fairly similar recommendations between the two guidelines and have also highlighted the differences between them. Finally, we have summarized and combined the best practice recommendations from both guidelines.

Original languageEnglish
Pages (from-to)30-37
Number of pages8
JournalWorld Journal of Men's Health
Volume40
Issue number1
DOIs
StatePublished - Jan 1 2022

ASJC Scopus Subject Areas

  • Reproductive Medicine
  • Aging
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology
  • Pharmacology (medical)

Keywords

  • DNA fragmentation
  • Male infertility
  • Oxidative stress
  • Practice guidelines as topic
  • Reproductive techniques, assisted

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