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Does sperm DNA fragmentation correlate with semen parameters?
Minh Tam Le1,2, Tam An Thi Nguyen2, Hiep Tuyet Thi Nguyen3
1Department of OBGYN Hue University of Medicine and Pharmacy Hue University Hue Vietnam.
Insights
Sperm DNA fragmentation index (DFI) shows weak correlation with routine semen analysis. Additional sperm DNA integrity testing is recommended for male fertility evaluation.
Area of Science:
- Reproductive Medicine
- Andrology
- Sperm Biology
Background:
- Routine semen analysis is standard for male fertility assessment.
- Sperm DNA integrity is increasingly recognized as a crucial factor in reproductive outcomes.
- The relationship between conventional semen parameters and sperm DNA damage requires further clarification.
Purpose of the Study:
- To investigate the association between sperm quality assessed by routine semen analysis and sperm DNA integrity.
- To determine the correlation between the sperm DNA fragmentation index (DFI) and standard semen parameters.
Main Methods:
- A cross-sectional study involving 318 men from infertile couples.
- Semen parameters were analyzed, and sperm DNA fragmentation index (DFI) was measured using the sperm chromatin dispersion (SCD) assay.
- Spearman's rank correlation coefficient was used to analyze correlations between DFI and semen parameters.
Main Results:
- DFI showed a significant positive correlation with abnormal head morphology (ρ = .202, P = .0003).
- DFI exhibited a weak negative correlation with progressive motility (ρ = -.168, P = .0027).
- DFI was associated with male age, smoking, and alcohol consumption (P < .05).
Conclusions:
- Sperm DNA fragmentation index (DFI) is not strongly correlated with conventional semen parameters.
- Sperm DNA fragmentation assay should be considered an additional diagnostic tool in male fertility investigations.
- Further research may elucidate the clinical utility of DFI in predicting fertility outcomes.
Purpose:
This study aimed to investigate the association between sperm quality assessed by routine semen analysis and sperm DNA integrity assay.
Methods:
In our cross-sectional study, a total of 318 men from the infertile couples were enrolled from December 2017 to March 2019 at the Hue Center for Reproductive Endocrinology and Infertility, Vietnam. General characteristics and semen parameters were detected. The sperm DNA fragmentation index (DFI) was estimated by the sperm chromatin dispersion (SCD) assay. A threshold of DFI 30% was applied to classify normal (DFI < 30%) or abnormal (DFI ≥ 30%) groups. The correlations between DFI and semen parameters were analyzed by Spearman's rank correlation coefficient.
Results:
In the correlation analysis, DFI was significantly correlated with abnormal head and progressive motility, with a positive correlation with abnormal head (ρ = .202, P = .0003) and a weak negative correlation with progressive motility (ρ = -.168, P = .0027), respectively. In the bivariate analysis, DFI was associated with male age, smoking, and alcohol consumption with P < .05.
Conclusions:
The sperm DFI was not strongly correlated with conventional semen parameters. Therefore, a sperm DNA fragmentation assay should be performed as an additional step in the investigation of male fertility.
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