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Utility and Predictive Value of Human Standard Semen Parameters and Sperm DNA Dispersion for Fertility Potential

Author

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  • Kamil Gill

    (Department of Histology and Developmental Biology, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland)

  • Joanna Jakubik

    (Department of Histology and Developmental Biology, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland)

  • Aleksandra Rosiak-Gill

    (Department of Histology and Developmental Biology, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
    VitroLive Fertility Clinic in Szczecin, 70-483 Szczecin, Poland)

  • Michał Kups

    (Department of Histology and Developmental Biology, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
    VitroLive Fertility Clinic in Szczecin, 70-483 Szczecin, Poland
    Department of Urology and Oncological Urology, Regional Specialist Hospital in Szczecin, 71-455 Szczecin, Poland)

  • Mariusz Lukaszuk

    (Healthcare Center Nowe Orlowo, 81-525 Gdynia, Poland
    Invicta Fertility Clinic, 80-850 Gdansk, Poland)

  • Maciej Kurpisz

    (Institute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, Poland)

  • Monika Fraczek

    (Institute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, Poland)

  • Małgorzata Piasecka

    (Department of Histology and Developmental Biology, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland)

Abstract

Because the assessment of sperm DNA fragmentation (SDF) plays a key role in male fertility, our study was designed to find the relationships between SDF and standard semen parameters. The receiver operating characteristic (ROC) curve showed that 18% SDF is a prognostic parameter for discriminating between men with normal and abnormal standard semen parameters (n = 667). Men with > 18% SDF had significantly lower quality semen, a higher prevalence of abnormal semen characteristics, and a higher odds ratio for abnormal semen parameters compared to men with ≤ 18% SDF. An ROC analysis provided predictive values for age and semen parameters to distinguish between men with SDF > 18% and men with ≤ 18% SDF. SDF was positively correlated with male age and teratozoospermia index but negatively with sperm concentration, total number of spermatozoa, sperm morphology, progressive motility, and vitality. Our study shows that 18% SDF has a predictive value for distinguishing between men with normal and abnormal semen characteristics. Men with >18% SDF have a higher risk for abnormal semen parameters, while age and obtained semen parameters have a predictive value for SDF. There is a relationship between SDF and conventional sperm characteristics, and thus, SDF can be incorporated into male fertility assessment.

Suggested Citation

  • Kamil Gill & Joanna Jakubik & Aleksandra Rosiak-Gill & Michał Kups & Mariusz Lukaszuk & Maciej Kurpisz & Monika Fraczek & Małgorzata Piasecka, 2019. "Utility and Predictive Value of Human Standard Semen Parameters and Sperm DNA Dispersion for Fertility Potential," IJERPH, MDPI, vol. 16(11), pages 1-11, June.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:2004-:d:237419
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    References listed on IDEAS

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    1. Maartje Cissen & Madelon van Wely & Irma Scholten & Steven Mansell & Jan Peter de Bruin & Ben Willem Mol & Didi Braat & Sjoerd Repping & Geert Hamer, 2016. "Measuring Sperm DNA Fragmentation and Clinical Outcomes of Medically Assisted Reproduction: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-23, November.
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    Cited by:

    1. Kamil Gill & Michal Kups & Patryk Harasny & Tomasz Machalowski & Marta Grabowska & Mariusz Lukaszuk & Marcin Matuszewski & Ewa Duchnik & Monika Fraczek & Maciej Kurpisz & Malgorzata Piasecka, 2021. "The Negative Impact of Varicocele on Basic Semen Parameters, Sperm Nuclear DNA Dispersion and Oxidation-Reduction Potential in Semen," IJERPH, MDPI, vol. 18(11), pages 1-16, June.

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