title: Sperm DNA fragmentation is increased in couples with unexplained recurrent pregnancy loss.
abstract: Previous studies have indicated that sperm quality may be related to unexplained recurrent pregnancy loss. This study evaluated the degree of sperm DNA fragmentation using the TUNEL assay on sperm from 24 couples with unexplained recurrent pregnancy loss (RPL) compared to sperm from 2 control groups: donors of known fertility and unscreened men from the general population. The percentage of sperm staining positive for DNA fragmentation was increased (p < .001) in the RPL group (38 +/- 4.2) compared to the donor (11.9 +/- 1.0) or general population (22 +/- 2.0) control groups. In the RPL group, no correlation was observed between semen quality parameters and the TUNEL data. These data indicate that some RPL patients have a significant increase of sperm DNA fragmentation, which may be causative of pregnancy loss in some patients.
authors.affiliation: Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. dcarrell@med.utah.edu
authors.forename: D T
authors.initials: DT
authors.lastname: Carrell
authors.forename: L
authors.initials: L
authors.lastname: Liu
authors.forename: C M
authors.initials: CM
authors.lastname: Peterson
authors.forename: K P
authors.initials: KP
authors.lastname: Jones
authors.forename: H H
authors.initials: HH
authors.lastname: Hatasaka
authors.forename: L
authors.initials: L
authors.lastname: Erickson
authors.forename: B
authors.initials: B
authors.lastname: Campbell
mesh_terms: D000026:Abortion, Habitual / Q000209:etiology*; D053938:DNA Fragmentation; D005260:Female; D006801:Humans; D020287:In Situ Nick-End Labeling; D008297:Male; D011247:Pregnancy; D013094:Spermatozoa / Q000473:pathology*