Controversy and Consensus on the Management of Elevated Sperm DNA Fragmentation in Male Infertility: A Global Survey, Current Guidelines, and Expert Recommendations.

Ala'a Farkouh,Ashok Agarwal,Taha Abo-Almagd Abdel-Meguid Hamoda,Parviz Kavoussi,Ramadan Saleh,Armand Zini,Mohamed Arafa,Ahmed M Harraz,Murat Gul,Vilvapathy Senguttuvan Karthikeyan,Damayanthi Durairajanayagam,Amarnath Rambhatla,Florence Boitrelle,Eric Chung,Ponco Birowo,Tuncay Toprak,Ramy Abou Ghayda,Rossella Cannarella,Nguyen Ho Vinh Phuoc,Fotios Dimitriadis,Giorgio I Russo,Ioannis Sokolakis,Taymour Mostafa,Konstantinos Makarounis,Imad Ziouziou,Shinnosuke Kuroda,Marion Bendayan,Raneen Sawaid Kaiyal,Andrian Japari,Mara Simopoulou,Lucia Rocco,Nicolas Garrido,Nazim Gherabi,Kadir Bocu,Oguzhan Kahraman,Tan V Le,Christine Wyns,Kelton Tremellen,Selcuk Sarikaya,Sheena Lewis,Donald P Evenson,Edmund Ko,Aldo E Calogero,Fahmi Bahar,Marlon Martinez,Andrea Crafa,Quang Nguyen,Rafael F Ambar,Giovanni Colpi,Mustafa Emre Bakircioglu,Ralf Henkel,Hussein Kandil,Ege Can Serefoglu,Abdullah Alarbid,Akira Tsujimura,Alireza Kheradmand,Christina Anagnostopoulou,Angelo Marino,Aram Adamyan,Birute Zilaitiene,Cevahir Ozer,Edoardo Pescatori,Paraskevi Vogiatzi,Gian Maria Busetto,Giancarlo Balercia,Haitham Elbardisi,Hamed Akhavizadegan,Hesamoddin Sajadi,Hisanori Taniguchi,Hyun Jun Park,Israel Maldonado Rosas,Mohamed Al-Marhoon,Mohammad Ali Sadighi Gilani,Naif Alhathal,Germar-Michael Pinggera,Priyank Kothari,Nasser Mogharabian,Sava Micic,Sheryl Homa,Sara Darbandi,Tran Quang Tien Long,Wael Zohdy,Widi Atmoko,Marjan Sabbaghian,Wael Ibrahim,Ryan P Smith,Christopher Chee Kong Ho,Jean de la Rosette,Ahmed I El-Sakka,Mirko Preto,Cătălina Zenoaga-Barbăroșie,Saad Mohammed Abumelha,Aykut Baser,Kaan Aydos,Liliana Ramirez-Dominguez,Vijay Kumar,Teng Aik Ong,Tiago Cesar Mierzwa,Ricky Adriansjah,Saleem A Banihani,Kasonde Bowa,Shinichiro Fukuhara,Marcelo Rodriguez Peña,Mohamad Moussa,Umut Çağın Ari,Chak-Lam Cho,Nicholas N Tadros,Muhammet Rasit Ugur,Edouard Amar,Marco Falcone,Frederic Romain Santer,Arif Kalkanli,Keshab Kumar Karna,Kareim Khalafalla,Ranjit B Vishwakarma,Federica Finocchi,Carlo Giulioni,Erman Ceyhan,Gökhan Çeker,Chadi Yazbeck,Osvaldo Rajmil,Mehmet Yilmaz,Baris Altay,Trenton L Barrett,Kay Seong Ngoo,Shubhadeep Roychoudhury,Gianmaria Salvio,Haocheng Lin,Ates Kadioglu,Massimiliano Timpano,Tomer Avidor-Reiss,Lukman Hakim,Puneet Sindhwani,Giorgio Franco,Rajender Singh,Filippo Giacone,Mikhail Ruzaev,Raghavender Kosgi,Nikolaos Sofikitis,Ayad Palani,Gokhan Calik,Deniz Kulaksız,Davor Jezek,Manaf Al Hashmi,Panagiotis Drakopoulos,Huda Omran,Sofia Leonardi,Ciler Celik-Ozenci,Nur Dokuzeylül Güngör,Jonathan Ramsay,Toshiyasu Amano,Emrullah Sogutdelen,Gede Wirya Kusuma Duarsa,Koji Chiba,Sunil Jindal,Missy Savira,Luca Boeri,Edson Borges,Deepak Gupte,Fatih Gokalp,Guadalupe Hernández Hebrard,Suks Minhas,Rupin Shah

The world journal of men's health（2023）

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摘要

This paper presents the results of a large global survey on the management of infertile men with elevated SDF and reveals a lack of consensus among clinicians. Furthermore, it demonstrates the scarcity of professional society guidelines in this regard and attempts to highlight the relevant evidence. Expert recommendations are proposed to help guide clinicians.

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关键词

Delphi method, Disease management, DNA fragmentation, Male infertility, Practice guideline, Survey

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