Key research themes
1. How do sperm count parameters correlate with male fertility prognosis and what is the clinical utility of total motile sperm count (TMSC) versus traditional WHO classifications?
This research area investigates the predictive value of sperm count parameters, especially the total motile sperm count (TMSC), as indicators for male fertility prognosis. It compares TMSC’s effectiveness against traditional World Health Organization (WHO) semen classification systems to determine which metric better guides clinical decisions and treatment outcomes in infertility.
2. What are the global temporal trends in sperm count decline and what factors might underlie these changes?
This theme synthesizes epidemiological evidence from multiple meta-analyses and retrospective studies documenting declining sperm concentration and semen quality worldwide over past decades. It addresses regional variations, possible environmental, lifestyle, and aging influences, and discusses the implications of this decline for male reproductive health and public health at large.
3. How do sperm DNA fragmentation and conventional semen parameters interact to predict male fertility potential?
This theme explores the relationship between sperm DNA fragmentation (SDF)—a measure of sperm genomic integrity—and standard semen parameters such as concentration, motility, and morphology. It evaluates the prognostic value of SDF thresholds in distinguishing fertile from infertile men and investigates the interplay of age, semen quality, and DNA damage in fertility assessments.