Book contents
- 50 Big Debates in Reproductive Medicine
- Series page
- 50 Big Debates in Reproductive Medicine
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Section I Limits for IVF
- Section II IVF Add-ons
- Section III The Best Policy
- Section IV Embryology
- Section V Ethics and Statistics
- Section VI Male-factor Infertility
- 35A Sperm Counts Are Falling Worldwide
- 35B Sperm Counts Are Falling Worldwide
- 36A There Is Value in Examining Sperm DNA Fragmentation
- 36B There Is Value in Examining Sperm DNA Fragmentation
- 37A Testicular Sperm Should Be Considered for Repeated ICSI Failed Implantation Cases in Men with High Sperm DNA Damage
- 37B Testicular Sperm Should Be Considered for Repeated ICSI Failed Implantation Cases in Men with High DNA Damage
- Section VII Genetics
- Section VIII Ovarian Stimulation
- Section IX Hormones and the Environment
- Index
- References
35B - Sperm Counts Are Falling Worldwide
Against
from Section VI - Male-factor Infertility
Published online by Cambridge University Press: 25 November 2021
- 50 Big Debates in Reproductive Medicine
- Series page
- 50 Big Debates in Reproductive Medicine
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Section I Limits for IVF
- Section II IVF Add-ons
- Section III The Best Policy
- Section IV Embryology
- Section V Ethics and Statistics
- Section VI Male-factor Infertility
- 35A Sperm Counts Are Falling Worldwide
- 35B Sperm Counts Are Falling Worldwide
- 36A There Is Value in Examining Sperm DNA Fragmentation
- 36B There Is Value in Examining Sperm DNA Fragmentation
- 37A Testicular Sperm Should Be Considered for Repeated ICSI Failed Implantation Cases in Men with High Sperm DNA Damage
- 37B Testicular Sperm Should Be Considered for Repeated ICSI Failed Implantation Cases in Men with High DNA Damage
- Section VII Genetics
- Section VIII Ovarian Stimulation
- Section IX Hormones and the Environment
- Index
- References
Summary
Claims that sperm counts have fallen worldwide are based on meta-analysis of sperm concentration data taken from a variety of published studies that were never designed to answer this question. Since methods of counting sperm in the laboratory over time have changed so markedly, both in terms of the techniques used and in terms of the staff training and quality control methods involved, this debate article argues that it is almost impossible to conclude that the proposed decline is anything other than methodological error. The American cosmologist Carl Sagan said that ‘extraordinary claims require extraordinary evidence’, and at the present time the author of this article argues that the data from these meta-analyses are not extraordinary evidence. To properly answer the question, it is proposed that adequately powered and controlled prospective studies be conducted at various locations around the world. Only then will we truly know whether sperm counts have declined worldwide or not.
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- Information
- 50 Big Debates in Reproductive Medicine , pp. 181 - 182Publisher: Cambridge University PressPrint publication year: 2021