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Normal count. Normal motility. Normal morphology. And still no pregnancy — cycle after cycle. What a standard semen analysis does not measure is the quality of the DNA inside those sperm. And that is a very different question with very different implications for treatment and outcomes.

In this episode of Cycle Wisdom, Dr. Monica Minjeur, DO walks through sperm DNA fragmentation — what it is, why it matters, how to test for it, and what actually works to improve it. Through Fiona and David's story — two early miscarriages, multiple normal semen analyses, and an answer that had been there all along but never tested for — you will see how a complete male factor evaluation changes everything.

You will learn:

  • What sperm DNA fragmentation is, why it is not captured on a standard semen analysis, and what the 2023 AUA and EAU guidelines say about it as a biomarker of male infertility
  • The most common modifiable drivers of elevated DNA fragmentation — including infection, varicocele, insulin resistance, oxidative stress, and sleep deprivation
  • Why IVF and ICSI do not solve the problem — and why improving sperm DNA integrity before conception matters for both fertilization and miscarriage risk

If you or your partner have been told semen analysis is normal and the evaluation has stopped there — this episode will show you what the next step should be. Learn more or schedule a free discovery call at radiantclinic.com.

Podden och tillhörande omslagsbild på den här sidan tillhör Dr. Monica Minjeur. Innehållet i podden är skapat av Dr. Monica Minjeur och inte av, eller tillsammans med, Poddtoppen.