When couples experience recurrent pregnancy loss, it's natural for them to want to know why. Now, a new study suggests that sperm DNA damage could be a factor.
Recurrent pregnancy loss is defined as the consecutive loss of three or more pregnancies before 20 weeks' gestation. It affects up to 2% of couples and, in many cases, it is difficult to identify the cause.
Critical for survival
While women in these couples typically undergo tests to pinpoint a cause, the same is not true of men, according to the study authors.
"However, we know that sperm play an important role in the formation of the placenta, which is critical for survival of an unborn baby," said lead researcher Dr Channa Jayasena. He is a clinical senior lecturer in endocrinology at Imperial College London, in the United Kingdom.
In the new study, Jayasena's team compared 50 men in couples that had not suffered miscarriages with 63 men in couples that had recurrent pregnancy loss.
The men were checked for their levels of sex hormones, such as testosterone, and the number and behaviour of their sperm. Their level of sperm DNA damage was also assessed, along with levels of a chemical called reactive oxygen species, which can damage sperm.
Compared with the men in the miscarriage-free couples, men in couples with recurrent pregnancy loss had twice as much sperm DNA damage and four times the amount reactive oxygen species. Damaged sperm DNA is known to reduce fertility, the researchers noted.
Potential for new drug therapies
The new report is scheduled for presentation at the Endocrine Society's annual meeting, in New Orleans.
"Our study suggests that it may be useful to investigate if male partners of women with recurrent pregnancy loss have abnormalities in their reproductive function," Jayasena said in a meeting news release.
The findings also open up the potential for new drug therapies. "It may be possible to design future drugs to stop sperm DNA damage to treat couples with recurrent pregnancy loss and reduce the risk of miscarriage," Jayasena said.
Research presented at medical meetings should be considered preliminary until published in a peer-reviewed journal.
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