A recent meta-analysis including 16 studies found a highly significant increase in miscarriage rate in couples where the male partner had elevated levels of sperm DNA damage compared to those where the male partner had low levels of sperm DNA damage (risk ratio = 2.16 (1.54, 3.03, P <0.00001) [ 19 ].
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The sentences
However, this effect did not reach statistical significance and appropriately powered randomized controlled trials focusing on this patient subset are required to elucidate the clinical value of this therapeutic approach.