Sperm from Older Men Can Lead to Poorer Pregnancy Outcomes
A recent study by Frattarelli et al., 2008 (Fertility & Sterility) found that using sperm from men who were older than 50 yrs old resulted in fewer developing embryos and fewer live births than that seen for younger men. This study included in vitro fertilization of donor oocytes, so partner age and oocyte quality were not an issue. Fertilization and early cleavage (or divisions) of the egg were not different between the two age groups of men. This study suggested a significant decrease in embryo development past early cleavage stages for sperm from older men. The pregnancy loss rate went from 24% for pregnancies from the < 50 year old men, up to 42% in the over 50 group of men. The live birth rate per cycle went from 56% in the younger group to 41% in the older group. Pregnancy loss increases and live birth rate decreases started to shift in patterns around age 51 years.
Other studies have found that sperm DNA damage increases with age in men (Wyrobek et al., 2006 Proc Natl Acad Sci). And this may be a part of the poor embryo development and pregnancy losses observed in this study. At any rate, it is important that men realize they have a “biological clock” too when it comes to optimizing the chances of a normal pregnancy. If you are an older man seeking to father children, I would strongly recommend that you have your sperm DNA quality evaluated to ensure it is within normal limits, beginning around age 45 (learn more at www.scsadiagnostics.com).
Take Care-
Dr. E
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