Understanding SDF Test Results
How to Interpret Your Exact & Extend SDF Test Results
Your Sperm DNA Fragmentation (SDF) test results provide valuable insights into your reproductive health. Whether you’ve taken the Exact or Extend test, understanding your results is key to making informed decisions about your fertility journey. This guide explains what your scores mean, how they compare to fertile ranges, and what steps you can take next. Explore the detailed breakdowns below to interpret your results with confidence.
Can You Improve Abnormal SDF Results?
Sperm DNA damage can occur in two forms: single-strand DNA breaks and double-strand DNA breaks (dsDB).
Single-strand DNA breaks are sometimes linked to lifestyle factors such as smoking, alcohol consumption, recreational drug use, anabolic steroid use, and poor diet. These breaks may also indicate underlying medical issues, such as a varicocele (a varicose vein in the scrotum) or an infection, so an abnormal result can indicate a need for a more in-depth male health assessment. Making positive lifestyle changes, such as improving your diet or reducing harmful habits, may help improve sperm DNA quality. Learn more about improving sperm DNA quality.
Double-strand DNA breaks, on the other hand, are generally more severe and are thought to result primarily from errors during sperm production. However, there is some evidence to suggest lifestyle factors such as caffeine intake are associated with higher levels of dsDB damage in sperm1.
If your results indicate abnormal levels of DNA damage, your fertility expert is best placed to guide you. They can discuss potential solutions tailored to your situation, such as sperm selection techniques, genetic testing of embryos, or, in some cases, the use of donor sperm. Remember, every case is unique, and your doctor will provide the most appropriate advice for your fertility journey.
- T.E. Schmid, B. Eskenazi, A. Baumgartner, F. Marchetti, S. Young, R. Weldon, D. Anderson, A.J. Wyrobek, The effects of male age on sperm DNA damage in healthy non-smokers, Human Reproduction, Volume 22, Issue 1, 1 January 2007, Pages 180–187, https://doi.org/10.1093/humrep/del338 ↩︎




