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.

What Do Your Exact & ExactFocus Results Mean?

The results on this page are examples only, and your individual results will be different.

Average Sperm DNA Fragmentation (SDF) score: Fertile vs. Infertile Range

An Average SDF score from 0%-31% is within the fertile range, whereas a score greater than 31% is outside the fertile range and has an increased risk of infertility.

Exact Test Report showing average sperm DNA fragmentation percentages in fertile and infertile ranges.

% DNA Fragmentation Category: Comparing to a Fertile Male

Exact Histogram comparing DNA fragmentation distribution in a sample to a typical fertile male.

DNA Fragmentation Distribution: A Detailed Breakdown

Exact charts showing DNA fragmentation distribution

What Do Your Extend & ExtendFocus Results Mean?

The results on this page are examples only, and your individual results will be different.

Average Double-Stranded SDF score: Fertile vs. Infertile Range

An Average Double Stranded SDF score between 0% to 6% is within the fertile range, whereas a score greater than 6% is outside this range and has an increased risk of infertility.

Extend Test Report showing double-stranded DNA fragmentation percentages in fertile and infertile ranges.

% DNA Fragmentation Category vs a Fertile Male

Histogram comparing DNA fragmentation distribution in a sample to a typical fertile male.

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.

  1. 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 ↩︎

Next Steps: Interpreting Your Results with Expert Support

For clinical interpretation of your laboratory results (including Semen Analysis, Exact, and Extend tests) and advice on next steps, you should first contact your referring clinician. They are best equipped to review your results within the context of your and your partner’s full medical history.

If you are a self-referral or require general support regarding test cut-offs or other technical advice, please contact Examen directly on +44 (0)28 90 238915 or myresults@examenlab.com. We can arrange a consultation with one of our Clinical Advisory Consultants for an additional fee. This service requires further information from you.

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