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The HPV ability to bind the spermatozoa in two distinct sites of the equatorial region through sydecan-1 a proteoglycan expressed almost exclusively in the equatorial region of sperm head can explain the sperm ability to carry viral genome into fertilized oocytes and blastocysts [ 19212225 ].

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Hence, HPV infection is closely related to male infertility which will decrease sperm PR and morphology.

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Cross-infection between members of a couple makes HPV chronic and difficult to treat.

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All the considered studies have important limits which should not be underestimated, linked to the in vitro artificial and experimental conditions.

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However, in vitro evidences showed that HPV infected spermatozoa maintains the ability to fertilize oocytes and to express viral genome in the product of conception.

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One study showed that infertile couples with HPV infection have a higher rate of pregnancy loss than do couples without HPV infection during implementation of assisted reproduction technology.

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Male vaccination could represent also a reliable option for couples undergoing ART cycles because fertility of female partner results yet partially compromised:

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Among subjects in the case group, were HPV-positive.

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In absence of effective and safety sperm washing procedures able to eliminate the infection, HPV male vaccination should be considered as a possible strategy for the prevention of HPV semen impairment and for the improvement of couple fertility outcomes [ 43046485051 ], Alternate dna hpv sperm men testing.

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Evidences reported by Chan et al.

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