Sperm DNA fragmentation testing: a standard semen test or not ready for prime time?

This issue of Translational Andrology and Urology focuses on the controversies surrounding the use of sperm DNA fragmentation testing in the armentarium of the male infertility specialist. My general approach to patient care is: I only order a test if it will change my management of the patient or couple. On the other hand, there are some situations when more information may sway the couple on how to proceed towards differing treatment options.