“…MACS efficiently reduces sperm DNA fragmentation levels [13,19,29,30,40,47,48] and effectively separates apoptotic from non-apoptotic spermatozoa [6, 8, 11, 14, 17-20, 28, 29, 34, 37-39, 44]. This selection leads to an improvement in sperm quality and functionality [14,19,23] because MACS positively affects sperm motility [5,8,29,34,38,41] and morphology as determined by the sperm deformity index [2-4, 38, 39, 41]. Several authors reported an improvement in fertilization rates [12,36] and embryo quality [1,9,40] because the best sperms were selected using MACS compared with standard selection methods.…”