Introduction. DNA fragmentation of sperm is one of the possible causes of reduced fertility potential of men. However, a significant correlation between conventional semen parameters and sperm DNA fragmentation was not found. This fact determines the relevance of the study of the influence of various parameters of sperm on male fertility.Materials and methods. The study included 60 men, aged 26–36 years (median – 30 years) with idiopathic infertility and the level of DNA fragmentation of sperm is higher than 15 %. These men were treated with hyperbaric oxygen therapy, after 3 months in vitro fertilization performed partners of these men. DNA fragmentation of sperm cells was determined by TUNEL (upper limit of normal – 15 %). The level of reactive oxygen species (ROS) of the ejaculate were determined by chemiluminescence (upper limit of normal – 0.64 mV/s).Results. The frequency of pregnancy in vitro fertilization was following: 62.8 and 64.7 % (p > 0.05) for the total number sperm of spermatozoa < 38 × 106 /ejaculate and ≥ 39 × 106 /ejaculate, respectively; 63.3 and 63.6 % (p > 0.05) for mobility (a + b) of spermatozoa < 40 and ≥ 40 %, respectively; 58.3 and 64.6 % (p > 0.05) for normal forms of spermatozoa < 4 and ≥ 4 %, respectively; 67.3 and 20.0 % (p < 0.05) for the level of DNA fragmentation of sperm ≤ 15 and > 15 %, respectively; 64.9 and 33.3 % (p < 0.05) for the level of ROS in semen ≤ 0.64 and > 0.64 mV/s, respectively.Conclusion. The probability of pregnancy after in vitro fertilization significantly depends on the levels of sperm DNA fragmentation in the sperm and level of ROS in semen
