Pharmaceutical compositions for treating male sub-
fertility that include an agent that causes a reduction in an effect of
extracellular DNA on
sperm cells, are provided. The agent may be, for example, an
enzyme that degrades
DNA such as DNase, a substance that blocks the interaction between
cell free DNA and
sperm cell surface receptors, a substance that binds to
DNA, a substance that inhibits endogenous
sperm cell DNase, a substance that inhibits a member of a
signal transduction pathway mediated by DNA binding to
sperm cell surface receptors, or an agent that stimulates production of an endogenous substance that causes a reduction in an antifertility effect of
cell free DNA on sperm cells. Also provided are methods for treating male sub-
fertility by administering the pharmaceutical composition to a subject in need thereof. Further provided are methods for determining a
fertility status in a male subject, methods for assisted
reproduction, methods for selecting an assisted
reproduction technique (ART), and methods for selecting sperm cells in a
sperm cell population for use in an assisted
reproduction technique.