The document discusses declining sperm quality and increasing DNA damage in sperm. It presents several studies that show decreases in sperm density and quality in the US, Europe and other Western countries. DNA fragmentation in sperm can negatively impact fertility, the ability to fertilize eggs, and increase risks of miscarriage. The document then summarizes a study that found supplementing with various micronutrients including L-carnitine, L-arginine, vitamin E, folic acid, zinc, selenium, glutathione and coenzyme Q10 for 3 months decreased DNA fragmentation in sperm and improved sperm quality parameters and pregnancy rates compared to a control group without supplements.