Ashok Agarwal, PhD, HCLD (ABB), ELD (ACE), Andrology Center and Reproductive Tissue Bank, American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA Sajal Gupta, MD (Ob/Gyn), MSc (Embryology), TS (ABB), Andrology Center and Reproductive Tissue Bank, American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA Rakesh Sharma, PhD, Andrology Center and Reproductive Tissue Bank, American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA