The oxidative damage of DNA has many faces. Depending on the intensity of oxidative stress, different types of nuclear/DNA alterations can be observed. In the case of low/light oxidative stress, the first type of damage concerns the oxidation of DNA bases (in particular guanosine and adenosine) leading to oxidized residues (such as 8-oxo-guanosine, the so-called 8-OHdG residue). When the level of oxidative stress increases, other alterations can occur, including the generation of abasic sites, cross-link of nuclear proteins and rupture of DNA strands, either single or double. Although DNA strand breaks may have an oxidative origin, it should be kept in mind that the fragmentation of sperm DNA may have other origins, including unrepaired meiotic breaks, non-processed apoptotic germ cells or mechanical shearing during late spermatogenesis (spermiogenesis) when protamines replace sperm nuclear histones.