[Acrosomic reaction of human spermatozoid demonstrated with clorotetracycline]. / Respuesta acrosomal de espermatozoides humanos demostrada con clorotetraciclina.

BACKGROUND: Sperm preparation and acrosomic reaction have been largely studied to explain the physiology of sperm as reproductive cell. OBJECTIVE: To identify the morphological changes on in vitro prepared human sperm cells and in spontaneous and ionophore A23187 induced acrosome reaction of infertile males, through the application of the chlortetracycline test. DESIGN: Experimental prospective study. MATERIALS AND METHODS: Sperm samples of 17 subfertile males were processed as routine for a sperm analysis, we carried out sperm preparation and induction of the acrosomic reaction by means of calcium ions A23187. The prepared sperm with direct swim-up was assessed at one hour and at four hours. Direct aliquots were taken and processed for the test with CTC, we considered as positive result obtaining more than 15% increase in the induced AR versus spontaneous. RESULTS: The whole population was classified as asthenozoospermic. Eight training morphological patterns were identified and we found four types of responses for the induced AR: Type I had an increase at one and at four hours incubation (47%); type II had an increase only after 1 hour incubation (23.5%); type III had an increase only at 4 hours incubation (17.7%), and type IV did not have increase (11.8%). CONCLUSION: These results suggest that in astenozoospermic patients the training process has variations during the incubation time, demonstrated by the response at A23187. These findings could let us to select better spermatozoa in this group of males at the moment when capacitance is actually attained, thus being able to carry out more effective techniques in assisted reproduction.

[In vivo effect of endometria's and human cervix's secretions on the spermatozoid]. / Efecto in vivo de las secreciones del endometrio y del cuello uterino humano en el espermatozoide.

OBJECTIVE: To demonstrate the capacitance stages acquired by the spermatozoa after the in vivo contact with the endometrium and the human cervical canal. STUDY TYPE: Experimental, prospective, and longitudinal. MATERIALS AND METHODS: Spermatozoa obtained from the cervix and endometrium, plus post-capacitated semen in a 1 and 4 hours process, from couples that have proved fertility, were processed to evaluate motility, morphology, vitality and identification of morphological patterns with chlortetracycline and then inducted to acrosomal reaction with ionophore A23187. RESULTS: A safe, fast and harmless technique to obtain endometrial secretions is described. The spermatozoa capacitated in vitro and in vivo developed specific capacitance stages, applying Perry's patterns with the CTC test. Spermatozoa capacitated in vitro and then recovered in the cervix responded favorably to the induction of the acrosomal reaction with calcium ionophore A23187, differing from the obtained with endometrium wash. CONCLUSIONS: The spermatozoa recovered from the endometrium presented a more advanced capacitance stage than that obtained from the cervix, this is demonstrated with the induction of the acrosomal reaction and the CTC test. These findings suggest that endometrial and cervical tissues promote capacitance, different in each one of them and progressive in their biological route.

Fructosa seminal como índice de fertilidad y de estímulo androgénico / Seminal fructose as an index of fertility and of andrgenic stimulus

Se llevó a cabo un análisis en forma prospectiva de 97 varones a quienes se les realizó un espermograma y mediciones de testosterona plasmática y fructosa seminal. El 82% de pacientes se encontraban entre la segunda y tercera década de la vida. La abstinecia sexual fue de tres a cinco en 80.4% de la muestra. Al analizar el coeficiente de Pearson entre fructosa seminal y la motilidad espermática, y entre el azúcar y la testosterona plasmática, no se encontró correlación. Los niveles de fructosa en el semen tampoco se vieron afectados por la cuenta espermática. De lo anterior se concluye que la medición de fructosa en el líquido seminal, no representa un índice de fertilidad y tampoco de estímulo androgénico

Características del semen en la pareja estéril / Characteristics of the semen in the sterile couple

Se analizan 453 primeros espermogramas en pacientes de parejas con esterilidad, de estrato socioeconómico bajo, y 110 primeros espermogramas de varones de nivel socioeconómico medio alto y alto, en la misma situación para conocer diferentes aspectos en la constitución del semen. Se computó edad, días de abstnencia sexual, viscosidad, licuefacción, pH, cuenta de espermatozoides/ml, morfología, motilidad con proceso de avance a los 120' de colectada la muestra, y la presencia de otros elementos