Johnson A, Smith R G, Bassham B, Lipshultz L I, Lamb D J
Scott Department of Urology, Baylor College of Medicine, Houston, Texas 77030.
Fertil Steril. 1991 Sep;56(3):528-34.
To develop a specialized sperm penetration assay (SPA) for the evaluation of sperm from oligospermic patients.
The development of the assay is in four parts: determine optimal sperm number; demonstrate quality control; establish statistical limits for fertile population; compare results to in vitro fertilization (IVF) outcome.
A group of 63 patients with oligospermia and/or poor motility and a group of 17 fertile donors were compared using the optimized SPA and the micro-SPA. Sperm from a third group of 35 patients were simultaneously incubated with human ova (IVF) and hamster ova (micro-SPA).
Both types of SPA scores are expressed as a sperm capacitation index (penetrations per ovum). Outcome of IVF is expressed as a percent of ova fertilized.
Using 25,000 sperm was found to be optimal. The normal fertile range was statistically determined to have a lower limit (-2 SD) of 2.0 penetrations per ovum. When scores from 63 male factor patients were compared using the optimized SPA, only 43% had sufficient swim-up sperm. However, the micro-SPA could accurately test 100% of the samples because it requires only one tenth the number of sperm.
The micro-SPA provides a valuable diagnostic test for the evaluation of the male factor patient.
