Cited by 149Sperm and Testicular FunctionReproductive Health and TechnologiesReproductive Biology and Fertility

Relationship between human sperm motility characteristics and sperm penetration into human cervical mucus in vitro

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Mortimer, D., Pandya, I. J., Sawers, R. S.·1986·Reproduction

Abstract

Summary.: A series of 100 modified Kremer tests of human sperm penetration into human cervical mucus was carried out as part of the routine investigation of couples presenting with infertility. The outcome of these tests was significantly correlated with the concentration and progressive motility of the spermatozoa in the semen sample used for the test. Other semen characteristics significantly correlated with the test result were the mean velocity of progression (Vp) and the amplitude of lateral head displacement about the axis of progression (Ah) of the progressive spermatozoa. Normal sperm morphology was also correlated with the outcome. Using these semen characteristics as the independent variables to predict the test outcome in a discriminant analysis (normal vs abnormal tests), 34·2% of the variance was accounted for. From the discriminant function equation 75·0% of the test results could be predicted correctly. In the 30 cases in which the semen samples used for the tests showed ≥ 25 × 106 progressively motile spermatozoa per ml, mean Vp of ≥ 25 μm/sec and mean Ah of ≥ 7·5 μm, 83·3% had normal test results. Conversely, all 13 cases for which the semen characteristics were below these limits had abnormal test results. Therefore, both the concentration of progressively motile spermatozoa and their movement characteristics are significant factors determining the outcome of homologous tests of human sperm–cervical mucus interaction.

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  • The WHO manual cites older papers stating that rapid motility (grade a) has clinical value.

    “To justify this choice, the WHO manual cites older papers stating that rapid motility (grade a) has clinical value [21,22,23,24,25,26,27,28,29,30].”

    From The Sixth Edition of the WHO Manual for Human Semen Analysis: A Critical Review and SWOT Analysis (2021) · cites this paper as [22]

    The Discussion (page unavailable) says that detailed evaluation of sperm motility may contribute to infertility diagnosis, and the discriminant-analysis section links movement velocity and progressively motile sperm concentration to cervical-mucus penetration test results. The paper does not identify these measures as WHO grade-a rapid motility or establish that the WHO manual cites it. (LLM, conf=0.83)

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Cites

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Research works printed but not linked: 11

  1. Hull, C.H. & Nie, N.H. (1981) SPSS Update 7-9. New Procedures and Facilities for Releases 7-9. McGraw- Hill Book Co., New York.
  2. Kremer, J. & Jager, S. (1982) Tests for the investigation of sperm-cervical mucus interaction. In Human Fertility Factors, pp. 229-243.
  3. Mortimer, D. (1983) Sperm transport in the human female reproductive tract. Oxford Rev. Reprod. Biol. 5,30-61.
  4. Mortimer, D. (1985a) The male factor in infertility: Part 1: Semen analysis. In Current Problems in Obstetrics, Gynecology and Fertility, Vol. 8, No. 7, pp. 1-87. Year Book Medical Publishers, Chicago.
  5. Mortimer, D. (1985b) The male factor in infertility: Part 2: Sperm function testing. In Current Problems in Obstetrics, Gynecology and Fertility, Vol. 8, No. 8, pp. 1-75. Year Book Medical Publishers, Chicago.
  6. Mortimer, D. (1986) A microcomputer-based semi- automated system for human sperm movement analysis. Clin. Reprod. Fert. 4 (in press).
  7. Mortimer, D., Templeton, A.A., Lenton, E.A. & Coleman, R.A. (1982c) Semen analysis parameters of a popu¬ lation of suspected infertile men. In Human Fertility Factors, pp. 91-96. Eds A. Spira & P. Jouannet. INSERM, Paris.
  8. Nie, N.H., Hull, C.H., Jenkins, J.G., Steinbrenner, . & Bent, D.H. (1975) Statistical Package for the Social Sciences. McGraw Hill, New York.
  9. Overstreet, J.W. (1982) Evaluation of sperm function by tests of sperm ovum interaction in vitro. In Human Fertility Factors, pp. 263-280.
  10. Ulstein, M. & Fjallbrant, B. (1976) In vitro tests of sperm penetration in cervical mucus. In Human Semen and Fertility Regulation in Men, pp. 383-388.
  11. Ed. E. S. E. Hafez. C. V. Mosby Co., St Louis.

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Authors
Mortimer, D., Pandya, I. J., & Sawers, R. S.
Venue
Reproduction
Published
1986-09-01
Volume
78
Issue
1
Pages
93-102
ISSN
  • 1470-1626 (ISSN-L)
  • 1741-7899
OpenAlex
W2137772735
Cited by
149
References
0
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 5
FWCI
3.18
Type
journal article
Language
en
Open access
Locations
  • Reproduction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
Keywords
sperm motility, sperm penetration, cervical mucus, progressive motility, sperm velocity, lateral head displacement, sperm concentration, sperm morphology, male infertility, semen parameters
MeSH terms
Cervix Mucus, Female, Fertilization in Vitro, Humans, Male, Semen, Sperm Motility, Sperm-Ovum Interactions

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