title: Round-headed human spermatozoa.
abstract: Ultrastructural investigation of two cases of round-headed spermatozoa from human ejaculates revealed the existence of two different pathomorphogenetic types. Case 1 represented round-headed spermatozoa of the Schirren and Holstein type caused by loss of the abnormally formed acrosome during spermiogenesis and the missing nuclear transformation. In case 2 a primary maturing inhibition was responsible for the round-headed feature of the spermatozoa; the normally flattened, conical nucleus and acrosomal cap were surrounded by huge droplets of ample cytoplasm. Secondary degenerative changes contributed to the decreased motility of these round-headed spermatozoa. Therapeutic trials for this oligospermic patient showed that an increase in cell count to values in the low-normal range and a drastic reduction in the percentage of round-headed cells (from 80% to 47%) could be achieved. The Schirren and Holstein type, however, must be regarded as absolutely infertile due to the absence of an acrosome and its intrinsic enzymes.
mesh_terms: D000177:Acrosome / Q000648:ultrastructure; D000328:Adult; D002467:Cell Nucleus / Q000648:ultrastructure; D006801:Humans; D007248:Infertility, Male / Q000473:pathology*; D008297:Male; D008928:Mitochondria / Q000648:ultrastructure; D009845:Oligospermia / Q000473:pathology; D013077:Sperm Head / Q000648:ultrastructure; D013082:Sperm Tail / Q000648:ultrastructure; D013094:Spermatozoa / Q000648:ultrastructure*