title: Effect of volumetric mixtures of peritoneal and follicular fluid from the same woman on sperm motility and acrosomal reactivity in vitro.
abstract: OBJECTIVE
  To study the effect of peritoneal (PF) and follicular fluids (FF from the same woman) as well as of given volumetric combinations thereof on sperm motility and acrosomal reactivity.
  
  
  METHODS
  Prospective. Peritoneal fluid and FF were incubated separately or in given volumetric combinations (PF/FF = 100/0, 75/25, 50/50, 25/75, 0/100; vol/vol) with swim-up sperm suspensions.
  
  
  METHODS
  In vitro fertilization and general infertility clinic and laboratories.
  
  
  METHODS
  Women participants of the gamete intrafallopian transfer program (motility study, n = 20; acrosomal reaction study, n = 14). Sperm donors of the artificial insemination program and men with given sperm parameters.
  
  
  METHODS
  Hormonal stimulation. Laparoscopy.
  
  
  METHODS
  Progressive velocity and percentage of motile gametes measured with multiple-exposure photography. Acrosomal reactivity measured by an immunofluorescent technique.
  
  
  RESULTS
  Follicular fluid always influenced progressive motility and also sustained the number of motile gametes, as function of time, better than PF or the PF/FF mixtures (P less than 0.05). The acrosomal reactivity of sperm incubated in the various PF/FF combinations was low; after 5 hours only the FF-sperm suspensions showed a significant enhancement of acrosomally reacted gametes.
  
  
  CONCLUSIONS
  At ovulation, FF transmit positive (motility- and acrosomal reactivity-enhancing) signals to sperm, whereas PF may transmit positive, neutral, or negative signals (noise signals). The volumetric combination of FF and PF in the tubal environment, which may differ from cycle to cycle and from woman to woman, could therefore result in synergic (or antagonistic) effects on the sperm fertility potential.
authors.affiliation: Andrology Laboratory, La Carità Hospital, Locarno, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Revelli
authors.forename: G
authors.initials: G
authors.lastname: Soldati
authors.forename: J
authors.initials: J
authors.lastname: Stamm
authors.forename: M
authors.initials: M
authors.lastname: Massobrio
authors.forename: E
authors.initials: E
authors.lastname: Töpfer-Petersen
authors.forename: M
authors.initials: M
authors.lastname: Balerna
mesh_terms: D000177:Acrosome / Q000502:physiology*; D000328:Adult; D001202:Ascitic Fluid / Q000503:physiopathology*; D001826:Body Fluids / Q000502:physiology; D002478:Cells, Cultured; D003470:Culture Media; D005260:Female; D015181:Gamete Intrafallopian Transfer; D006801:Humans; D008297:Male; D006080:Ovarian Follicle / Q000502:physiology*; D011446:Prospective Studies; D013081:Sperm Motility; D013084:Sperm-Ovum Interactions
chemical_list: D003470:Culture Media