Ejaculated spermatozoa from an infertile patient were examined by scan
ning and transmission electron microscopy. All spermatozoa had abnorma
lities in the tail region. The abnormalities were divided into three t
ypes: (a) spermatozoa with a spherical tail. The tail was larger than
the head in volume. This type of abnormality accounted for about 60% o
f the population; (b) spermatozoa with a blunt tail. The tails were ab
out 2 mu m in diameter and about 7 mu m in length. This type of abnorm
ality accounted for about 30% of the population of an ejaculate; (c) s
permatozoa without a tail. Some of these had only a rudimentary tail.
About 10% of the population belonged to this type In types A and B, al
l components of the tail, except for dynein arms, were observed, but t
hey were severely disarranged. Biopsy specimens of the testes and of t
he nasal mucosa of this patient were also investigated. The testicular
biopsy showed defects in manchette formation. Normal development of t
he manchette could not be observed. The nasal epithelium showed absenc
e of the inner dynein arms in the cilia.