Coenzyme Q10 (CoQ10) levels were assayed in total seminal fluid or bot
h in seminal fluid and seminal plasma in 77 subjects with normal or pa
thological findings at standard semen analysis. CoQ10 levels showed a
significant correlation with sperm count and with sperm motility. An i
nteresting exception was constituted by patients with varicocele, in w
hom the correlation with sperm concentration was preserved, whereas th
e correlation with sperm motility was lacking. Moreover, they showed a
n increased ratio of plasma CoQ to total seminal CoQ10 in comparison w
ith the other subjects. These data suggest a pathophysiological meanin
g of CoQ10 in human seminal fluid and a possible molecular defect in v
aricocele patients. CoQ10 measurement could represent an important exa
mination in infertile patients; moreover, from these results a rationa
le might arise for a possible treatment with exogenous CoQ10 in dysper
mic patients.