Acrosome-reacted sperm was examined in infertile and fertile males usi
ng the Acrobeads test. The Acrobeads score was significantly higher in
fertile males than in infertile males with normal or abnormal seminal
findings (p < .005 and p < .001, respectively). The Acrobeads score w
as 2 or more in all the fertile males, but 62% of the infertile males
with abnormal seminal findings (p < .02). Therefore, a disturbance in
the acrosome reaction is suggested to be one of the causes of decrease
d fertility potential. A high correlation was found between Acrobeads
score and sperm motility (r = .46, p < .001) or motile sperm concentra
tion (r = .51, p < .0001). The Acrobeads test, the results of which re
flect the acrosome condition of the sperm, is useful in the assessment
of sperm function related to fertility.