Objective: To study the effect of cumulus cell coculture on human sper
m motility, life span, and patterns. Design: Controlled prospective st
udy of 50 normal semen samples. Sperm motility and forward grade was o
bserved in droplets of Ham's F-10 media with cumulus cell coculture an
d compared with sperm in droplets of Ham's F-10 only. Setting: The Egy
ptian IVF-ET Center. Main Outcome Measures: Sperm motility, life span,
and forward progressive pattern. Results: The time course of loss of
sperm motility in cumulus coculture was significantly slower than with
out cumulus. Also, the percentage of motile sperm with linear progress
ive motility of grade 4,3 was significantly higher in cumulus cocultur
e. Conclusion: Cumulus cell coculture has a positive effect on prolong
ation of sperm motility life span and its forward progression.