Follicular fluid and progesterone, which are present in the natural en
vironment of oocytes, have been reported to induce the acrosome reacti
on and we compared their use in pretreatment of spermatozoa for human
sub-zonal insemination (SUZI). Pre-treatment with follicular fluid (20
% v/v) was associated with a higher fertilization rate than pre-incuba
tion with progesterone (1 mmol/l) as assessed by both the embryos/ inj
ected oocytes rate (31.7 +/- 6.2% versus 13.5 +/- 5.9%, respectively;
P < 0.01) and the male pronuclei/injected spermatozoon rate (10.5 +/-
3.3% versus 3.6 +/- 1.9%, respectively; P < 0.01). Since we have previ
ously reported that pre-treatment with progesterone allowed a higher p
ercentage of live-reacted spermatozoa to be obtained, these results su
ggest that either progesterone induces modifications of the plasma mem
brane, which prevent fusion with the oolema, or that follicular fluid
not only induces the acrosome reaction but increases the fusion abilit
y by compounds other than progesterone.