Objective: To characterize the stability of the sperm-immunobead assoc
iation over time. Design: Prospective evaluation of sperm-immunobead b
inding, using direct and indirect assays. Setting: Male Infertility Cl
inic, University of California, Davis, Davis, California. Patients: El
even men with sperm surface antibodies and 25 men with serum antisperm
antibodies volunteered. Main Outcome Measures: Repeated assessment of
sperm-immunobead binding over time. Results: Serum immunoglobulin (Ig
)G decreased a mean of 42.6% over 30 minutes, and serum IgA decreased
a mean of 22.7% over 30 minutes. Semen-derived IgG binding fell a mean
of 59.9% and semen-derived IgA fell a mean of 27.0% over 25 to 40 min
utes. Conclusions: Sperm-immunobead coincubation results in a decrease
in the number of sperm bound to immunobeads.