Prostasomes, which are prostate-derived organelles, were purified from
human seminal plasma for inclusion in Earle's balanced salt solution
(EBSS) medium with or without human serum albumin. These media were us
ed for swim-up experiments and the subsequent analyses of sperm motili
ty parameters at different incubation times. The yield of motile sperm
atozoa after swim-up in EBSS medium enriched with boiled prostasomes w
as increased by 32% compared with EBSS containing albumin. Native pros
tasomes were less active. Combinations of albumin and either prostasom
es or boiled prostasomes significantly increased the recovery of motil
e spermatozoa and also increased the percentage of spermatozoa display
ing progressive motility after 1 h of incubation, Media lacking albumi
n showed lower values regarding progressive motility after 22 h of inc
ubation. A beneficial effect of prostasomes was noted on lateral head
displacement and percentage of hyperactive spermatozoa during the firs
t 6 h of incubation. These results suggest that inclusion of prostasom
es, especially boiled prostasomes, in swim-up media may improve the re
covery of hyperactive motile spermatozoa for up to 6 h in cases of est
ablished male factor infertility, and consequently increase the opport
unities for fertilization.