A prospectively controlled in vitro study was performed to compare sperm co
ncentration, sperm motility and progressive sperm motility recovered follow
ing the standard swim-up procedure and a new CentriSwim procedure. The Cent
riSwim procedure involves creating a centrifugal force to counteract the fo
rce of gravity during sperm swim-up procedure. Two aliquots of semen from 1
2 normozoospermic ejaculates and 12 laboratory-induced oligoasthenozoosperm
ic specimens were diluted, centrifuged, and 1.0 ml of media layered over th
e sperm pellet. One aliquant was processed by standard swim-up technique. T
he other aliquant was processed by CentriSwim procedure involving centrifug
ation at 200 rpm on a 2-cm radius upward-directing arm, at an angle of 60 d
egrees for 10 min, creating roughly 0.8 g centrifugal force at room tempera
ture (22-24 degreesC) to counteract the force of gravity. The numbers of sp
ermatozoa recovered from the upper 0.5 ml of the medium following CentriSwi
m from the normozoospermic ejaculates and laboratory-induced oligoasthenozo
ospermic specimens were significantly higher than following standard swim-u
p procedure. No statistical differences in the recovery of percentage sperm
motility and progressive sperm motility between the two techniques were ob
served. in conclusion, the CentriSwim procedure yields higher numbers of mo
tile spermatozoa than the standard swim-up technique.