Objective: To investigate the frequency of headless, or unnucleated, sperma
tozoa, determine its percentage and evaluate its possible correlation with
other semen parameters.
Study design: Semen specimens from 94 subfertile men, aged 24-53 years (mea
n +/- SD 33.3 +/-6.3) and from 52 fertile men, aged 24-44 (33.3 +/-4.1) wer
e studied. Two semen specimens were examined from each individual, with a s
ix- to eight-week interval. Sperm morphology was evaluated from Papanicolao
u-stained smears, and the classification of abnormal sperm forms was made a
ccording to the guidelines of the World Health Organization.
Results: The percentage of headless spermatozoa was 9.0%+/-8.8 in subfertil
e and 2.7%+/-3.1 in fertile men. Headless spermatozoa existed in semen spec
imens from 90% of subfertile and 70% of fertile men. Of subfertile men, 23.
4% had headless spermatozoa at a higher percentage than the highest normal
limit found in sperm smears from fertile men.
Conclusion: In some cases of subfertile men with a high percentage of headl
ess spermatozoa, their infertility can be attributed to the cause of this m
orphological abnormality. Moreover, tails but not heads were found in semen
specimens from subfertile and fertile men.