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Updated: Aug 20, 2026

U-Shaped Horizontal Swimming Technique for Preparing High-Quality Sperm with Low DNA Fragmentation Index
Published on: March 28, 2025
Less NO production and better motion parameter in human sperm by swim-up processing
Gwo-Jang Wu1, Dah-Ching Ding, I-Gin Chen
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC. gwojang@yahoo.com
Abstract:
Fifteen semen specimens were obtained from men for semen analysis; each was divided into two aliquots for prepararation. The motile sperm recovery rate, percentage motility, and motion parameters were measured for each semen specimen (n = 15) before and after preparation with the use of the two methods, and cultured with different time courses (1 hr, 3 hr, and 6 hr). Nitric oxide (NO) was measured using the chemiluminscence method after centrifugation. Recovery rate of motile cell was significantly higher in direct swim-up method (69.5 +/- 42.4% versus 49.3 +/- 29.3%, p < 0.05). In motility, direct swim-up method in the different time courses was significantly better than IxaPrep method. (1 hr: 91.1 +/- 5.2% vs 65.6 +/- 16.4%, 3 hr: 87.2 +/- 7.9% vs 65.2 +/- 16.5%, 6 hr: 86.1 +/- 7.5% vs 60.8 +/- 17.6% and prewash: 61.6 +/- 16.2%, p < 0.05). In VAP and VSL, the sperm prepared by the above two methods all improved compared to pre-wash sperm (p < 0.05), but there was no statistical significance between the two methods. NO production in the direct swim-up group was significantly lower than IxaPrep group in the first hour of culture (0.09 +/- 0.09 uM vs 0.15 +/- 0.09 uM, p < 0.05). NO production increased as the culture time increased in swim-up group, but conversed in IxaPrep group. The lower level of NO produced in the swim-up group may suggest that better sperm quality achieved is due to the decreased NO production.
Insights
The direct swim-up method significantly improves sperm motility and recovery rates compared to the IxaPrep method. Lower nitric oxide (NO) production in the swim-up group correlates with better sperm quality.
Area of Science:
- Reproductive Biology
- Andrology
- Sperm Preparation Techniques
Background:
- Sperm preparation is crucial for assisted reproductive technologies.
- Evaluating different sperm preparation methods is essential for optimizing outcomes.
- Nitric oxide (NO) may play a role in sperm quality and function.
Purpose of the Study:
- To compare the efficacy of the direct swim-up method versus the IxaPrep method for sperm preparation.
- To assess the impact of these methods on sperm motility, recovery rate, and motion parameters.
- To investigate nitric oxide (NO) production during sperm preparation using these two techniques.
Main Methods:
- Fifteen human semen specimens were analyzed.
- Each specimen was divided into two aliquots for preparation using direct swim-up and IxaPrep methods.
- Sperm motility, recovery rate, motion parameters (VAP, VSL), and nitric oxide (NO) levels were measured at various time points (1, 3, 6 hours).
Main Results:
- The direct swim-up method yielded a significantly higher motile sperm recovery rate (69.5% vs 49.3%).
- Direct swim-up demonstrated significantly better sperm motility across all time points compared to IxaPrep.
- While both methods improved sperm motion parameters (VAP, VSL) over pre-wash, no significant difference was found between the methods. NO production was lower in the direct swim-up group initially, suggesting a link to improved sperm quality.
Conclusions:
- The direct swim-up method is superior to IxaPrep for enhancing sperm motility and recovery.
- Reduced nitric oxide (NO) production during direct swim-up may contribute to the observed improvement in sperm quality.
- These findings have implications for optimizing sperm preparation protocols in fertility treatments.
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