Case report: sterility due to sperm autoagglutination

Autoagglutination in seminal fluid of husbands in three unexplained sterile couples was found in routine semen-analysis. Further exploration showed that sera and seminal fluid of these husbands agglutinate donors' sperm, while their wives' sera did not. Post-coital tests were not significant. After failure of conservative treatment with vitamin C, two couples agreed to AID followed promptly by pregnancies and deliveries. The possible connection between sterility and sperm-auto-agglutination is discussed, stressing the justification for looking at these phenomena more carefully and with more attention.