The objectives of these studies were: (1) to evaluate the effect of cryopreservation-thawing of human spermatozoa on DNA fragmentation and membrane integrity; and (2) to examine time dependent effects on membrane integrity and motion parameters of sperm incubated under capacitating conditions. This was a prospective, controlled cohort study. ln experiment one, ej aculates from 16 men undergoing infertility evaluation (patients) and from 5 donors were examined. Purified sperm populations with high motility were prepared by gradient centrifugation, cryopreserved using a manual method and TEST-yolk buffer and glycerol (TYB-G), followed by quick thaw. Annexin V binding was used for assessing membrane translocation of phosphatidylserine (PS) and terminal deoxynucIeotidyl transferase-mediated dUTP nick end labeling (TUNEL) was utilized for the evaluation ofDNA fragmentation. ln experiment two, 11 ej aculates from patients and 5 from donors were examined. Purified fractions with high and low sperm motility (90% and 40% layers) were studied in order to assess PS translocation. ln experiment three, we studied ej aculates from 16 patients and 5 donors; populations of sperm with high motility were prepared and incubated up to 24 hours under capacitating conditions with temporal assessment of motion parameters and annexin V binding. The results were as fol lows: Experiment 1: the percentage oflive cells with intact membranes (annexin V, Iive) was significantly reduced after cryopreservation-thawing, and cells with PS translocation. (annexin V, Iive) and necrosis increased significantly. TUNEL revealed percentages of ceI Is with DNA fragmentation in the pre-freeze and post-thaw samples that were not significant1y different. ln experiment 2: the percentages oflive ceIls with PS translocation and of necrotic cells increased significantly after thawing in both fractions; however, such induction of PS translocation was significantly higher in the fractions with high sperm motility. ln experiment 3: the percentage of live ceIls with intact membranes was significant1y reduced mainly at 6-8 hours of incubation and cells with PS translocation and necrotic increased significantly. We concluded that cryopreservation-thawing of human sperm from patients and donors was associated with membrane change as revealed by membrane translocation of PS while having no major impact on DNA fragmentation. Prolonged incubation of human sperm was associated with membrane PS translocation and a significant time-dependent motility loss.