“…As a result, various efforts have been made to correlate the fertilizing capability of sperm with some of the physiological events that take place during sperm capacitation, a multistep phenomenon involving changes in sperm form and function [ 11 ], which is essential for fertilization, and which encompasses various molecular processes that sperm cells undergo during their transit inside the female reproductive tract [ 12 , 13 , 14 ]. Among these processes we can distinguish (a) changes in the plasma membrane’s ion permeability, which result in its hyperpolarization ([ 15 , 16 , 17 ], reviewed in [ 18 ]); (b) an increase in intracellular pH (pH i ) [ 19 , 20 , 21 ]; and (c) a rise in intracellular calcium concentration ([Ca 2+ ] i ) upon exposure to progesterone (Pg, a female hormone secreted by cumulus oophorus cells that surround the oocyte) [ 22 , 23 , 24 ]. These parameters have been independently analyzed in sperm samples from men with fertility issues, and results show that after capacitation induction, their sperm cells do not undergo pH i alkalinization, and they also fail to hyperpolarize (in some cases they depolarize) their plasma membrane (PM) [ 17 , 25 , 26 , 27 , 28 ].…”