For teratozoospermia analysis, the sperm pellet was initially smeared on a glass slide. After reaching dryness at room temperature, the slide was fixed and stained as described in the Diff-Quick method (BRED Life Science Technology Inc.). The slide was viewed under a microscope (Olympus BX53). On the other hand, for electron microscopy analysis, the sperm pellet was fixed overnight in 2.5% glutaraldehyde buffer.
For sperm acrosome reaction analysis, sperm suspensions were incubated with 5 μM calcium ionophore A23187 for 30 min, and then FITC–peanut agglutinin (PNA) (Sigma-Aldrich) was applied to identify sperm acrosomal status and detected with laser scanning confocal microscope. The percentage of acrosome-reacted sperm was calculated by evaluating at least 300 sperm per test.