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A lot of extensive investigations have been conducted to evaluate the potential role of antisperm antibodies (ASA) in infertile couples. But many questions still remain on the role of ASA in reproduction, testing methods, significant levels of ASA and treatment of immunologically-mediated human infertility, due to ASA. The aim of the present critical review was to the analyze the literature data, published in the last 20 years, concerning the most frequently used in the international centers methods for treatment of human immunological infertility associated with ASA production.

Among others, immunological factors can be the reason for human infertility. The aim of the present critical review was to the analyze the literature data, published in the last 20 years, as well as our experimental and clinical results concerning the most frequently used in the international centers methods for the detection of antisperm antibodies associated with immunologically--mediated human infertility.

Among others, immonulogical factors can be the reason for human infertility. Our critical review of English-Language literature published between 1979 and May 2001, as well as the analyzed literature data for the Bulgarian population, showed sufficient evidence that antisperm antibodies impair fertility in couple with unexplained infertility by different pathogenetic mechanisms.