Human sperm cannot fertilize oocytes immediately upon ejaculation, but must acquire the ability to bind and penetrate the zona pellucida. Hyperactivation, which is linked to the process of capacitation, is a vigorous pattern of sperm motility marked by wide-amplitude, high-velocity, whiplash movements of the flagellum. This study was performed to investigate the correlation between hyperactivated (HA) motility patterns assessed by computer-aided sperm analysis (CASA) and the fertilization rate (FR) in vitro. Swim-up sperm were collected in 135 IVF cycles with at least 3 oocytes collected. Because no cases satisfied the HA motility pattern of "Star-spin", patients were divided into 3 groups: Sperm with curvilinear velocity (VCL) ≥ 100 µM/sec, linearity (LIN) < 60% and amplitude of lateral head displacement (ALH) ≥ 5 µM were "All HA". Sperm with straight-line velocity (VSL) ≥ 40 µM/sec, LIN ≥ 60% and ALH < 5 µM were "Non-HA". Others were defined as "Transition phase".