Abstract. Apoptosis plays an essential role in normal spermatogenesis, but deregulations of this biological process, which is closely associated with male infertility, have been found. Whereas calcium homeostasis is a key regulator of cell survival, sustained elevation of intracellular calcium plays a role in apoptosis. The aim of this research was to determine the role of two different calcium mobilizing agents, hydrogen peroxide (H2O2) and the physiological agonist progesterone, on the apoptosis process of human ejaculated spermatozoa. Translocation of membrane phosphatidylserine was examined with an annexin V binding assay, DNA damage was detected by terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling (TUNEL assay) and caspase-3 activity was assessed using a fluorometric assay. After incubation of spermatozoa for 1 h with either 10 μM H2O2 or 20 μM of progesterone, there was a significant increase in both caspase-3 activity and the percentage of annexin V-positive cells. Similarly, the TUNEL results were significantly higher 1 h after incubation with either 10 μM H2O2 or 20 μM of progesterone. In fact, progesterone-treated cells showed a three-fold increase (from 17.6 to 52.9%) of TUNEL-positive cells compared to untreated cells, while H2O2-treated cells exhibited a two-fold increase (from 17.6 to 37.9%). In sum, our results suggest that spermatozoa treated with calcium mobilizing agents, such as H2O2 and progesterone, seem to undergo an apoptosis process that is dependent on caspase-3 activation. Key words: Apoptosis, Caspases, Phosphatidylserine exposure, Spermatozoa, TUNEL (J. Reprod. Dev. 55: [615][616][617][618][619][620][621] 2009) poptosis is a distinctive form of cell death characterized by a series of morphological and biochemical changes that plays a critical role in many physiological processes such as development, tissue homeostasis, inflammatory responses and disease [1]. It also plays an essential role in gamete maturation and embryogenesis, contributing to appropriate formation of various organs and structures. In fact, many studies in animal models have demonstrated that apoptosis is the underlying mechanism of germ cell death during normal spermatogenesis [2], which has also been reported in humans [3].On the other hand, deregulations of this biological process, which is closely associated with male infertility, have been found, and both men with azoospermia and men with severe oligozoospermia have an increased frequency of apoptotic germ cells in their testicular tissues compared with patients having normal spermatogenesis [2,4,5]. In addition, a certain degree of spontaneous apoptosis and relatively high rates of apoptosis have been detected using an in situ end-labelling (TUNEL) assay in testicular biopsies of infertile patients with testicular insufficiency [6,7]. Similarly, disturbance of cell membrane symmetry with translocation of phospatidylserine residues to the outer layer of the plasma membrane has been observed in germ cells from patients with complete spermi...