This study aimed to examine the association between the interval from ejaculation to analysis and epididymal and accessory sex gland function in relation to sperm motility. Ejaculates from 1079 men assessed for infertility were analyzed according to World Health Organization guidelines. Biochemical markers were measured in semen to assess the function of the epididymis (neutral a-glucosidase [NAG]), prostate (prostate-specific antigen [PSA] and zinc), and seminal vesicles (fructose). Three groups were defined according to time from ejaculation to analysis: G #30 (24-30 minutes), G 31-60 (31-60 minutes), and G .60 (63-180 minutes). The proportion of progressively motile sperm was significantly lower in G .60 than in G #30 (mean difference, 8.0%; 95% confidence interval [CI], 2.0%-13%) or G 31-60 (mean difference, 6.0%; 95% CI, 1.0%-12%). The proportion of rapid progressive sperm motility was significantly higher in G #30 compared with G (mean difference, 3.0%; 95% CI, 1.0%-5.0%) and G .60 (mean difference, 6.0%; 95% CI, 1.0%-10%). Sperm morphology and viability did not vary significantly between the groups. However, PSA levels in G .60 were 29% and 31% significantly lower than in G #30 (95% CI, 3.0%-54%) and G 31-60 (95% CI, 7.0%-58%), respectively. Moreover, men in G .60 had 29% and 17% significantly lower zinc compared with those in G #30 (95% CI, 4.0%-69%) and G 31-60 (95% CI, 4.0%-64%), respectively. Levels of NAG and fructose did not differ significantly between the groups. There were negative associations between the ejaculation-to-analysis interval and sperm motility and levels of PSA and zinc. In male infertility assessments, semen analysis should be performed within 60 minutes of ejaculation.Key words: Biochemical markers, morphology, semen analysis, viability.J Androl 2007;28:847-852 S perm motility is believed to be one of the most important parameters for evaluating the fertilizing ability of ejaculated spermatozoa both in vivo and in vitro (Bongso et al, 1989;Eimers et al, 1994;Donnelly et al, 1998;Larsen et al, 2000;Hirano et al, 2001). The ability of the spermatozoa to move is determined by a multitude of factors, including contributions from properly functioning epididymal and accessory sex glands (Malm et al, 2000;Elzanaty et al, 2002). The qualities of semen are also influenced by several factors, such as the time elapsed from ejaculation/collection to analysis. However, only 1 study has addressed this issue (Mortimer et al, 1982), and the results suggested that sperm motility and viability decline when the interval from ejaculation to analysis exceeds 2 hours.The analysis of semen quality plays an important role in clinical decisions regarding the strategy for infertility treatment. Therefore, it is essential to minimize the impact of variation in sample delivery and analytic conditions on the outcome of this testing. In the World Health Organization (WHO) manual (1999), which is the most accepted guideline for semen analysis, it is recommended that assessment of semen in infertilit...