Objective: To analyze oxidative stress markers and seminal standard parameters after using resveratrol (0.1, 1.0, and 10.0 mM), an important antioxidant, in the cryopreservation of human semen. Design: In vitro prospective study. Setting: Institutional study. Patient(s): Infertile and fertile men. Intervention(s): None. Main Outcome Measure(s): Levels of thiobarbituric acid-reactive species (TBARS), superoxide dismutase (SOD), and catalase (CAT) activities and spermatozoa concentration, motility, and morphology. Result(s): Increased TBARS levels were observed in the post-thawing semen in both fertile and infertile men. Infertile men had lower CAT and SOD activities in prefreezing and post-thawing samples when compared with fertile men. The addition of resveratrol in all the concentrations assayed was able to prevent post-thawing lipoper-oxidation in both fertile and infertile men. However, this effect was not dose dependent. The cryopreservation pro-cess was not able to change sperm concentration or morphology. However, a decrease in sperm motility was observed in both the fertile and infertile men. The addition of resveratrol was not able to prevent this effect. Conclusion(s): Resveratrol avoids oxidative damages induced by the cryopreservation of human semen, but it is not able to restore the decrease in sperm motility. Although spermatozoa were the first type of cells to be cryopre-served (1), improvements in cryopreservation are still of great inter-est for several reasons: [1] the outcome of the procedure in infertile men and patients with cancer often results in a low sperm survival rate; [2] the selection of anonymous donors for sperm banks is done under pressure to invest in donors with high semen quality; and [3] the growing threat of HIV has limited the use of donor fresh semen (2). Studies have demonstrated that the cryopreservation of human semen produces reactive oxygen species (ROS), which cause important sperm damage (3–7). The lipid peroxidation damage is initiated when ROS attack polyunsaturated fatty acids in the sperm cell membrane (8). Spermatozoa are particularly susceptible to oxidative attack because they contain high concentrations of poly-unsaturated fatty acids (8) and have limited repair mechanisms (9). As a consequence of lipid peroxidation, the plasma membrane loses the fluidity and integrity it requires for participating in the membrane fusion events associated with fertilization (10, 11). In addition to membrane effects, several researchers have reported DNA damage in human spermatozoa associated with membrane lipid peroxidation (12–14) and oxidative stress (13, 15, 16). There are few antioxidants in sperm cytoplasm; fortunately, the seminal plasma contains a variety of antioxidants that counteract the damaging effects of ROS. The main antioxidant enzymes present in the seminal plasma are superoxide dismutase (SOD; EC 1.15.1.1), which is responsible for the dismutation of the superoxide radical, producing hydrogen peroxide and molecular oxygen, and catalase (CAT; EC 1.11.1.6), which acts on the detoxification of hydrogen peroxide into water and O 2 (7). Many clinical trials have been performed to examine the potential of oral therapies with antioxidants to improve semen quality, mainly in infertile men (17). Despite some promising data, the cost and possible side effects and/or toxicity of these compounds should be taken into account. Recently, it was shown that the addition of vita-min E to the cryopreservation medium improved the post-thaw motility of human sperm, however, neither vitality nor sperm DNA fragmentation were altered (18). Resveratrol (3,5,4 0 -trihydroxystilbene)—a known antioxidant— is one of the most important polyphenols found in red wine. It is as-sociated with many health benefits, most notably the mitigation of age-related diseases, including neurodegeneration, carcinogenesis, and atherosclerosis (19). Owing to the enormous detrimental effects of ROS during cryo-preservation of human sperm, the purpose of this study was to eval-uate the effects of resveratrol addition before the cryopreservation process on oxidative stress, concentration, motility, and morphology of sperm from fertile and infertile men.