Over the last three decades, the potential role of omega-3 polyunsaturated fatty acids on health and disease has been a worldwide center of attention. In the western typical diet, the omega-6 to omega-3 fatty acid ratio is at least 10 to 1, likely due to the high prevalence of vegetable oils (such as soybean oil, corn oil and sunflower oil) rich in omega-6 fatty acid. Since excessive amounts of omega-6 fatty acids contribute to rising incidence of many chronic diseases such as cardiovascular disease and whereas increasing omega-3 fatty acid intake cause a protective effect, a more balanced omega-6 to omega-3 fatty acid ratio is recommended (omega-6 to omega-3 fatty acid ratio between 1 to 1 and 3 to 1). A good natural source of omega-3 polyunsaturated fatty acid is seafood and particularly fish oil. Fish and marine products contain two major omega-3 polyunsaturated fatty acids - eicosapentaenoic acid (EPA) and docosahexaemoic acid (DHA) - both of which appear to be beneficial for cardiovascular prevention, immune function, inflammatory response, infant development and mental health. Fish oils may also improve female fertility (ovulatory processes, premature birth and lactation). Although there is a large amount of information available on fish oil, omega-3 fatty acid supplement and their pleiotropic beneficial effects on global health, it is sometimes misleading and not always support by scientific findings, in particular in the case of male reproductive health. Therefore, this review considers the role played by fish oils supplement in male fertility, with large references to human and various animal models (pig, horse, cattle, fowl, rabbit and sheep). Many of the male fertility problems can be related to oligospermia (a low sperm count) or a poor sperm quality (cell with abnormal shape or low motility). In the management of male fertility, omega-3 polyunsaturated fatty acids like others nutrients (vitamins, minerals, zinc, etc.) play a key role in reproductive health. Sperm cells require highly polyunsaturated fatty acids, in particular a high proportion of DHA to provide optimal cell membrane fluidity essential to sperm motility and fertilization success (acrosomal reaction and oocyte penetration). Some studies have suggested that subfertility could be related to the low DHA sperm content. As reported in human, in pig, and several others animal models, fish oil diet can alter significantly sperm fatty acid composition by increasing DHA and EPA content and modify omega-6 to omega-3 fatty acid ratio. Some studies have underlined the potential benefit of fish oil supplement on sperm count. However this effect is more controversial since a diet rich in energy or in proteins also increase sperm production. In fact, dietary omega-3 polyunsaturated fatty acids can affect male fertility directly by modifying sperm membrane composition but also indirectly through various mechanisms: prostaglandin synthesis, steroid metabolism and gene expression. In parallel to the benefit of consuming fish oil is the concern about potential harmful effects on male reproductive health. Because of his high polyunsaturated fatty acid content, sperm cells have a strong oxidative potential. In normal conditions, there is a balance between the generation of oxidants and antioxidant defense mechanisms. Dietary fish oil can induce an additional oxidative stress to the cell which is detrimental for sperm membrane fluidity and DNA integrity. In fact, it is suggested that any fish oil supplementation should be accompanied by antioxidants like vitamins E and C.There is also evidence that adding omega-3 polyunsaturated fatty acid to the diet can influence prostaglandin synthesis which could have an effect on testosterone secretion. Because chemicals such as PCB, pesticides, and sex hormones are fat-soluble, fish and fish oil can also be a dietary source of contaminants that may have deleterious effect on male reproduction. In conclusion, dietary fish oil may help to improve male fertility by increasing omega-3 polyunsaturated fatty acids in sperm cells and would be most beneficial with sperm of initial poor quality. However, a particular attention must be taken in regard to antioxidant supplementation.