Okay, WHO recommends that the minimum level of what is 'normal', ie, allow a pregnancy assuming the woman is okay within 12 months (or something like that I assume) is a count of 20 mil, motility of 50% and morphology of 15% normal. So the way I look at this is that you need 10 mil of agile sperm of which 15% has to look normal, ie. a total of 1.5 mil good sperms surrounding the egg. How you get to this number doesn't matter (ie. high count, good morphology but low motility, or lowish count, but okay morphology and good motility). I have absolutely no idea whether there is any scientific standing to what I'm writing, but I guess it makes sense to me
![Laugh :laugh2: :laugh2:](/styles/default/xenforo/smilies/laugh.gif)
And then of course, there is the debate around the morphology percentage, thanks peartree for the link.
If that the case Suzie, it is the motile count that matters with a minimum of 10 mil (assuming morphology is good) and your second SA is above the minimum 'normal results' Assuming there are no fertility problems with you, you should be able to get pregnant naturally, even if it takes a bit longer.
I think the decision of whether to go for ICSI depends on how 'bad' the SA is, but also on the woman. In my case, taking into account my assumption and the 15% morphology, OH has about 1/3 of what is the minimum good sperm getting to the egg. Not great, but still possible. Unfortunately, my age means that the quality of my eggs is going down. Still, there would probably be a chance of getting pg if I stayed as I am and continued to ttc, but I won't, my eggs will get worse quickly, so ICSI is the best for our situation.
There is indeed a big difference between your two results. It might be due to the vitamins and change of lifestyle, or it might be that your OH wasn't well for whichever reason when the sperm that was tested was created (ie, 6-8 weeks before the test). In your case, I would test again, ask for morphology results, but if the numbers come back as they are with morphology ok, I would wait to do icsi, assuming you are under 35ish as the odds are on your side that you will get your bfp with patience and perseverance
Gracy, that's brilliant news, i bet it felt like a big weight of your shoulders.