SA MORPHOLOGY: POST YOUR DOCTOR's COMMENT HERE

[dachsundmom]

Hi girls,

I hope you don't mind me jumping in, but I am very curious about this kinetic scale...if you read what Wikipedia says about grading, 1 is the best...the kinetic scale is rated backwards.

I know Wiki isn't science, but I am interested in the comparison.

My DH has 30% motility and a Grade 1+. I am just trying to figure out if anything is moving and how he could have 30%, if they are immotile.

It's just too hard.

 

[korink26]

Well girls, I've been reading about the vitamin "Fertility Blend" for men, so I went and bought some tonight. Says it could take 3 months to really tell a difference so we'll see. $40 a month so I hope it helps!!

Ohh that sounds interesting. I have been making my husband take a multi vitamin, haha. I'm going to research fertility blend!!

Yeah, mine has always taken his Men's One a Day vitamins, but now I'm making him add this in! If we don't get a BFP I almost wonder if I should take a month or 2 off Clomid to give the vitamins time to work!?

 

[Lisa92881]

Hi girls,

I hope you don't mind me jumping in, but I am very curious about this kinetic scale...if you read what Wikipedia says about grading, 1 is the best...the kinetic scale is rated backwards.

I know Wiki isn't science, but I am interested in the comparison.

My DH has 30% motility and a Grade 1+. I am just trying to figure out if anything is moving and how he could have 30%, if they are immotile.

It's just too hard.

I know, I don't really understand it either. Right now, I'm just trying to relax about it all, have my husband take a mulit-vitamin each day, and take comfort in the fact that my dr wasn't like, "OMG, you need to get your hubby to the dr right now, there's no way you'll ever get pregnant with an SA like this!!!"

 

[dachsundmom]

 

[jenlouise]

wow this thread is excellent just what ive been looking for as so confused... please could someone look at hubbys results and adavise me. quick background info. We have been TTC for over 2 years-i have mild PCO ( though normal bloods) no periods, last one was last feb-though we do have a 3 year old that we naturally conceived after 6 years. So we went to docs in nov to asked to be refereed to FS-He made hubby do SA and this is what he got in Nov:
volume. 3ml
ph. 8.0
motility. 44% motile. 9% sluggish.9% non progresive. 38 % non motile
Vitality. 85% alive 15 % dead
count. 118 million
Morphology.4% normal

The doc said the last one was too low so made him to another SA 4 weeks later, in the mean time my hubby was taking vits and we have just got the results and we think its not too good ( doc left his results with the receptionist as he had to rush out so didnt have chance to talk through them) This is latest results....

volume.3.4 ml
motility 60% rapid. 4% sluggish.5% non progressive. 31% non-motile
count. 150 million/ml
Morphology. 2%


Now all of this is confusing though from looking everything else is better apart from the last one, which is even worse then the first time. I am due to see my doc again on Thursday as he said he wouldn't refer me to FS until this second test on hubby, though im so worried he wont refeer me as he said that morp needs to be above 5% for the NHS to accept me as we already have a 3 year old -is this right?? I know we wouldnt get IVF on NHS but i was hoping he couldn't at least refer me and maybe try me on clomid? what do you think he will say and please could someone help me on the results are they really bad??

 

[Snowglobe21]

Hi jenlouise, im writing this on my phone so I will have to be brief. I'm no doctor, but I don't think you have much to worry about with that SA. Is the number of sperm the total count, or concentration per millimeter? Also, if you haven't had a period in almost a year, my understanding is that means you haven't ovulated since last feb so no matter whether your hubby was Jim duggar or had no sperm, it wouldn't matter because there is no egg. I think clomid would really help you

 

[MariaF]

Hi ladies - I really don't mean to be rubbing it into anyone's face, but I thought it may be useful to let you know what after 24 months TTC with morphology between 6 and 8% we got our BFP.

DH had 3 SAs done and the first two showed high total count (close to 150million). But the last SA showed only 45 million with just 6% normal sperm. The FS hinted that IVF is probably the only option. 4 weeks later I got my BFP.

We did use lots of Preceed and I also used a baking soda solution for my cervix to make the mucous more sperm friendly. I don't know if this helped.


Im really sorry if my post offends anyone - I just wanted to share that although it did take us 24 months (and about 17 cycles) and we were about to start IUI followed by IVF it still happened naturally.

 

[Snowglobe21]

Hi Maria,

First of all, congratulations! Success stories are awesome to hear. Did you have regular cycles in the time TTC or did your doctor think the morphology was solely responsible for the long time period it took?

 

[korink26]

Thanks for the encouragement Maria!

 

[Snowglobe21]

Sorry to see your BFN Korink26 .

 

[korink26]

Ugg...thanks snowglobe, onto the next cycle. Where are you in your cycle?

 

[Snowglobe21]

I'm not really sure as I haven't had a regular cycle in years lol! Could be 35 days, could come in 70 days but who knows. I got my period on December 26th finally, the first after the miscarriage so day 16 according to that. Im in a weird TTC/not TTC phase as my wedding is 7 months away so although I don't want to be massive at the wedding, I don't want to be wasting time now either as it has been a long haul already so I'm having unprotected sex now and then, but having mixed feeling about it as somedays I feel I could get pregnant easily and others I feel it will be tough. I know, I sound stupid and prob don't make sense, but I can't exactly explain it. My fiancee is getting nervous for his second SA, feb 6th. We'll see then how the supplements work...

What did your doctor say about your clomid cycle? Is he optimistic about the higher cycle dosage?

 

[Snowglobe21]

I'm not really sure as I haven't had a regular cycle in years lol! Could be 35 days, could come in 70 days but who knows. I got my period on December 26th finally, the first after the miscarriage so day 16 according to that. Im in a weird TTC/not TTC phase as my wedding is 7 months away so although I don't want to be massive at the wedding, I don't want to be wasting time now either as it has been a long haul already so I'm having unprotected sex now and then, but having mixed feeling about it as somedays I feel I could get pregnant easily and others I feel it will be tough. I know, I sound stupid and prob don't make sense, but I can't exactly explain it. My fiancee is getting nervous for his second SA, feb 6th. We'll see then how the supplements work...

 

[korink26]

My Dr. always is 100% optimistic, even when she shouldn't be so I don't always trust her enthusiasm.
I can't wait to hear how his second s/a goes--you'll have to let me know. DH is going on his 2nd month of the fertilaid vitamins, wish we could do a SA to see how he is.
I totally get your predicament. If we just could see into the future and know how long it would take us to get PG. Ugg...

 

[Skoer1360]

my DH finally got an SA but I really don't know what anything means I've looked online but there's so much descrepancy between what's okay and what's not I posted this in another thread, but haven't gotten a hit yet so I thought I would post here

Volume: 2mL
Count: 17mill (Is this per mL? If so his count would be 34mill, right?)
Motility: 56%
-forward motion: 2.5%
-total motile: 19% (How can he have 19% motility with 56% overall motility?)
Morphology: 34%
-round cell: 1 (I really don't know what this means)
Ph: 8
Viscosity: 1 (this either)

Is this horrible/not horrible? The dr said his numbers were low in volume and motility but I don't know what part of it and (of course) she's on vacation until next week

this is all so confusing

Thanks so much in advance! xx

 

[Snowglobe21]

Hi Skoer!

I wish I could help you in regards to the count question, but I'd need to see the sheet. Can you upload a picture of it so I might be able to help you? if it says concentration besides the 17 mil its prob per mil, but if it says "total count", then 17 mil is prob the complete amount.

I'm confused with your motility as well. At first I was gonna say, 56% is right on the average for motility, but only 2.5% forward motion isn't good and the total motile number is confusing.

As for your morphology, it looks like you got the old WHO methods done for that and you are above the 30% threshold which is awesome news as it means you have normal sperm which is good if you go for IUI. I would reccommend getting a kruger analysis though. Anything over 4% on kruger is normal so don't worry if his morph is way lower if you do kruger.

Sorry I couldn't be much more help, but his SA seems very different in format than my fiancee's was. Basically too conclude, if the 17 mil is per mL, then you have a chance of concieving naturally according to the WHO as the minimum number of normal is 15mL/ml according to the new 2010 guidelines. This means, 5% of men who concieved within one year of unprotected intercourse had a baby with a concentration of that number. With supplements or holding off sex everyday, you could prob increase the count over the 39 million mark which is the minimum total count needed according to the WHO. That being said, hundreds of women on these internet forums have found luck with all kinds of differing numbers.

Best of luck and baby dust.

snowglobe

 

[Skoer1360]

Thanks so much for your reply! I don't have the sheet, all of this info was relayed to me over the telephone but I think it's per mL because she said it was low but not too low.. I double checked about the total motile part because I was wondering if it was total immotile (which I think would make sense) but she definitely said motile I'll just have to wait and call her when she gets back next tuesday.

 

[sugarpuff]

i don't know the full details of my DH's SA (this is from almost 4 years ago now when were ttc first time around) but he had a count of 9 million, 9% morphology and 25% motility

combined with the pretty rubbish SA i also have severe endo. it took two years ttc but we managed with me on letrozole (we had been referred and were due to start ivf with icsi though !). i think that they'll ask for another SA in a couple of weeks as we are currently 15 months into our second ttc journey, will be interesting to see how it is now

 

[korink26]

Skoer they only read my DH the results over the phone too, and we requested the report but never got one. I've asked about it since, but sounds like they don't have it? His notes are pretty crappy so I'm not even 100% positive what's what.

 

[heavenly]

Hey guys

This is OH's SA from 2 years ago, he is going to be retested next week. My FS said we would have to go down the ICSI route because of the morphology but I keep reading conflicting things about it. Any thoughts?

Volume - 2.5mls
Appearance - Normal
Total Count - 43 millions/ml
Motility - 47% motile (moderate forward progression)
Morphology - 94% abnormal forms
pH - 8.0