Semen Analysis results: what should we do?

[no_regrets_91]

So I realize that my DH results werent that bad but when combined with my pcos (currently 100mg clomid) I am still worried. I don't think we ever stop worrying here in ltttc.

Anyways here is the results of his analysis:

Volume= 1.7ml (1.5-6)

Density= 47million (>15)

Count= 80million (>40)

Motility= 66%(>40%)
***I know this is normal but it still concerns me,cause it sould be 100% right?

Total motile sperm= 53million (>20)

Forward progression= 3 (1=low, 4=high)

PH= 8.5 (7.2-8.5)
*** This is on the higher end and this worries me

Morphology=6% normal (>=14% is fertile; 13% to 5% fertile with subfertile with good prognosis)
*** This really worrys me, Its almost bad!

Under comments they said Moderate debris
***This worries me as well!


So considering this info, should we do iui? It would be cheaper for us to do it this cycle then any other because I am currently doing the clomid challenge so doc appt and u/s are paid for by insurance this cycle (only covers testing) so we would have less to pay for out of pocket

I just dont know what to do and I need advise. we are strongly considering iui if the clomid works but i dont know if it is the best rout for us.

my re did suggest that if we try for 3 months with no luck to move on to iui.

I just need advise from someone who has been there.

 

[readyformore]

Honestly, your DHs sa doesn't look that bad at all.

Motility doesn't need to be very high. Just like it says, 40% or better. So you're good there.

Morphology has been controversial lately. I have heard that some institutions aren't even doing it anymore b/c it's not a good indicator of fertility. But, I've also heard that 3-4% is okay.

I'd personally be happy with the results you've gotten. But, I understand. When you're ltttc you figure something has got to be wrong.

I have done IUI 5 times in the past. We have unexplained infertility. It worked once and my son is now 9. Not sure if you want any of those details.

Good luck.

 

[MrsB09]

They're really good results. If you're concerned about any of it & want to do something constructive then I suggest the following as my husband's count went from 1 million to 4 million & his motility went from 98% immotile to 79% immotile. His morphology went from 8% normal to 10% normal. This was all in the space of 10 weeks:

Eat organic wherever possible
No caffiene
No booze
Lots of bananas
Wellman conception
1000mg vit C
1000mg fish oils
25mg zinc
B100

It's full on but for us it's meant that we get to try wih clomid for 6 months before giving up & moving to ICSI.

Good luck!

 

[Sparkles237]

They are very good results nothing is wrong with him at all so you have nothing to worry about with him

 

[cooch]

The whole morphology thing really bugs me. DH had 7% then 5%. He was told by 2 docs, one who is a very well known fertility specialist, that this is fine for conception. Neither of us is that convinced though. Think the WHO (or some other org)has set the new limit at 4% being normal for conception.

 

[no_regrets_91]

Thanks ladies, but what about the moderate debries thing?

 

[cooch]

Don't know about the debrie thingy. I would just go with what your specialist has told you. I don't remember there even being a section for that on ours x

 

[sugarpuff]

i know it's not a massive consolation, but your DH's semen analysis was far better than any of my DH's and i also have severe endo - we managed to conceive just using letrozole (no iui). so even though we were both subfertile, we got there in the end good luck xx