Semen Analysis results

Indigo- my DH and my BFF's DH both abstained for two days, as we were told after too long, the quality goes down. IDK if this is true bc my former co-workers DH was told to abstain for four days.

I was getting ready to ask my DH to do his again bc I thought maybe we didn't abstain long enough.

I wish I could find the actual study....the link only references it....

Is his issue with quantity or quality?....because for count, abstaining longer is better....morphology peak at around day two...and then decline...
 
with the megaman (I got the prostate health one) one pill twice a day

And I did get all my tests done before him... so yes, it would be a good idea in my opinion to have that done

Also already contacted the Fertility Specialist today just in case July was not successful for us...as I do not want to waste time...so it would be an IUI...we are noth with good numbers now ...all except his viscosity so the IUI would fix that...hopefully

What did you have done?
Should I go to my GP or straight to a FS or go to a RE?

My Gynecologist did the CD3 and the CD21 blood tests...so it showed I have good reserves etc and progesterone on day 21 showed I was ovulating fine too

ALSO, my hubby abstained for 5 days (as told) on the second one...actually I think the same on the first one

Made an appt with GP because she said she could order the tests.
She had twins last year at 40, so I imagine she will know what she's doing...Plus, her nurse is great, as well.....she used to be a NICU nurse...She draws blood for me instead of sending me down to the lab because she knows how squeemish I get...I didn't even feel it! She is used to teeny tiny veins....

Sorry....it usually isn't like me to actually talk about ttc...but now it's on my mind...
 
Indigo- my DH and my BFF's DH both abstained for two days, as we were told after too long, the quality goes down. IDK if this is true bc my former co-workers DH was told to abstain for four days.

I was getting ready to ask my DH to do his again bc I thought maybe we didn't abstain long enough.

I wish I could find the actual study....the link only references it....

Is his issue with quantity or quality?....because for count, abstaining longer is better....but motility and morphology peak at around day two...and then decline...

My DH came out fine, but I am convinced that it needs to be done again. My BFF's DH is in bad shape all the way around. He had a genetic defect that was not corrected in time and when his parents finally decided to do surgery, they did not take future fertility into account.
 
Indigo, that is great! yes my Doc also draws the blood there...they send it to a lab afterward but I don't have to go anywhere else. Ask your doctor if her twins were conceived naturally or via fertility drugs (I'm always curious) I would LOVE twins as that gives me 2 for one ;-)
 
I will definitely ask....hope she doesn't mind...

All these celebrity with twins...I wonder if they just go straight to IVF...
Julia Roberts, JLo, Mariah Carey, Celine Dion...etc...

https://multiples.about.com/od/celebrities/tp/famoustwinmom.htm
 
I will definitely ask....hope she doesn't mind...

All these celebrity with twins...I wonder if they just go straight to IVF...
Julia Roberts, JLo, Mariah Carey, Celine Dion...etc...

https://multiples.about.com/od/celebrities/tp/famoustwinmom.htm

I do believe that Celine Dion did...I think there is a magazine in my house somewhere with one of her interviews about it.
 
Winnie....convince your hubby to go straight to IVF! :thumbup:

2 Girls......u can name them Phoebe and Winnie....:awww: :hugs:
 
LOL well I would rather not have to do IVF BUT if they put me on fertility drugs for the IUI it can still happen!!!!
 
Sperm Morphology: New Guidelines Announced: 4% is Normal
JULY 01, 2010

Wow, what a relief to know that what we have been saying for years is now finally officially stated. Any sperm morphology over 3% is considered normal.

How did this change come about? The World Health Organization (WHO) determines the normal parameters for semen including volume, count, motility, forward progression and morphology. The WHO published their guidelines in 1987, with updates in 1992 and 1999. The original “normal” cutoffs were based on estimates from old data, some of it dating back to the 1950’s. There were inconsistencies in the way data was collected, ie the sperm studied was collected and analyzed in many centers, but there was little regulation of how the tests were being performed. Plus there was not clear data on the history of the men.

This time the semen tests were performed using similar protocols in all of the testing centers. Plus, some history was obtained from the men, mostly related to fertility status.

4500 men in 14 countries on 4 continents were tested. Australia, China, Denmark, Germany, Chile, Singapore, France, the UK, and the USA were some of the countries included.

Men were placed into one of 4 groups.
Fertile men. All men in this group had initiated a pregnancy sometime in the 12 months preceding testing. This was the most important group because the researchers could establish normal values based on men know to have fertile sperm.
There were 3 other groups evaluated. To save a little confusion, I’ll summarize and say 2 groups were a little more random in nature and the fertility status of the men was mostly unknown. The 4th group was also fertile, but the time since last pregnancy was unknown and may have been longer than 12 months.

The results.
The normal fertile men’s sperm had the following results.
Volume: The median (midway between the lowest and highest results) was 3.7 cc, but anything over 1.5 cc was considered normal
Concentration: the median was 73 million but anything over 15 million was considered normal
Motility: the median was 61%, anything over 40% being normal
Morphology: the median was 15%, anything over 3% was deemed normal.

Some important points.
You may have noticed that morphology is not the only parameter with a new normal value.
Volume was at 2.0 cc, now it is at 1.5cc.
A normal count was 20 million, this changed to 15 million.
Motility was 50%, now it’s 40%.
The normal morphology had the biggest change, as it went from 15% to 4%.


Keep in mind that in this group, all of these men were fertile, so even men with levels lower than the new definition of normal had working sperm. The normal values were established mathematically. If you were in the upper 95% of the fertile people you were deemed normal. The bottom 5% of the fertile people was deemed abnormal. This 95%/5% cutoff is the system used to define cut offs for other tests such as TSH, Prolactin and many others.

When comparing the different groups of men there were very slight differences in volume, count, etc, but hardly worth mentioning. Fertile men did have slightly higher volume and counts then men whose fertility status was unknown. Morphology was mostly similar in the different groups. Remember, there was no group of men who had established infertility, so in this study there is no way to compare normal fertile men to known infertile men.

And even though we have no details on the women, knowing that they became pregnant in the past year is probably all the information we need.

So now you know. Any morphology over 3% is considered normal. If your doctor tells you otherwise, ask him if he has seen the new WHO guidelines.

To take it one step farther, can there really be difference between 4% and 2%? I doubt that there is a difference between having 96% abnormally shaped sperm and 98% abnormally shaped sperm. So as I have said before, at our practice here at NYU, morphology is not considered with much respect, except in some rare cases where the sperm is unusually abnormal.


I hope this helps.

For those of you who want more details, here is the link.

www.who.int/reproductivehealth/topics/infertility/cooper_et_al_hru.pdf


Ok....so i guess i panicked prematurely....We can get his morphology up a bit....and besides, had he not abstained for 5 days....he may already be 'normal'.

He still has to take his new supplements, though...

My turn for testing....I hope it's not my fault....:blush:.....
 
One more thing...right now, he wears boxer briefs.....

https://www.styleceo.com/images/stores/152/h/hanes-boxer-brief-2652436

Do you think I should ask him to switch to regular boxers? (not fitted, roomier, etc)

https://i.pgcdn.com/pi/85/29/67/852967785_125.jpg
 
I can understand you panic but looks like only a small increase is needed. And please don't say there is fault with fertility. Fault would be if you were on BCP without him knowing or if had a vasectomy without you knowing.

Ensure he is getting folic acid as well as my GP advised if can help morphology and motility :thumbup:

Well according to those WHO results my DH is now in the normal ranges but his first test wasn't. So I hope that you may get some hope from the fact that the doctors swore blind I would never improve the SA and I have with a good diet, boxers and supplements :) My DH wears both types of boxers shown.

But the white boxers remind me of Richard Gere in an Officer and a Gentleman :kiss:
 
I dont think the boxer briefs are bad. My DH wears them and (Thank you God) his SA results came back fine last week. Plus, they are really sexy and I would hate to see him stop wearing them!!!
 
Results:

5 days abstinence

Volume......2.2 ml......Normal
Color.....gray opalescent.....Normal
Liquification....30 minutes.....Normal
Viscosity....slightly stringy....Normal

Concentration.....72 million / ml.....Normal if over 10 million
Total Concentration....158 million / ml....normal over 20 million

Motility 47.64.....Normal
Forward progression.....30% rapid....50% moderate....15% sluggish....5% non-responsive
Normal is 50% plus with forward progression or 25% with rapid progression

Round cells....Normal
Luekocytes...Normal

Morphology....strict criteria...
2%.....Normal is over 5

98%....abnormal
83% of abnormal...head defects
4% of abnormal....tail defects
11% of abnormal....neck and mid defects

indigo how did your DH react, you mentioned you were shocked as he was so healthy, how was he about it? I know it can reallt effect them so just wondered if he was ok. apart from the morphology that I hope you can fix I think everything else looks good. also will be interesting to see if the results change if he abstains less time, so I wouldnt worry about anything.

LL are you saying hubby went from 8% to 70%?? thats crazy! did he abstain the same amount of days each time? my hubbies was 44% but I thought that could be an error with all this talk of 5% etc but perhaps it is correct if your went to 70%.
 
Mr. Indigo thought we were *ucked at first, until he researched it...Now he is taking the LL-Wooly cocktail and wants to retest...He just wants to keep trying in the meantime....
 
yup, I got him off his work out pill crap and got him on my "cocktail" lol...3 months did it ;-)
 
Indigo:hugs::hugs:- just wanted to let you know that my dh's second s/a his morph. was 2% but everything else was higher. His first s/a his morphology was 5% but everything else was lower. so don't know. I also switched him to boxers, the white ones. Jockey has really good deals. I had him on a vit. combination but I think I'm going to try macwooly/llbean's combo and see if that helps him more. With the first s/a we were told only ivf...would be an option but the second s/a did show improvement even though the morph. went down. I had also been checked out...but now I'm starting to question it b/c our RE never did certain day bloodwork on me....so i'm confused.:wacko: think I need to see the dr. again just to make sure it's not me also.
 
We'll see if their numbers improve on the cocktail....I hope so...but what if it was the workout crap LL's DH was on that was doing the damage and his numbers would have been good otherwise? I hope this cocktail does the trick.....:hugs::hugs::hugs:
 

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