Sperm count high or low?

Adoc86

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Hi everyone!

This is my first post and I'm hoping for some guidance. Long story short, my DH was diagnosed with testicular cancer a few months ago and banked some sperm prior to having chemo. We had only been TTC for two months when he was diagnosed and we have no other children (never pregnant). Now that he has finished treatment and is well we are ready to move on with TTC. We have an appointment with an RE in a couple weeks, but until then we are trying to decipher his analysis on our own. When he banked there was no consultation or any explanation of the results. Everything was a crazy whirlwind with his appointments, surgery, chemo, etc so we weren't that concerned with the SA at that point.

I have looked at probably 100 posts regarding sperm counts, but some people seem to refer to their Total Motile number versus others who quote their post thaw count and motility figures individually. I guess I am just wondering which numbers REs typically go by to determine whether IUI is the appropriate route or whether you should go right to IVF.

We felt like my DH's numbers were pretty good individually, however the Total Motile doesn't seem that great and some posts I've seen state that doctors want 10mil for this number. I know it is somewhat dependent on your doctor, but does your RE seem to depend on the count itself moreso than Total Motile or no?

He was only able to bank twice before starting his treatment, but we got 9 vials so I'm hoping that is considered decent. Here are his results:

1st sample:
Initial count 34.3, post thaw 20.0
Motility initial 96.1, post thaw 83.3
Progression 3+, post thaw 3+
Total motile 49.4. post thaw 8.33

2nd sample
Initial count 66.3, post thaw 29.3
Motility initial 86.9, post thaw 71.6
Progression 3+, post thaw 3+
Total motile 201.7, post thaw 6.3

The count and motility seems good to me in both instances, but neither has 10mil for Total Motile so we aren't really sure if these are good numbers after all. Most oncologists don't recommend natural pregnancy until 2 years post treatment, so we will have to go right to assisted at this point (we both just turned 30 and don't want to wait 2 years). I am hoping that his numbers would be good enough to try an IUI first, but I don't want to "waste" it since we only have those 9 vials to work with.
 
Didn't want to read and run, I haven't personally had any experience with IUI though lots of ladies have on this site.

We went straight to IVF, my husband has low counts and motility and I wish for the life of me that I could remember his total count :( It was more than 10mil but less than 20 but they were very slow moving so we were advised to do IVF with ICSI.

So sorry to hear about your husband's cancer and I hope whichever journey you decide to take ends with a beautiful positive for you both

xx
 
My dh and I had a difficult time getting pregnant due to his severally low count. Most REs want to see around 10mil for an IUI, but the numbers I see look like you'll be able to go through with it. My RE said 5mil is on the low end but could work.

When I went in for my IUI in Jan my dh only had 2mil (post wash) to work with. The cpn who did the procedure said there was no way it'd work and with his declining numbers we needed to consider IVF. I was crushed. I get she wanted me to be realistic, but she was very cold and heartless. My dh and I started looking into adoption, thinking of how we could afford ivf, and possibly accepting that we'd never have a child together. 2 weeks after the procedure I got a bfp.

I'd say you have a good shot at this. I want to wish you the best of luck and hope everything works out for you both!
 
I haven't tried IUI either hun but my DHs numbers were much lower, it seems to me that you guys should be alright. My DH had 0 motility and bad morphology plus low count so IVF was our only option.
Good luck and I hope you get your BFP! Hope it all works out
 
I think it would come down to how many children you'd like to have. If you'd be happy with one or two, your numbers look great for trying IUI a time or two. If you'd like a larger family I'd be inclined to go with IVF right off the bat.

There are other factors your fertility specialist would consider like your age and egg health too. A sit down with them to discuss what would be your best route to take would be the best place to start.

I'm so glad he was able to overcome and wish you the best luck in your happily ever after!
 
You want at least 5 million motile for IUI but I have heard of some cases where the count was as low as 3 million after the wash and it worked.
 

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