Help reading Semen Analysis results

posted 3 years ago in TTC
Post # 2
Member
2614 posts
Sugar bee
  • Wedding: March 2013

NowandLater:  I’m only going off of DH’s and some of the readings are different. 

Based on his, your total count is great And well above ‘normal’. On mine, morphology is 14% but the normal is 4% And he was reassured that this is fine. However, my gyn suggested that this could be better. What I’ve read about it is mixed. I’m sorry but that’s all I can read from your report. The rest is different. Hopefully someone else can help.

Post # 3
Member
1654 posts
Bumble bee
  • Wedding: January 2012

If everything is in normal range you have nothing to worry about. Those are great numbers and his morphology is good. Not sure about that weird percentage, but if they say it’s above normal then it’s fine.

Post # 4
Member
570 posts
Busy bee
  • Wedding: June 2016 - Charleston, SC

Hey, animal scientist with a bit of experience in repro here! Now, I’ve typically only analyzed horse semen, but let me see if I can help…

The concentration and count do look good based on those numbers. That would be 172 million sperm cells per mL of semen, for example. The motility number is basically the percentage of sperm that are moving forward, in a straight line. Obviously this is important to get the sperm where it’s supposed to go. 75% moving forward is good! The viability…I don’t really know. I would just assume that’s a good number. Not really sure how greater than 100% occurs! Finally, the morphology is the number of correctly formed sperm. This means one head, one tail, no kinks, etc. According to your info, the average is 14% or more. A quick search confirms this; the average is 14% ish of NORMALLY shaped sperm. This seems to be the only “bad” number on you analysis, as it shows your husband has about 7% normal shaped sperm. Definitely confirm with someone who knows more about human repro, though! Good luck TTC =)

 

Post # 6
Member
486 posts
Helper bee
  • Wedding: September 2012

To me they look like good numbers. Morphology may be slightly low but it’s really not horrible. My dh has pretty shitty morph like 4% max and our first iui worked this time around. 

Post # 7
Member
2600 posts
Sugar bee
  • Wedding: October 2011

NowandLater:  I’m not at all familiar with semen analysis but in terms of the 1050%- is it possible that it is 1050% above normal, not 1050% of the total number? You know, like if a normal number is, say, 10, and your husband’s number is 105, then that would be 1050% of 10. Just apporaching it like a math problem. Anyways, best of luck to you! I hope you get some good news in May that puts you and your husband well on your way to your BFP and baby!

Post # 8
Member
2614 posts
Sugar bee
  • Wedding: March 2013

NowandLater:  No bother! My gyn suggested IUI with selected semen as the next step (we’re doing clomid for two months first) so sounds like you’re on the same road as me! Looks like the results are good though, so you can relax! I remember the stress of trying to read those results!

Post # 9
Member
498 posts
Helper bee

I was an IVF scientist for many years before switching careers so I can help here (except the 1050, that has me stumped).

Overall he’s got heaps of good quality sperm.  The 14% morphogology (as CarolinaPeach says) means that in the average guy, at least 84 out of 100 sperm have an abnormally shaped head and / or neck and / or tail.  If he had a really low count and motilty, this number would really start to impact but given that he has so many good swimmers, I calculate that he still has about 38 million normal and swimming sperm to work with per sample. That’s a lot! Really!  Sometimes in the lab I would spend hours searching for a single sperm to work with! 

When the morphology is low, in a practical sense it could mean that either the sperm can’t swim to reach the egg or the head is the wrong shape to bind with the egg.  Or both.  

For sure he has heaps and heaps to do IUI with and have a good prognosis.  They process the sample in the lab to sort out the swimming sperm (takes about an hour or so) and you are left with a concentrated sample of good swimmers to do the insemination with.  Our lab used to ask for a minimum of 5-10 million good sperm in the processed sample to go ahead with the insemination, so you are well and truly ok with this sperm.

Also, on a practial note, I found that guys were SOOOOOO sensitive about their swimmers!  I’d emphasize how awesome his count and motility are.  Guys are funny.  

Another thing is that I found lots of people thought that stockpiling would be the best, you know, abstaining for a while to build up the numbers, but this is not the case because sperm only last a few days inside and when they die they break down and this can adversely affect the remaining live ones.  So … um, this is delicate … I’d recommend “cleaning the pipes” regularly lol and check with the dr how much abstinence he suggests before the day of the IUI sample.   I expect he will say between 2 and 5 days.  Doesn’t have to be intercourse, just need to keep the system ticking over.  Have a written list of questions when you go in to see the doc as sometimes your mind goes blank.  And ask him how often he recommends ejaculation in the weeks leading up to the IUI, and how much abstinence is ideal before the procedure. He may not have an opinion, he may be very specific.  Ask him if there’s any special things to do before or after the procedure.  

Also, has anyone mentioned taking Folic Acid supplements to reduce the risk of spina bifida.  Need to get onto this well before you have the IUI, at least a few weeks before.  There’s also a recent study out of Denmark suggesting it might help lower the risk of autism.  Anway, can I suggest you do a bit of reading about this if you haven’t already.  It’s a very easy and cheap but pretty important thing to help protect the health of your future baby.  

That 1050% … we would use a vitality stain and count how many sperm / 100 were alive (even though some were perhaps not swimming). But clearly he’s well above average.  

I hope this helps, and wishing you all the luck in the world!  (and can you let us know what the 1050 means when you see the dr!). 

Post # 11
Member
486 posts
Helper bee
  • Wedding: September 2012

NowandLater:  we used femera and my re triggered me the day of the iui. 

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