Low to no sperm count…how should we proceed

posted 3 years ago in TTC
Post # 2
Member
8425 posts
Bumble Beekeeper
  • Wedding: April 2013

AnonTTC:  My husband and I were told he had less than a 2% chance of getting me pregnant.  I think his count was 25% of what is normal and had a 5% normal morphology (I had been off BC for 2 years).  A few weeks later I ended up going to urgent care thinking I had the stomach flu and it turned out that I’m pregnant with twins.  You just never know, hopefully you’ll be getting some surprising but great news soon.

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

Just because you’re DH has trouble giving samples doesn’t mean there is something wrong, I read somewhere that being uncomfortable in the situation can affect how much sperm is  ejaculated.

And FWIW, We tried for a year, my DH has a really low sperm count, to the point where we had a 1% chance of conceiving naturally and IVF was our best option… We got pregnant on our own the cycle after that appointment with the RE. It can happen. Don’t give up!

Post # 4
Member
42510 posts
Honey Beekeeper
  • Wedding: November 1999

AnonTTC:  You are mixing up concepts here.

The average amount of ejaculate (sample) is about a teaspoon.

You won’t know what his sperm count is until it his sample is turned in to the lab.

Many men have trouble producing a sample in this clinical sitaution. He is not alone.

Post # 5
Member
3223 posts
Sugar bee

Is the issue in producing a sample?  Or in the results of the analysis?

If it’s the production then can he do it at home and then drive it over.  Typically you need to live somewhat close to the clinic or lab where it’s to be deposited (30 mins or less from what I remember).

If it is the analysis, what does the doctor say about IVF as a possibility?

Post # 6
Member
1050 posts
Bumble bee
  • Wedding: March 2011

Ditto on everyone else’s question, does he have low count or is getting “stage fright”? My DH ended up having to give several semen samples (like 6 -_-) and he was always more comfortable at home. We only live 5-10 minutes from the clinic, so he could produce the sample at home and I could drive it over to the clinic in no time. You just need to keep the sample close to your body to keep it warm.

Post # 7
Member
6273 posts
Bee Keeper
  • Wedding: October 2013

Can he ejaculate at home then bring the sample into the clinic? My Dh has done 2 SAs. He said he was much more comfortable in the 2nd place.

 

Good luck.

Post # 9
Member
1654 posts
Bumble bee
  • Wedding: January 2012

AnonTTC:  if getting a sample is still a problem I believe there is a special condom that he can use that would collect the sample and you two can BD like normal. That might be something worth asking.

Post # 11
Member
1015 posts
Bumble bee
  • Wedding: June 2012

 

AnonTTC:  We dealt with severe male factor infertility (normal volume, but zero count).  I’m almost 17w pregnant after IVF.  If there are issues with his numbers after an SA, then he needs to see a urologist who specializes in infertility.  There could be a block that’s easy to fix.  There are also ways to get sperm out of the testes: a not-to-invasive way via needle aspiration or an invasive surgery.  There’s also the possibility of retrograde ejeculation, where the semen doesn’t come out.  That’s another thing the urologist could help you with if that’s the reason for the low volume.

Post # 12
Member
1395 posts
Bumble bee
  • Wedding: November 2011

If the problem does end up actually being really low sperm count, they can also do so etching called IXI (as opposed to IVF) which is where they actually select a sperm and manually fertilise the egg. I know two couples who underwent this treatment, and the first is now 20 weeks pregnant with twins. The second is still in her tww, but should know soon. I’ve heard great things about success there.

Post # 14
Member
1395 posts
Bumble bee
  • Wedding: November 2011

AnonTTC:  Sure, no problem. Just to amend my earlier post, though, it’s called ICSI, not IXI (was spelling it by sound but had never seen it written down)–sorry!

Post # 15
Member
1015 posts
Bumble bee
  • Wedding: June 2012

ICSI is something that’s done along with IVF, but rather than allow the sperm to fertilize the egg in a petri dish, they inject the sperm directly into the egg. It was designed for male factor issues, but is now used almost as a matter of course. We had ICSI as part of our protocol. 

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