Post # 1
Darling Husband had a semen analysis done on wed and I’m not really sure what to think about the results, so any insight would be helpful!
our background: I’m 26 and recently had an ultrasound and bloodwork to confirm that I’m ovulating and to check levels. Everthing came back normal, HSG is the next step, but my Dr isn’t pressuring me to do it anytime soon. Darling Husband is 28. I’ve been off the pill since 4/2011 and we havent been preventing since, but actively TTC since Dec. Even though we haven’t been TTC for a year, I’ve been off the pill for over a year, so my GYN wanted to start testing Darling Husband.
They found some bacteria and red blood cells in his semen. Too Much Information: but he doesn’t like the “pre” stuff, so he wiped it off with the first thing he could find, which happened to be a Kleenex he had just used. Gross I know, but I won’t judge haha. He did a little Google research and found that the bacteria and red blood cells are common in saliva, so we are trying not to read too much into it since the Kleenex was dirty. They also said his semen is more coagulated than it should be, meaning it should be more liquified than it is. BUT the good news is, his sperm count and motility is normal!
He was referred to a urologist to dicuss the results on July 12, so hopefully we know more then. Had anyone’s Darling Husband had results similar to this? or does anyone have any advice on what this could mean? Obviously I’m impatient and don’t want to wait for his Dr appt to try to find some answers!
Post # 3
I think he should be honest with them and ask to repeat the test (sans kleenex). You want the results to be as accurate as possible and you don’t want him to be treated for some issue he probably doesn’t actually have. A new test should provide better results.
Good luck with all of the steps you take 🙂
Post # 4
@Schatzie821: I agree.
No saliva. No tissue. I would see what that gets you.
Post # 5
You definitly need to repeat this test, as the ejaculate needs to be collected into a steile container for the most accurate results (at least in my laboratory it does, any sample we receive that is contaminated we ask for a repeat on)
Post # 6
thank you all for you comments! would they be able to tell that the sample was contaminated from using the kleenex? I guess I just assumed they would have automatically asked for a 2nd sample, rather than automatically refer him to a urologist. My regular GYN doesn’t do any further testing with males, so I know she can’t give us any additional information, so wait a few more weeks.
Post # 7
@lroetheli: Nope, we’re lab folk can be quite trusting – unless we see the tissue or whatever we assume you followed the rules.
Post # 8
Yes, I would think repeat the test too (without the Kleenex and with good cleaning!) I can’t imagine any way they could possibly tell where those bacteria and blood came from (Kleenex vs. actually in the semen) on the routine tests they do, and it seems risky for you to just assume it came from the Kleenex.
Post # 9
I’m going to take a slightly different angle and say that unless he actually wiped the dirty part of the tissue (with the mucous/saliva) onto himself, the likelihood of the tissue causing the blood and bacteria in the semen sample seems pretty low to me. I’ve been known to use a kleenex like twice, but I use a dry part the second go round…I don’t open it back up and put the snot up to my nose again, if that makes sense? I’m guessing he probably used a dry part of the kleenex to clean himself up?
Regardless – most REs will recommend multiple semen analyses before addressing or treating anything, just because it’s so easy to test, and semen parameters can change so vastly just from one day/week/month to the next. So I’d definitely have your husband do another test, being extra careful about cross-contamination. And from what I’ve read, the bacteria/blood issue is something that can hinder fertility, but is usually just a low grade infection that can be solved with antibiotics.
Post # 10
thank you everyone, I really appreciate your comments! we are just going to keep BDing like nothing could be wrong until we hear different.