Post # 1
DH just got the results of his SA. A lot of his numbers are in the 25th percentile – 40 million/ mL concentration, 50% motility, 40% progressive motility. But his morphology was 2%. The test says “this semen analysis is borderline”. We don’t go back to the RE for 2 weeks to discuss treatment plan now that we’ve completed all of our initial testing. Dr. Google has led me down lots of rabbit holes – some of which say morphology doesn’t matter that much. Others that say IVF is the only option. We did conceive our daughter very easily 3 years ago. Is it posisble his sperm has declined this much in 3 years?
I would love to hear from other bees whose DH had low morphology and what the outcome was of your TTC journey.
Post # 2
I’m not going to be able to be all that helpful, as we are also in the throes of this, but I’ll share our experience so far in case helpful.
We conceived our LO 2 years ago with relative ease (immediate BFP, MC, 6 months to BFP, healthy pregnancy). For the last ~18 months my husband has been struggling with a serious case of Lyme Disease. After 9 TTC cylces (all of which hit the FW successfully) and no BFP, we met with our RE.
All my tests showed great health and fertlity (slightly low Vit D). DH showed quite low sperm count (19M), 50%+ motility, <1% Morphology. Our RE has indicated that IUI should be successful for us, but has offered IVF if we prefer that route.
I think we’re going to do IUI in Dec (since clinic has holiday closures anyway, IVF wouldn’t start until Jan for us regardless) and if unsuccessful move to IVF. Although we’re still finalizing our decision.
Your DH has stronger SA results then mine, so assuming no issues on your end, I would think IUI is very much on the table!
Post # 3
Low morphology isn’t great, but it’s the “best” sperm problem to have.
I would make a plan between the two of you, like you will TTC naturally for 6 (?) months and then move forward with IUI.
Ask your doc what testing or anything else you should do. I would recommend a HSG and a saline sonohysterogram, even with having a kid already.
Post # 4
Is he taking any supplements and has he done all he can in terms of lifestyle to improve sperm healthy? (No hot tubs, reduce alcohol and caffeine, etc). Since he’s borderline maybe some of these changes could help. Otherwise my understanding is that iUI can be very effective for mild male factor issues.
For me, the decision to do IUi vs IvF would also depend on how many more children you want, and any insurance coverage. I want 3 more kids and I’m almost 36, so I want to do ivf. However my insurance requires 3 iuis before they will cover ivf, so we started with that. At my clinic, the out of pocket cost of a medicated iui with clomid/ femara is $1000, compared to about 17k for Ivf (including meds but not including “extras” like genetic testing).
Post # 5
I had an HSG yesterday. I’ve also had AMH and TSH tested, as well as Day 3 labs and ultrasound. Everything for me looks normal. We’ve been trying for 8 months already (which I know is not that long in the grand scheme) but we will try through the end of the year and then likely try IUI in January. Assuming that’s what our RE thinks is the best option too.
Post # 6
he is relatively healthy, normal weight, exercises a few times a week. He takes vitamins and supplements, although we could be more targeted with fertility specific ones. We are not big drinkers. His biggest vice is caffeine, and he could certainly cut back. We also talked about cleaning up our diet to be more paleo, which we have done in the past and was how we were eating when we conceived our daughter.
Our insurance covers infertility testing but not treatment. So knowing that, I want to do what will be most effective the fastest. This will likely be our last baby, although I would be ok with two more. I think DH only wants one more.
Post # 7
hi! My husband also had 2% morphology and I also found that the info out there about how much it mattered was very confusing. Some things said we’d need IVF for sure, and some things said as long as his count was good, we’d be ok. We lucked out and got pregnant on our 6th cycle (with temping and OPKs and BDing every day from O-3 to 0+1.) I’m hoping it won’t take toooo much longer than that for the second kiddo too. Good luck to you and I hope this month is it for you!