Post # 1
Please help me understand these results. DH did a repeat SA at another lab and this time, the results were more specific. Our appointment at the fertility clinic is early next year. This time, it showed his sperm count normal at 61 million but I think motility and morphology look concerning.
Does this mean motility is 22% since 78% aren’t “swimming”? I can’t find much information regarding viability. I’m assuming this means only 35% of his sperm is alive? I’m feeling super anxious about this. Would IUI even work with this? or would IVF be the only solution? Any insight/advice would be grealty appreciated.
Post # 2
I think they generally want at LEAST 5 million, ideally more like 10 million, progressively motile sperm total for IUI. Morphology is somewhat less important (but not unimportant). So you take his volume of mL x sperm count per mL x progressive motility to see what you get.
For instance, my hubs had something like 2 ml X 9 mil sperm/mL x 0.35 progressive motility = 6.3 million.
You would want to ask your doctor about how the morphology affects that, though. 3% is officially low morphology, so that would likely reduce your chances of a successful procedure.
Post # 3
I’m in the same boat, I don’t know what it all means. DH got his results today,
and I’m FREAKING OUT.
Post # 4
Talk to your doctor, but morphology relates to how “normal” looking the sperm are under microscopy, the normal range is ~5-10% IIRC and 0.5% is pretty low.
But, measurement is pretty subjective – it’s a human looking at them afterall and it really depends on a whole bunch of other factors.
Talk to your doc!
Post # 5
the morphology needs to take into consideration the sperm count. A 0.5% normal morphology is worse if the sperm count is 15M compared to 100M.
Post # 6
Thank you for that formula! So I guess his motility is technically only 15%? I was trying to figure out what the difference between non-progressive and immotile means and if viability also plays a role.
What were his other results? I think each result will go hand in hand. Doctors would also recommend taking a few SA’s just to see if there are consistencies. I also heard taking making lifestyle changes, diet and vitamins will help sperm quality.
Post # 7
That’s another thing, there aren’t really any lifestyle changes he needs to make. We bought him boxers and a few extra vitamins, that’s about all we could think of. We don’t drink or smoke, and we have a healthy diet. He’s extremely active and works out 5-7 days a week.
My husbands results
Volume: 4.0 mL
Count: 52.5 million/mL
Motility: 79% quick progressive 21% nonprogressive
Morphology• Normal: 0.5% Abnormal: 99.5%
I suggested he get another SA done after I talked to my doctor.
I think we’ll try to do that in January. He can’t take the Clomid his dr prescribed and fly his plane, so we’re not doing that right now, which is why we opted for more vitamins.
Post # 8
Your husband sounds exactly like mine! He works out almost everyday, doesn’t smoke, hardly drinks and we have a healthy diet. So vitamins seem to be the only thing we can do right now as we wait for our appointment at the fertility clinic.
What vitamins is yours on? Mine is currently on omega 3, vitamin c/d/e, zinc, ubiquinol and he just started taking selenium and I’m thinking to add L-carnitine. I’ve read these could improve motility and morphology so I guess it can’t hurt. It could also take 3 months for these to kick in.
Post # 9
We bought him Qunol and he recently started a new sport multivitamin from GNC, which actually has a lot of the vitamins you mentioned. Oh, and he’s now eating walnuts and hazelnuts everyday.