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Poor sperm morphology and IUI
ofruktbar posted:
My husband and I have been ttc for 14 months, no protection for 18 months with no luck. I have had all the tests done, including 3 different blood tests, HSG and a set of 3 ultrasounds to check for follicles and ovulation. I passed everything with flying colors. My husband has had 1 SA which came back all normal except for poor morphology. His morphology was at 12%. I'm not sure which standard was used, but the doctor said that 30% would be considered normal.
I had him change his diet and started him on FertilAid. It's been about 2 months since he started on this new diet. He used to eat a very low carb diet with very little fruits and veggies. I am making him eat lots of fruits and veggies. He was also a big consumer of diet sodas. He would drink scary amounts of diet sodas every day (approx 5 cans sometimes more). I made him quit that as well. We are both active and slender/normal weight, don't smoke, rarely drink (I don't drink at all, he has 1 or 2 beers every few months).
My OBGYN told us that our next step (if I'm not pregnant this month), would be a 2nd SA and then IUI. My main question is, is IUI effective for poor morphology? I have read conflicting things about IUI's effectiveness, especially when it comes to morphology.
Any advice at all or words of wisdom would be greatly appreciated!
amyaalc responded:
Remember that it can take 3 months for a full sperm cycle so take this into consideration with trying over the next few months. The next lab test will need to be spaced out until that 3 months after starting the FertilAid before seeing improvements resulting from the FertilAid and lifestyle improvements.

I would give adequate time for improvements in sperm quality and natural conception before moving onto IUI's. Figure out your own timeline of trying naturally, say the next 3-6 months, and after that if no pregnancies move onto IUI for 3-5 months and if needed the next step would be IVF.

It can become overwhelming so just try to set a timeline of what you are comfortable doing and the pace you want to move. Also remember correcting that sperm quality can take some time so giving natural conception the next 3-6 months is realistic if you want to give the changes made time to improve the sperm quality.

I agree if after that sperm quality has time to improve and still no pregnancy the next step should be IUI.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
ofruktbar replied to amyaalc's response:
Thank you so much for your response. I am hopeful but at the same time, discouraged. Hopeful that the lifestyle changes that we've made will make a difference. Discouraged because it's already been 14 months of trying. We started trying when I turned 33, and now I am going on 35. I'm afraid that if we wait too long that I'll end up being less fertile as well.
One last question. Do you often see a big difference in sperm quality for men who make changes to their diet and take vitamin supplements? Enough of a difference to conceive naturally?
Ok, I guess that counts as 2 questions.
Thanks so much!
amyaalc replied to ofruktbar's response:
Yes, I've seen some simple changes for men lead to quick successful pregnancy so hang in there another 2-3 months and if still nothing start trying IUI's.

ofruktbar replied to amyaalc's response:
Thank you so much for your help. I am 5 weeks pregnant! I cannot believe that the simple change over 2 months made the difference! I now hope that it will be a successful pregnancy. A little worried since some of your other posts say the chance of miscarriage is higher with poor morphology. Hoping this is not the case for us.
Thanks again!

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