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Help with semen analysis
An_251416 posted:
My husband and I have been trying to conceive for over a year and began routine fertility testing last month. He was referred by his primary care physician to a lab for the semen analysis, which was forwarded to my ob/gyn. Upon seeing the results she told me it was abnormal and to have him go to a urologist. In the meantime we have learned that he is hypothyroid with TSH of 10.35 uIU/ml and has a Vitamin D deficiency - 15 ng/ml. He started Synthroid and Vitamin D supplements last week.

None of the doctors have helped us fully understand the SA results just yet (probably because had not started seeing an RE). But I am under the impression that it is highly unlikely to conceive naturally with these numbers, is that correct? And is it possible that his general health issues could be impacting the quality and quantity of his sperm, or is there no relation between hypothyroid and male infertility?

Volume: 2.8 mL
Concentration: 5 million/mL
Motility: 42% motile
Normal Morphology (W.H.O. Criteria): 28% normal
Liquefaction Time: Greater than one hour
Viscosity: High
Note: Abnormal specimen viscosity or liquefaction may contribute to inaccurate sperm concentration and percent motility estimation
Abstinence Period: 3 days
pH: 8.5
Other Microsc. Observations: Moderate number of WBC seen
Appearance: Normal
Rapidly progressie: 39%
Sluggish: 3%
Immotile: 58%

Thanks for any help.
amyaalc responded:
Your husband should see an urologist with male fertility training since not all urologist have any background or formal training in male factor fertility.

Getting his thyroid back in balance with medication should improve his fertility.

2.8ml x 5 Mil/ml = 14 Mil total sperm count (normal level = 40 Mil or higher)
14 x 42% = 5.9 Mil total motile (normal level = 15 Mil or higher)

Your husband is not sterile but rather sub-fertile. These numbers can improve back to normal levels once his thyroid is back in check.

The moderate number of WBC (white blood cells) can indicate prostatitis or epididymitis and should be treated.

I also recommend reviewing the Sperm Healthy Lifestyle Guidelines for ways to improve male fertility.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
amyaalc replied to amyaalc's response:
Sperm-Healthy Lifestyle

1. No heat to the scrotum and groin areas. Heat causes damage to the sperm cells so stay away from hot tubs, saunas, Jacuzzis or soaking in baths above body temperature.
2. Stay well hydrated. Drink plenty of fluids. Caffeine is okay in moderation.
3. Eat a well balanced diet with plenty of fresh fruits and vegetables. Red meat and fish should be consumed regularly.
4. Regular ejaculations, every 24-48 hours, to keep the system revved up.
5. Avoid testosterone replacements and all male hormone/androgen supplements. These can drastically reduce or even zero-out sperm counts.
6. Absolutely no tobacco in any form. Tobacco use causes DNA damage to sperm cells that leads to lower pregnancy rates, increased incidence of miscarriage and birth defects. This holds true for marijuana and other recreational drugs.
7. Alcohol in moderation. Excess drinking is associated with significant sperm toxicity.
8. Maintain a healthy BMI level. Excess fat tissue results in increased estrogen and lowered testosterone.
9. Avoid cells phones in pants pockets or belt clip attachments. Do not place laptop, tablets or other computer devices directly on lap.

When it comes to supplements more does not always equal better so please follow the dosages below. If you are not a fan of taking all these individually we would recommend purchasing a male fertility blend vitamin such as FertilAid for Men, Fertility Blend for Men, Conception XR or other blended multivitamins containing a majority of these ingredients such as GNC's B-Complex 75 Complete (as low as $9.59/month) with the addition of the missing items. Fertility Boost for Men can also be added to help improve sperm motility and forward progression.

Always consult your primary care provider before starting any supplements.

Vitamin/Anti-oxidant Dosage Benefits

B Complex Once daily DNA
Vitamin C 500 mg daily Count, motility and morphology
Vitamin D 400 IU daily Improves sperm quality
Vitamin E 400 IU daily Motility, viability and morphology
Coenzyme Q10 200 mg daily Motility and forward progression
Folic Acid 1 mg daily Count and DNA
Acetyl L-carnitine 1 g daily Motility and forward progression
L-carnitine 1 g daily Motility and forward progression
Lycopene 10 mg daily Count and motility
Selenium 200 3BCg daily Motility, viability and morphology
Zinc 50 mg daily Count and DNA
Fish oil capsules 2-3 daily Count, motility and morpholog

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