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Semen Analysis Help Understanding
An_252469 posted:
Details from my SA. I am in total shock as anyone would probably be. My wife (30) came off birth control for about 3 1/2 months and we were able to conceive but miscarried after 6 weeks. She just had surgery to remove a polyp in her uterus which may or may not have caused the miscarriage.

Anyway I got my results (age 35)

Days Abstinent: 1.5 days (not the 2min they required)
Semen Volume: 4.3 mls
Sperm Count (conc.): 170 million/ml (not bad???)
Total Sperm Count: 731 million (Holy crap???)
Motility: 73 %
Viscosity: Normal
pH: 8.0

Seems good so far right?

I left my worksheet at home to give you much more detail but these have been burned in my head all night. The most concerning was the Morphology and breakdown.

I had 1% normal on the strict scale with 90% Severely amorphous. 92% of the amorphous in the breakdown chart were just categorized as amorphous with like 1% in the other categories (head,neck...)

Should I worry? 1% of 731 million is pretty good #s. That was my first test and I have researched that I should not base anything off 1 test. Could my 1.5 days of abstinence affected the results? I also have no diet or exercise but I am not totally unhealthy.
amyaalc responded:
Please read my past discussion post on morphology.

You have a lot of sperm, a lot! Yes, try following a sperm healthy lifestyle to make sure you are doing everything possible to produce top quality sperm. You are also right that you should have 2-3 test before knowing you have a morphology issue that needs addressed. So much variation in this test. Start he sperm healthy lifestyle guidelines with vitamins and retest in 2-3 months. Let us know how numbers compare.

Miscarriages are part of nature and needed. I've read reports stating up to 50% of pregnancies end in early miscarriage. If a couple has multiple miscarriages in a row then it is concerning.

It is virtually impossible to blame the miscarriage on the sperm quality or egg quality. It is often a problem when the sperm and egg meet and mix their DNA that things do not mesh perfectly so the body kicks out the embryo and you have to try again.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
amyaalc responded:
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 morphology

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