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Huge change in SA - why???
binkieblues posted:
My husband had a SA back in June with a count of 204 ml total with 59.2ml motility. Not great, but not too terrible, so we were told to do an IUI. (this was his 2nd SA and the numbers were similar to the 1st one)
I just found out the IUI was unsuccessful but then received another call to tell me my husband's counts for the IUI were only 12.4ml total with 2.9 ml motility.
The doctor wanted to know if he was sick, on medication, etc which he was not. What could possibly make such an impact on his numbers?
AmyAALC responded:
Is the 12.4 million with 2.9 million motile post wash? See if they did a pre- and post-wash analysis. It is important for a pre-wash check to monitor the wash recovery rates. Depending on the type of wash used and it can result in only leaving behind a small percentage of sperm but they should be the best of the best. If the doctor likes to see better numbers, most recommend at least 5 million motile for IUI, you might want to discuss with the doctor having the lab do a gentler wash that will leave a higher percentage of sperm remaining. It is also possible that the lab over processed the sample leaving so few left for the actual IUI.

Soft wash would be the most gentle wash.

Best of luck and let us know what you find out.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal

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