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Smilyn posted:
We just got back our test results, and all of mine came back normal - however my husband had a morphology of 14%. Which, as I've been searching online - does not seem horrible? However they say it is, and he has to go for another test to see.

If it does not come back normal, they then said they might refer him to a urologist. I've been looking online and some sites say they jump right to IVF with low morphology, others IUI, and others just keep trying and/or do "natural" remedies...

Are there any suggestions as to what might our next step be? We're kind of confused, and are curious as to what the options may be...

Any help you can offer is greatly appreciated.

Thank you!
AmyAALC responded:
A second analysis is always important since it is hard to judge fertility off a single sample. Morphology is a tricky topic so please check my post on morphology. Depending on the type of morphology testing used, 14% sounds good. Our laboratory does a Kruger Strict and anything over 6% is normal. Every lab will vary so check is result to the provided reference interval for that laboratory.

Poor morphology does not mean jumping right into IVF. The main concern need address. IVF is just ignoring the possible problem. Seeing an urologist with male fertility training is a great place to start. Something as simple as poor diet, chemical exposure, smoking or drinking, hot tub use or various other day-to-day activities could be causing damage to sperm. He should also be examined for a varicocele.

Check my discussion on sperm healthy lifestyle guidelines.

Starting him on a fertility blended vitamin is a great place to start along with cleaning up his lifestyle.

How long have you been trying? Many normal couple with no know infertility problems can take 6 months to a year to get pregnant.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
CandiceF83 replied to AmyAALC's response:
My husband did a SA after trying for a yea. His results are
Total Volume: 1.7,
Motility: 35%
Forward Progression: 2 ,
PH Semen:7.9
Morph Ideal 53%
Total Count 174.5 mil/ml
Head Defects: 30%
Neck Defects: 11%
Tail Defects: 6%

His Doctor does not specialize in Infertility and did not explain his results probably. Can you help us in figuring this out?
I know it is not 100% good. Also have you ever heard of the multi-vitamin Fertility Blend for Men? Is that a good supplement, he would never take 5 pills a day. He needed something with everything in it. :)
AmyAALC replied to CandiceF83's response:
Great total count but his motility and forward progression look a little low. Does he smoke? Does he use hot tubs or other possible exposures to heat?

The Fertility Blend for Men is a good vitamin and worth trying to see if that motility and progression improves.

Check my posting on sperm healthy lifestyle guidelines.

He should begin on the vitamins and sperm healthy lifestyle with another semen analysis in 3-6 months to watch for improvements. It is also hard to judge fertility from only one analysis so a second is always recommended when you see a low value. You want to rule out just a bad day for him or the lab.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
CandiceF83 replied to AmyAALC's response:
Thank You

He went to the urologist. He has to get blood work done tomorrow to test his testosterone levels. I am keeping my fingers cross. His doctor also suggested another semen analysis but not right now.

I hope the fertility blend helps, however he forgets to take them everyday and I dont want to be a nag. I try to remind him. At least he went to the urologist and got a semen analysis. I am happy he took that step.

Thanks again.
CandiceF83 replied to AmyAALC's response:
My husbands blood work came back normal. Which is good news but it still does not answer why his motility and forward progression is low. He is going to have another lab test done. Any other suggestions? Will an IUI be a good option for us?
AmyAALC replied to CandiceF83's response:
IUI is a great option! The sperm prep can increase the progression and help concentrate the motile sperm.

Anon_155458 replied to AmyAALC's response:
Hello Amy

So this week will be my first IUI. I found a great reproductive specialist where it is covered unlimited until the age 44. However I wanted to give you my husbands new SA numbers compared to the one I posted in the prior post. I believe this is Kruger Strict
Vol: 1.1
Count 140.5
Concentration: 127.7
Percent Motile 44%
Concentration Motile 55.6
Progression-4 32%
Progression-3 12%
Progression-2 21%
Progression-1 36%
Type: Normal 13%
Tail Defect 7%
Tail Only 9%
Krugers Morp 2%

What your doing on here is great and I thank you so much.

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