Trouble TTC

2% Normal Function/ What to even do next?

I posted on the TTC board because that's where I am supposed to be.  But of course the new reality is that DH's SA came back today with the most shocking (to us) news.  His SA showed, according to the nurse, "2% normal function".  I was in Target when I got the news and I was trying to ask her the right questions, but she was so unhelpful about giving me the results slowly enough that I could process what she was saying. She finally said, "Do you want me to just mail you a copy?"  

Can anyone tell me what "normal function" is?!  I remember the number 20% coming up and the fact that DH was 2%.   He also had some number that was 62% and the normal was 50% so she said, "Oh, that's good." 

I am going to call tomorrow and ask that they walk me through the numbers one more time because I don't know how to not have all of the facts for several more days, but can anyone translate a bit of this for me? 

And WTF next?  I am so sad.  :(  I know no one ever thinks infertility will happen to them, but DH and I are both 26, nonsmokers who were too dorky in high school/college to drink and have normal BMI who are dealing with fertility issues.  (I was diagnosed with Endo in October.)   I don't know how to process all of this information.  I know everyone will say not to jump to conclusions but I feel like we just got a fertility death sentence.  :(

Me: 27 DH: 27

October 2013: Endo erosion/ Clear HSG

March 2014: SA #1/  2%morph, borderline sperm count, decent motility

June 2014: SA#2/  2% morph, low sperm count, worse motility

Plan: "Quick Start IVF"/antagonist protocol with Follistim, Ganirelix, Ovidrel and progesterone suppositories (yay)

High AMH (11) and Low BMI= low doses of everything to prevent OHSS

July 27, 2014: Started Follistim injections for ten days

July 31, 2014: U/S= 20 follicles, 8.5 lining, E2 is good, Ganirelix for 4 days starting 8/2

August 4, 2014: 14 follicles on-track, good lining, Trigger 8/6

August 9, 2014: 9 ICSIed/ 5 embryos; aiming for a 5dt on 8/13

August 13, 2014: 5DT of 1 4BA almost-hatching blastocyst (Please hang in, Little Bug!)

August 14, 2014: We have 3 frosties! Hope they're having fun hanging out together. :)

August 23, 2014: Beta #1: 144 8/23/14: Beta #2: 374 Beta 8/25/14  Beta #3: 6,600 9/3/14

September 9, 2014: Ultrasound #1 115 heartbeats per minute

September 23, 2014: Ultrasound #2 182 heartbeats per minute 

September 26, 2014: Love my OB's office

October 10, 2014: Our baby looks like a baby and is moving all over!  

December 8, 2014: Anatomy scan- It's a girl! 


"Hope strengthens.  Fear kills."- Karen Marie Moning

"Heaviness is only temporary; the daylight will soon break in."- needtobreathe

Re: 2% Normal Function/ What to even do next?

  • It's a lot to take in... But it's not a fertility death sentence. I can't answer your questions about what it all means, but it jus sounds like you might be headed down the treatments road. Are you seeing an RE? What prompted you to get a SA? Once you get your SA in hand, call for details and explanations. I really wish you the best. And if you need support there is a whole board of women who have been where you are.
    *~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~
    Waited a long time, tried a lot of stuff, science made me a mom.
     Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS
  • I'm so sorry, I know that feeling. I was at work when I took the call with my husbands results and I just started crying. I think I cried for a few days then I met with my OBGYN to discuss the results. The 2% you are referring to is probably the morphology (the amount of sperm with normal shape). A lot of doctors don't put much stock in that. My RE doesn't really even care about it. The motility is probably what should be 50% and it's good that your husband is good in that area! that's where mine is bad. I am not sure what the other numbers were referring to but they should have given you volume and count.
    Don't get too upset, it was just 1 SA. Most doctors require 2 before diagnosing or treating any male factor infertility issues. It could have just been a bad sample, it can change a lot from one sample to the next. But even if it turns out that there are issues, seeing a urologist that specializes in male infertility can be helpful. There are supplements and meds that can help many issues.
    Try to stay positive, it was just 1 sample. I would definitely make an appointment with your doctor to go over the results and what he may recommend. Good luck.



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

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  • @NariaDreaming‌ my RE said the same exact thing...but the only men that find out are those that have an SA. Yes I would suggest retesting before you get too upset. Good luck...my DH is retesting next week.
    Me: +35 DH: +35
    TTC: Since January 2013 
    DX: PCOS. Severe Endometriosis, Unicornuate Uterus w/only left tube and left ovary, Pedunculated fibroid (on the outside of uterus) and Anovulation. All conditions diagnosed 8/13
    TX: Metformin
    DH DX: MFI - low morphology, low motility
    Ultrasound shows both kidneys in spite of UU. 
    HSG showed clear tube on the left side. 
    Lap Surgery performed 1/9/14 to remove fibroid and endo (Stage 3)
    • IUI# 1 June 2014 started 100 mg of Clomid - 7dpiui Progesterone: 13: BFN
    • IUI#2  July 2014 started 100 mg of Clomid - 7dpiui Progesterone: 5.75: BFN
    • Natural Cycle - so shocked to be in 2WW - 7dpo Progesterone: 15.5: BFN
    • Working with new RE starting injectables in late August.
    • IUI #3 August 2014  w/ Menopur: BFN
    • Finally ovulating on my own!!
    Waiting to start IVF hopefully
    **********All Are Welcome**************
    3T January Siggy Challenge: New Year's Resolution
    image

     
  • KT416KT416 member

    I agree that a lot can change vary from one SA to another, and he may want to go in for another one and/or meet with a Urologist.

     

    My hubby also has sperm woes, and he did a few things and between the first two tests and saw an improvement in results for some of the categories. He drinks maybe a beer a week now, if that. He also no longer keeps his cellphone in his pants pocket, and doesn't use Bluetooth anymore. He used to stream music via his phone for his entire train ride commute both ways, and now just keeps his phone in his backpack. Obviously some tricks aren't medically proven or anything, but it doesn't hurt to change a few different things and see if there's an improvement in the next SA.

     

    Good luck!

    Me: 29, DH: 30

    Married: April, 2011; TTC: July, 2012

    Dx: MFI; June '14 IVF w/ ICSI: 11R, 8M, 5F... 1 5dt, beta #1: 213, beta #2: 621, beta #3: 8545!



    BabyFruit Ticker
  • MissEm15MissEm15 member
    edited March 2014
    Don't lose hope. We are MFI. My husband has borderline count/motility & low morph of 2-3%. My RE said that the average male has 4%. Morphology is the shape of the sperm, abnormal sperm have a hard time getting into the egg. I have read tho if a man has a high count and/or high motility that the morphology becomes less of an issue. I'm not a doctor tho.. that's just from my research. My RE basically said that IVF w/ ICSC was probably our only option but recommended 2 IUIs first. Our 2nd IUI (first w/ injects) worked (ended in chemical). I did start my husband on Coq10 & Fertility Blend so I'm hoping that helps for our next round. Good luck!!

    ****siggy warning****

    Me 29/ DH 28
    DH- MFI (low count, 2-3% morph)

    IUI #1 January - Clomid, Ovidrel: BFN
    IUI #2 February - Letrozole, Follistim, Ovidrel: BFP 1st beta-25, 2nd beta-56, 3rd beta-45, miscarriage
    IUI #3 April - CD3 U/S 4-10. Letrozole, Follistim, Ovidrel CD11 - Cancelled.. TI w/5 follicles-BFN
    IUI #3.1 May - CD3 U/S 5-6, Follistim start 5-11 thru 5-17, u/s 5-18 3 mature w/ a close 4th, IUI 5-20 - BFP!
                 Beta #1 12dpo - 164 & progesterone - 89!, Beta #2 16 dpo - 1189, 5w3d - u/s shows TWINS!
                 6/19- u/s showed heartbeats! Baby A 111 & Baby B 118, both measuring 6w1d
                 7/3- Baby A hb 170, Baby B hb 166 - both measuring perfect.
                 7/18 - Baby A 165, Baby B 171 - both measuring right on track & moving all around!

    image

    Pregnancy Ticker

  • I'm sorry, I know that it's tough to get that kind of news.  I think the first step is to get all of the correct information so you know what you're really looking at.  The 3T blog has some good info on the numbers and what they mean, ideas on what you can ask your RE about doing (supplements for example).  I think it's fairly common practice to get a second SA done too.  Wishing you the best of luck moving forward!
                                                  *********************SIGGY WARNING*************************
                                        May 14 Siggy                                             
    TTC #1 since June 2012.  DX: Unexplained Infertility.  Me: Hypothyroid
    3 Failed Femara + TI cycles and 4 Failed Injects + B2B IUI cycles
    Cycle 23: IVF#1 CoQ10 + Lupron + Puregon = BFP!!
    Beta #1: 199   Beta #2: 800+   It's TWINS!  EDD: Feb 19, 2015
    Team Purple!!!!
    L & E arrived early on January 5, 2015!!
    ~~~All are welcome!~~~

    BabyFruit Ticker
  • LO95LO95 member
    Thanks to everyone so much!

    Me: 27 DH: 27

    October 2013: Endo erosion/ Clear HSG

    March 2014: SA #1/  2%morph, borderline sperm count, decent motility

    June 2014: SA#2/  2% morph, low sperm count, worse motility

    Plan: "Quick Start IVF"/antagonist protocol with Follistim, Ganirelix, Ovidrel and progesterone suppositories (yay)

    High AMH (11) and Low BMI= low doses of everything to prevent OHSS

    July 27, 2014: Started Follistim injections for ten days

    July 31, 2014: U/S= 20 follicles, 8.5 lining, E2 is good, Ganirelix for 4 days starting 8/2

    August 4, 2014: 14 follicles on-track, good lining, Trigger 8/6

    August 9, 2014: 9 ICSIed/ 5 embryos; aiming for a 5dt on 8/13

    August 13, 2014: 5DT of 1 4BA almost-hatching blastocyst (Please hang in, Little Bug!)

    August 14, 2014: We have 3 frosties! Hope they're having fun hanging out together. :)

    August 23, 2014: Beta #1: 144 8/23/14: Beta #2: 374 Beta 8/25/14  Beta #3: 6,600 9/3/14

    September 9, 2014: Ultrasound #1 115 heartbeats per minute

    September 23, 2014: Ultrasound #2 182 heartbeats per minute 

    September 26, 2014: Love my OB's office

    October 10, 2014: Our baby looks like a baby and is moving all over!  

    December 8, 2014: Anatomy scan- It's a girl! 


    "Hope strengthens.  Fear kills."- Karen Marie Moning

    "Heaviness is only temporary; the daylight will soon break in."- needtobreathe

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