TTC after 35

Well crap. Tell me what you know about sperm morphology

I just got DH's results back. Great numbers and motility but only 5% morphology. I have to break the news to DH, but first I want to know what causes low morphology and if it can be improved through healthier living. I think it'll come easier to him if it comes with a plan.

 RE thinks that since his total count was so high, IUI with injectables is a good option. 


I really thought today we would be getting the unexplained infertility diagnosis, but I guess not. Ugh.

Re: Well crap. Tell me what you know about sperm morphology

  • This is from ?It DOES indicate that PG is possible despite this diagnosis, so that is certainly hopeful. ?You might want to lead with the positive (good numbers/count, etc.) when telling your hubby about his results. ?I imagine this sort of thing could be hard on the male ego, but he does have a number of really good factors in his favor. GL!?

    Sperm morphology is routinely evaluated as part of a standard semen analysis. Morphology refers to the size and shape of the sperm. The results of a sperm morphology exam indicate the percentage of sperm that appear normal when semen is viewed under a microscope. Abnormal sperm morphology may be a contributing factor in infertility.Normal sperm have an oval head with a long tail. Abnormal sperm may have head or tail defects ? such as a large or misshapen head or a crooked or double tail. These defects may impair the ability of the sperm to reach and fertilize an egg.Causes of abnormal morphology include:Testicular abnormalities that are present at birth (congenital)Enlargement of veins within the scrotum (varicocele)High feverIllicit drug useInfections

    The best recommendation is to repeat the semen analysis in four to six weeks to determine if the changes in morphology are temporary or permanent. Even with poor morphology, pregnancy may still be possible. Intrauterine insemination or in vitro fertilization methods are sometimes needed.?

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  • Thanks Brosis! DH will be calling at 4 when he gets off work so I am trying to scrap together as much info as I can before then,. It helps to have friends here helping with the research!
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  • I don't know too much about it, but I wanted to wish you luck. ?My husband's morph isn't great which is why we have decided to do ICSI with our IVF, but our RE certainly felt that we had a chance with IUI. ?Even at our appointment today he continued to say that he doesn't know why IUI didn't work for us. ?Low morph can be worked around!
    Image  by TinyPic Me 43, DH 49 Married November 3, 2007 TTC #1 since November 2007 First RE appointment May 13, HSG 5/17- tubes are clear, SA - very good, FSH 6.8, rubella immunity, saline sonogram 7/2 - uterine polyps, hysteroscopy date FINALLY 9/4! Blood pressure and thyroid are under control! Come on BFP!!!! My Blog IUI#1 1/14 , AF=BFN 1/28, IUI #2 3/9, AF=BFN 3/20 Cycle 20 IVF #1 = BFP!!! Beta #1- 196 Beta #2- 784 Egg retrieval 5/1 - 11 eggs! Update 5/2 - 9 mature, 7 fertilized! Embryo transfer 5/6 - transferred 2 beautiful blasts and have one snowbaby Induction scheduled for 01/11/10 - 38 weeks, 1 day April 3, 2012 FET with snowbaby (identical twins) BFN and a big broken heart Moving on to DE Image and video hosting by TinyPic Image and video hosting by TinyPic Image and video hosting by TinyPic Baby Birthday Ticker Ticker8/2012-Donor chosen! 9/2012-12/2012-Donor passed all testing, off BC pills, waiting to complete 2 full cycles. 12/16/2012-cannot move forward with donor, cycles not regulating. 12/17-New proven donor 1/11- started Lupron on our baby boy's 3rd birthday 
    Egg retrieval 2/27 - 27 eggs, 24 mature, 19 fertilized
    Embryo transfer 3/4 - 2 beautiful, hatching blasts and nothing left to freeze.  Beta #1 461 9dp5dt. Beta #2 1230 11dp5dt.
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  • That's great news on the count but I'm sorry the results weren't so good on the morphology.  I know you were hoping for unexplained fertility but at least you know something now.  I would ask the doc about retesting in a couple of weeks to see how the results compare. I hope the conversation with DH went well.

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  • Hey Lebraly, I don't have much information for you, but good luck with the conversation.  Actually, you have probably already had it so I hope it went ok.  At least now you know the issue, so you can get a plan in place.  Good luck!
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  • Just wanted to tell you that I'm thinking of you and hoping that you work around this little problem and get your BFP real fast!!!

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  • I hope your talk with DH went well. I know how tough that can be, but the support of all you ladies really makes things easier. It's good to hear that your RE has an option for you guys, regardless of the morphology percent. I'm thinking of you!
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