Please help me interpret DH SA!

mrs.conananan

I just got off the phone with a well meaning women at my doc office, but she did not know enough about SA to give me anything but numbers.  She said DH had all good marks, except his morphology.  He was at 61% amorphous.  Is this something that we should be worrying about/seeking treatment for or is it ok?

The doc is supposed to call us tomorrow morning (lets see if that happens, I am not holding my breath).

Any thoughts? TIA.

sweetpeasweetpea

Hmmm I've never heard it put that way before.  Usually the percentage they give you for morphology is the percentage of sperm that is normal shaped vs abnormal.  My DH morphology was 18% meaning 18% of his sperm is normal and the other 82% have some abnormal traits whether it be head to small, two tails instead of one, etc.  I believe any percentage over 15 is normal though so either way you would be okay whether it's 61% abnormal or 61% normal.  My DH morphology was his lowest number but not too low according to the doctors.  Morphology is one of those things that is highly debatable.  Some doctors even suggest that a morphology as low 4% can still be considered normal, only because no one knows exactly what the standard is for a "perfect" sperm.  A head that might look too small to one person could look fine to another.  Some fertility clinics like to see it above 30%, some 15% so it all depends.  Also, studies have shown that even sperm with an abnormal shaped head can still penetrate an egg and does not affect the outcome of the pregnancy at all.  I have researched a ton on morphology, there is a lot of info on the web about it.  I am not exactly sure what 61% amorphus would mean but your doc should clear that up in the morning.  Maybe someone else on here can help you out with the terminology but that particular number, at least to me, doesn't sound like a problem.  HTH

mrs.conananan

Thanks!  I appreciate your input!  I think the women was confused when she was reading the results, so I will talk to the doc tomorrow.

MoonBaby123

Morphology is such a controversial subject, I wouldn't worry too much about it.

My lab considers anything over 4% normal. Each lab has different standards but I really wouldn't read too much into it...

 

SweetTea*83

MoonBaby123:

Morphology is such a controversial subject, I wouldn't worry too much about it.

My lab considers anything over 4% normal. Each lab has different standards but I really wouldn't read too much into it...

This.  If she was saying that 61% are not normal shaped, then it stands to reason that 39% are good, which puts you in more than great shape.  I'd just wait on your doctor tomorrow...this lady could be confusing something.

Hels

What she said really makes no sense to me... if they were going on the Kruger scale, then anything above 4% is OK by most docs based on the new standards. Based on the old standards, they'll say anything above 14% is OK. Based on the WAYYYYYYY old standards and non Kruger/non strict morphology, they'll say anything above 30% is OK. 

If you are at 39% morphology, I really can't imagine that being a problem . 

gymnst1013

Hels:

What she said really makes no sense to me... if they were going on the Kruger scale, then anything above 4% is OK by most docs based on the new standards. Based on the old standards, they'll say anything above 14% is OK. Based on the WAYYYYYYY old standards and non Kruger/non strict morphology, they'll say anything above 30% is OK. 

If you are at 39% morphology, I really can't imagine that being a problem . 

This exactly.  That sounds like it was probably not the Kruger (strict) scale just because it's practically unheard of for a guy to have over 15-20% on Kruger.  So if it was Kruger, there is no way she would have said it might be a problem.  Unless she really just has no clue.