SA

honeygirl500

Ok, so the post below got me thinking about my DH's numbers. The reason why I am kind of concerned is when we should the resident at the RE his numbers she scrunched up here face and said well this doesn't look that bad.  The actual dr said nothing about it.  I am a little concerned because they said nothing to him, nothing about trying to improve or how it will affect us.  I know there are different scales but his count was 14 mil motility was 20% and Morph was 5% or 4% I can't remember exactly.  Do any of you think this should be a concern?   If so, it makes me think we really need to find a diff. clinic.

MsGMChick

Your lines are running together.. You mean Count was 14mill/ml, motility was 20% and Morph was 5%? Or you mean there was 14million motile sperm from the 20% motility of the original sample? If you meant the first one, I'd be concerned. 20% motility is fairly low (normal is 50%) and 14 million/ml is low (20-40million + is most norms). The morph is low but 5% isn't awful. 

sbrowns08

Yes, both count and motility are a concern. I would ask to have it looked into further.

honeygirl500

MsGMChick:

Your lines are running together.. You mean Count was 14mill/ml, motility was 20% and Morph was 5%? Or you mean there was 14million motile sperm from the 20% motility of the original sample? If you meant the first one, I'd be concerned. 20% motility is fairly low (normal is 50%) and 14 million/ml is low (20-40million + is most norms). The morph is low but 5% isn't awful. 

Sorry, I had meant the first one.  Thanks for the input.

honeygirl500

Probably no one is still reading this, but just in case.  At what point do they usually say to go to IVF or IVF with ICSI? I know it probably is case by case.  I just don't want to waste time or money on things that have very little chance. 

sbrowns08

Iuis have a decent chance at working with 10 million post wash and may work with 5 million post wash. Only the progressively motile sperm survive the wash. So you figure if 20% of 12 million are motile, not all of those are progressive either. I would ask to be referred to a uro and have a repeat SA done before you decide on treatment though.

steff13914

sbrowns08:

Iuis have a decent chance at working with 10 million post wash and may work with 5 million post wash. Only the progressively motile sperm survive the wash. So you figure if 20% of 12 million are motile, not all of those are progressive either. I would ask to be referred to a uro and have a repeat SA done before you decide on treatment though.

Yes, all of this. With less than 10 million post wash, the success rate is very low. I definitely recommend getting to a uro.

machole513

sbrowns08:

Iuis have a decent chance at working with 10 million post wash and may work with 5 million post wash. Only the progressively motile sperm survive the wash. So you figure if 20% of 12 million are motile, not all of those are progressive either. I would ask to be referred to a uro and have a repeat SA done before you decide on treatment though.

This exactly..our numbers are very similar, with a slightly higher # at usually 20-24 million..we have seen a Uro as you can see in my siggy

maggie2324

Well, at least none of the numbers are absolutely terrible... they're just all moderately low.  It's definitely a concern... so you definitely need another clinic.

In general, (every place is different), IVF with ICSI is done when the count is less than 15 mil/ml, the motility is less than 35%, or the strict morphology is less than 5%.  If all the numbers are higher than that, then it's regular IVF.

In my eyes, if ICSI is needed, then fertilization rates would not be high for regular IVF (putting the eggs and washed sperm next to each other).  So, TI or IUI is very unlikely to result in anything.