How does your uro/RE grade motility?

bumpuser794640

Our reports have grades A-D, with A being rapid progression, B = slow, C = no progression, D = immotile.  Just curious if this is the norm, or if different docs' grades mean different things.

genmalone

That may be progressive motility which someone posted about yesterday.  I'm just learning about motility myself since we just found out it is an issue for us.  My RE grades progressive motility on a scale of 1 to 4 with 4 being the best. 

Hopefully sbrowns will chime in.  She seems to be our board expert.

bumpuser794640

I'm assuming it means forward progression, since C = no progression, I'm assuming that means those guys are swimming in circles, or moving their tails but not making any progress in a direction.

sbrowns08

Hey there! Each clinic has it's own system of grading, so you should ask the individual lab you're working with. General rule of thumb is that only the top two grades (3/4 or A/B in your case) survive the wash and make it to the egg. GL!

bumpuser794640

Thanks, sbrowns!  I've never gone to a uro appointment with my DH, so I'll just send this question along with him.  Our counts aren't high enough to do IUI right now, so it doesn't really matter, but I was curious.

sbrowns08

GnomeSweetGnome:

Thanks, sbrowns!  I've never gone to a uro appointment with my DH, so I'll just send this question along with him.  Our counts aren't high enough to do IUI right now, so it doesn't really matter, but I was curious.

Yeah, DH's uro's lab prints out a GREAT detailed sheet that gives us each grade, the % of sperm in each category, etc. In the end we needed IVF anyway, but we're glad we worked with the uro! Good luck hun!

bumpuser794640

Thanks, dear!  DH is going to his 9-month post-op next Tuesday, but I'm not expecting much.  We have doubled our count since the varicocelectomy, at least, bt motility is jumping around a bit and morph is still 0%.

sbrowns08

GnomeSweetGnome:

Thanks, dear!  DH is going to his 9-month post-op next Tuesday, but I'm not expecting much.  We have doubled our count since the varicocelectomy, at least, bt motility is jumping around a bit and morph is still 0%.

Huh, it surprises me that you haven't seen even a bit of improvement. DH just did his 8 month post sample last week. He had really been improving, and then this one was back down in count and motility. Morph stayed up though. What the heck MFI?? lol

I hope you get GREAT results next week!