Trouble TTC

New here!

Hi everyone! I usually post over on the TTGP and Military Families board. A quick background on me, DH and I have been TTC for 14 months and I just recently had my first appointment with an RE and my husband's SA results just came back yesterday. My RE did an internal ultrasound and everything looks good, plenty of follicles. He put an order in for an HCG dye test which I have chosen to wait until after the holidays and the start of the new year to get it done. We are going on vacation Friday and we just want a month free of stress, temping, etc. DH's results came back normal for morphology, count, etc. However he does have low motility...reading the report that came back from his doctor was a little confusing for me so I have posted some of the results below:

Semen Volume 4.0 (1.5-5.0 is normal range)

PH Semen 8.0 (7.0-8.3 is normal range)

Motile Slow 18 (0-15 is normal range)%

Non-Motile  47 (0-5 is normal range)%

Motile Active 35 (85-100 is normal range)

The ladies over on TTGP suggested that I post over here for some more information. I think I might pickup some preseed to use this next cycle and see what happens. I figure it couldn't hurt since his "guys" need some help to get where they need to go. I'm staying optimistic and looking forward to diving into all of the testing and such after the first of the year. TIA!

TTC our first Navy baby! Me:27 DH:30, together since 8/2003, Married on 7/2006
9/26/10 stopped BCP and started TTC.
9/2011 referred to RE. All blood work normal and DH's SA=normal results
11/2011 HSG=both tubes clear
One natural (monitored) cycle of Clomid, 50mg 2/2012= BFN
Getting ready for first IUI, 3/2012 received orders to Japan! (postponed IUI)
5/2012 Moved to Japan, fought Tricare for months over referral (no fertility treatment on our military base) for Japanese RE out in town!
8/2012 Started seeing new RE
9/2012, post coital test= hostile cervical fluid, (finally) moving on with first IUI!
9/29/2012 IUI #1+trigger= BFN
10/27/2012 IUI #2+100mg Clomid CD5-9+trigger= BFN
11/28/2012 IUI #3+100mg Clomid CD5-9+trigger= BFN
12/28/2012 IUI#4+100mg Clomid CD5-9+trigger=BFN
2/1/2013 IUI#5+injectables+trigger=BFN
3/2013 IUI#6+injectables+trigger=???
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Re: New here!

  • Welcome to the board!  I must say, I've never seen motility listed out that way.  Normally, it's just a percent motile.  50% is normal.  So with your "motile active" plus "motive slow" you are actually over 50%.  Which would not be MFI.  But if they are only counting the "active" ones, then you're a little low.  But with that much volume (4.0) his overall number of total motile sperm should still be high!!  I've always seen normal listed as 1.5-3ml as normal listed on my DH's sperm anaylsis.  So I'm a bit surprised to see 1.5-5 you listed as normal. 

    You can figure out his total motile sperm by taking his count, times his "active" percent, times his morph.  If you're over half a million (strict Krueger morph) or above 1.5 ,il(old morph standards) then you're fine. 

    That said, if you've been trying for over a year you're in the right place.  No matter if you are MFI or not.  But since I'm MFI I thought I'd give you that insight.  Good luck with the rest of your tests and moving forward with treatment!!

    editted: clarity in numbers


    TTC since July 2009. Dx MFI & LPD. 
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  • Thanks, I was a little confused reading the report too. From other numbers women have put on posts here it was all Greek to me! He is active duty military so it was from a doctor on base. Not sure if that has anything to do with how the reports are done and what system the reports are produced on the computer but nonetheless, I am excited for what we have in store and looking forward to moving forward Big Smile
    TTC our first Navy baby! Me:27 DH:30, together since 8/2003, Married on 7/2006
    9/26/10 stopped BCP and started TTC.
    9/2011 referred to RE. All blood work normal and DH's SA=normal results
    11/2011 HSG=both tubes clear
    One natural (monitored) cycle of Clomid, 50mg 2/2012= BFN
    Getting ready for first IUI, 3/2012 received orders to Japan! (postponed IUI)
    5/2012 Moved to Japan, fought Tricare for months over referral (no fertility treatment on our military base) for Japanese RE out in town!
    8/2012 Started seeing new RE
    9/2012, post coital test= hostile cervical fluid, (finally) moving on with first IUI!
    9/29/2012 IUI #1+trigger= BFN
    10/27/2012 IUI #2+100mg Clomid CD5-9+trigger= BFN
    11/28/2012 IUI #3+100mg Clomid CD5-9+trigger= BFN
    12/28/2012 IUI#4+100mg Clomid CD5-9+trigger=BFN
    2/1/2013 IUI#5+injectables+trigger=BFN
    3/2013 IUI#6+injectables+trigger=???
    image
  • Welcome!  

    If everything else is in the normal range (viscosity, agglutination, etc), then that's great! That appears to be very mild MFI at worst.  If that's the only issue between you two, I wouldn't expect you to be on this board long.  If there's at least 30 million motile sperm, then you're in very good shape.

    That is a weird way to present motility, but it seems like they may have combined the forward progression with the motility scores... their normal percentages seem a little crazy though unless they're post-wash percentages.

    As long as everything else checks out, I would expect an RE to recommend IUI. You should have great odds!

    Good luck! 

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  • Welcome and good luck!
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  • Welcome and GL.
    TTC with PCOS since November 2009
    IUI#1 Femara/Ovidrel (cd 3-7) = BFP, m/c
    IUI#2 Femara/Ovidrel (cd 5-9) = BFN
    IUI#3 Femara/Ovidrel (cd 3-7) = BFP!
    beta #1 11/23 = 270, P4 = 75
    beta #2 11/28 = 2055
    Our daughter E was born 7/29/2012!
    Surprise, our 2nd daughter P was born 5/22/14!
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  • Welcome! Yes, I agree with Katib, I have never seen it that way either. So, what was the count? I see volume, but no count listed. Best of luck to you!
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    TTC since March/April 2010
    DX: MFI - less than 1 million sperm, 26% motility
    DH put on anastrozole to increase counts
    June/July 2011 100 mg Clomid + TS IUI#1 & IUI 2 - BFN :-(
    Forced break due to DH getting spinal surgery in August 2011
    IVF - January 2012: BFN
    FET in April 2012 - BFP at 6dp5dt! Beta #1 at 9dp5dt: 82.5, Beta #2 at 12dp5dt: 352 Beta #3 at 19dp5dt: 6000, saw heartbeat and one little bean at 5W6D!
    After nearly 3 years of waiting our LO was born December 18th 2012!
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  • Welcome and good luck!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    TTC# 1 since 5/10
    Me:34 Type 1 Diabetes, Ankylosing Spondylitis, Hypothyroid DH:35 Perfect
    DX: Unexplained IF
    Many IUI's with various meds all BFFN
    IVF #1 11/11 canceled due to OHSS
    IVF #2 Feb/March 2012 ET of 2 on day 3 4/7 BFP! 5/1 u/s blighted ovum
    IVF #3 July 2012 ET of 3 on day 3 7/24 BFP!
    Healthy baby girl born at 36w4d on 3/9/13

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    IVF #4 May/June 2014 ER 6/4 18R 8M 8F ET 6/9 1 blast, 2 frosties
    Beta 6/18 BFFN

    FET of 2 blasts 7/24...BFP!
    Healthy baby girl born at 36w3d on 3/17/15

    TTC#3
    IVF #5 June 2018- PGS planned, no surviving embryos
    IVF #6 August 2018- ET of 2 on day 3 - Chemical pregnancy
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  • Welcome to the board! GL with testing and moving forward.

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  • Welcome to the board and good luck!
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