Introduction and SA questions

concord32 · July 2012

My husband and I decided to start TTC Oct 2011. I went off BCP's and have had one natural period since. My OBGYN referred me to an RE who I met with last week. She recommended that we do a SA, 3 cycles of clomid and if we don't get results after the 3rd cycle, she will do more invasive testing. I took my last Provera pill yesterday, and will follow with clomid +trigger+ progesterone. My question is about DH's SA. The results they gave me were:

47 million count/75% motility/3%morphology

The nurse said they were normal, however, from what I have read, the 3% morphology is really low. I am assuming there is more to the calculation as to what is "normal", but was hoping some of you might be able to educate me a little.

Good luck to all of you and thanks for having me.

musicalsilver · July 2012

I think it's all relative. With a high count like 47 million, 3% isn't too bad. I don't remember what my H's counts were, but he had 4% morph, and my RE wasn't concerned about it, even though it's on the low side - because the overall numbers were nice and high.

Durham1008 · July 2012

concord32:

My husband and I decided to start TTC Oct 2011. I went off BCP's and have had one natural period since. My OBGYN referred me to an RE who I met with last week. She recommended that we do a SA, 3 cycles of clomid and if we don't get results after the 3rd cycle, she will do more invasive testing. I took my last Provera pill yesterday, and will follow with clomid +trigger+ progesterone. My question is about DH's SA. The results they gave me were:

47 million count/75% motility/3%morphology

The nurse said they were normal, however, from what I have read, the 3% morphology is really low. I am assuming there is more to the calculation as to what is "normal", but was hoping some of you might be able to educate me a little.

Good luck to all of you and thanks for having me.

Wtf? Does that mean you haven't had an HSG yet? You should absolutely find a different RE. There is no point whatsoever in wasting half of your maximum lifetime cycles for Clomid without even checking to see if your tubes are blocked.

maggie2324 · July 2012

Unless your insurance doesn't cover it (a HSG is very expensive), I would definitely insist on the invasive tests before starting Clomid.

With a borderline issue in the SA, I'd also do IUI instead of TI during the Clomid cycles. Since 4% and up is normal, I don't see 3% as a huge issue.

concord32 · July 2012

Durham1008:
concord32:

My husband and I decided to start TTC Oct 2011. I went off BCP's and have had one natural period since. My OBGYN referred me to an RE who I met with last week. She recommended that we do a SA, 3 cycles of clomid and if we don't get results after the 3rd cycle, she will do more invasive testing. I took my last Provera pill yesterday, and will follow with clomid +trigger+ progesterone. My question is about DH's SA. The results they gave me were:

47 million count/75% motility/3%morphology

The nurse said they were normal, however, from what I have read, the 3% morphology is really low. I am assuming there is more to the calculation as to what is "normal", but was hoping some of you might be able to educate me a little.

Good luck to all of you and thanks for having me.

Wtf? Does that mean you haven't had an HSG yet? You should absolutely find a different RE. There is no point whatsoever in wasting half of your maximum lifetime cycles for Clomid without even checking to see if your tubes are blocked.

Thank you for you input, I am still new to all of this and any new information is helpful! I have not had an HSG yet. My RE said, whether this is the right approach or not, that she feels it is almost definitely a hormone issue due to the fact that I am not getting my period at all. I had blood work done a few months go and my prolactin, FSH and TSH were all normal. I have enough estrogen to build up a lining, but nothing happens after that, my body just can't seem to complete the cycle. I was under the impression that you still had periods even with a blockage. Is that correct?

concord32 · July 2012

maggie2324:

Unless your insurance doesn't cover it (a HSG is very expensive), I would definitely insist on the invasive tests before starting Clomid.

With a borderline issue in the SA, I'd also do IUI instead of TI during the Clomid cycles. Since 4% and up is normal, I don't see 3% as a huge issue.

I am not sure if my insurance covers an HSG and since we have only been trying for 8.5 months, IUI is not an option for us yet, per my RE.

Durham1008 · July 2012

concord32:
Thank you for you input, I am still new to all of this and any new information is helpful! I have not had an HSG yet. My RE said, whether this is the right approach or not, that she feels it is almost definitely a hormone issue due to the fact that I am not getting my period at all. I had blood work done a few months go and my prolactin, FSH and TSH were all normal. I have enough estrogen to build up a lining, but nothing happens after that, my body just can't seem to complete the cycle. I was under the impression that you still had periods even with a blockage. Is that correct?

You might or might not. You could have a blocked tube and another issue. I don't think a blocked tube alone would affect your cycles but if you had, for example, a blocked tube (or two blocked tubes) and PCOS, the PCOS could affect your cycles. I dislike this habit of some doctors of referring to HSGs as more invasive. Technically it's true that an HSG is more invasive than an SA but it's really not that big a deal. It's a fairly simple procedure.

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