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SA Results & Plan...tell me what you know

Hi Guys....wanted to get your opinion on my DH's SA...

Vol: 3.7ml

Concentration: 59.6M

Count: 220M

Motility: 53%

Morph: 27% (should be over 40% according to my doc, 30% based on this link https://www.resolve.org/diagnosis-management/infertility-diagnosis/the-semen-analysis.html)

She said all numbers were good except morph was low. I was confused about this at first as most SA results I see Morph say anything over 5%. But whoever posted that link today, thanks. It makes more sense. (I think it is Kruger vs WHO?)

So, she said we might have no issue but we could with the sperm penetrating the egg, she thinks the issue is mainly with me (possible PCOS, irregular periods, long cycles, etc) but that we might also benefit from IUI. We are doing a repeat SA in 4 weeks.

I was super excited once I talked to her bc she is going to do all the proper testing (that I know about thanks to all you ladies!) so I go in on CD3 to start all testing and clomid, eeek! I am just medicating, no IUI next cycle. She said we can trigger or not, opinions? I am sure she will tell me more about this.

Any opinions on the SA results? Any info on how to improve morph? Trigger or no?

Happy HalloweenDevil sorry that was kinda long....Big Smile thanks for reading!

Off BCP since 1/12
TTC since 3/12
High LH/FSH Ratio 8/12
DX with PCOS 11/12
Clomid 50mg - 19.5mm Follie - Trigger + TI = BFP! 11/12
EDD August 11, 2013 
DS Born August 14, 2013!

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Re: SA Results & Plan...tell me what you know

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    That morph is fine. My DH's was 6.7% and the RE wasn't concerned with it at all. Overall, YH SA looks great. 

    As far as trigger, it's up to you if you want that extra push or not. I think it'll help you time things a little better, IMO.

     GL!  

    Oct. 2012: Clomid + Ovidrel = Baby A born 07.17.13 at 38 wks! 
    TTC #2 since Jan. 2014
    BFP#1 02/26/14 CP 02/28/14
    BFP#2 03/23/14 Stick Baby Stick!
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    imagepgermain11:

    That morph is fine. My DH's was 6.7% and the RE wasn't concerned with it at all. Overall, YH SA looks great. 

    As far as trigger, it's up to you if you want that extra push or not. I think it'll help you time things a little better, IMO.

     GL!  

    I don't have any experience in this area, but I wish you the best of luck!! And what is "trigger"? I keep seeing that but no clue as to what it is...


    BFP #1 ended in MMC. Discovered Oct 2005 @10w5d, baby stopped growing around 6w. D&C.
    BFP#2 Nov 2005. Baby's heart stopped @ 8w3d. D&C Jan 2006. Trisomy 18
    BFP#3 Nov 2006. My "miracle baby" DD born 7/25/07
    BFP #4 11/6/12. EDD 7/16/13~my birthday! No sac found @ 5w1d, betas not increasing. Natural m/c started 11/20/12.

    BFP#5 11/9/13.  EDD 7/21/14  Our beautiful rainbow born on his due date!!

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    imageAmores0121:
    imagepgermain11:

    That morph is fine. My DH's was 6.7% and the RE wasn't concerned with it at all. Overall, YH SA looks great. 

    As far as trigger, it's up to you if you want that extra push or not. I think it'll help you time things a little better, IMO.

     GL!  

    I don't have any experience in this area, but I wish you the best of luck!! And what is "trigger"? I keep seeing that but no clue as to what it is...

    '

    It's a shot that triggers ovulation.  

    Oct. 2012: Clomid + Ovidrel = Baby A born 07.17.13 at 38 wks! 
    TTC #2 since Jan. 2014
    BFP#1 02/26/14 CP 02/28/14
    BFP#2 03/23/14 Stick Baby Stick!
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    I think the results look great also.  I want to make sure to add to get an HSG before starting any medication.
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    imageSweetC80:

    OP, your lab used the WHO standards and PP your lab used the strict Kruger.

    27% is a little low based off of WHO, but since the count is really high I wouldn't be as concerned about it.

    SweetC - isn't the OP's strict Kruger? Mine was WHO.

     

    Oct. 2012: Clomid + Ovidrel = Baby A born 07.17.13 at 38 wks! 
    TTC #2 since Jan. 2014
    BFP#1 02/26/14 CP 02/28/14
    BFP#2 03/23/14 Stick Baby Stick!
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    imagepgermain11:
    imageSweetC80:

    OP, your lab used the WHO standards and PP your lab used the strict Kruger.

    27% is a little low based off of WHO, but since the count is really high I wouldn't be as concerned about it.

    SweetC - isn't the OP's strict Kruger? Mine was WHO.

     

    If yours is listed as WHO and 6.7% morph wasn't flagged, it was probably the 5th edition of the WHO standards used in your analysis, not the 4th edition. Some labs are still using older standards of WHO (Quest used WHO 1992 standards when my husband had his SA last May). 

    https://www.clevelandclinic.org/reproductiveresearchcenter/docs/agradoc406.pdf

     

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    imageShayliz:
    imagepgermain11:
    imageSweetC80:

    OP, your lab used the WHO standards and PP your lab used the strict Kruger.

    27% is a little low based off of WHO, but since the count is really high I wouldn't be as concerned about it.

    SweetC - isn't the OP's strict Kruger? Mine was WHO.

     

    If yours is listed as WHO and 6.7% morph wasn't flagged, it was probably the 5th edition of the WHO standards used in your analysis, not the 4th edition. Some labs are still using older standards of WHO (Quest used WHO 1992 standards when my husband had his SA last May). 

    https://www.clevelandclinic.org/reproductiveresearchcenter/docs/agradoc406.pdf

     

    It was the the older standard, yes.  

    Oct. 2012: Clomid + Ovidrel = Baby A born 07.17.13 at 38 wks! 
    TTC #2 since Jan. 2014
    BFP#1 02/26/14 CP 02/28/14
    BFP#2 03/23/14 Stick Baby Stick!
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    SweetC I was thinking that too since it wasn't like super low and everything else seemed ok.

    Thanks everyone for the info!!  It's kinda confusing bc there are so many different standards it seems.

    Does IUI help with morph issues?

    Off BCP since 1/12
    TTC since 3/12
    High LH/FSH Ratio 8/12
    DX with PCOS 11/12
    Clomid 50mg - 19.5mm Follie - Trigger + TI = BFP! 11/12
    EDD August 11, 2013 
    DS Born August 14, 2013!

    imageImage and video hosting by TinyPicimage 



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    question.. maybe I am missing something...

    why are you doing a repeat in 4 weeks?  That isn't enough time.... I thought 3 months was more standard.  

    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
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    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



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    imageksgsmu:

    question.. maybe I am missing something...

    why are you doing a repeat in 4 weeks?  That isn't enough time.... I thought 3 months was more standard.  

    It's just to determine if the morph is always that number. She said sometimes its a really great sample one time and it isn't always like that, so they like to check it twice. We aren't doing any treatment to improve numbers, just validating I guess. From what I read online 3-4 weeks seems normal for this.

    Off BCP since 1/12
    TTC since 3/12
    High LH/FSH Ratio 8/12
    DX with PCOS 11/12
    Clomid 50mg - 19.5mm Follie - Trigger + TI = BFP! 11/12
    EDD August 11, 2013 
    DS Born August 14, 2013!

    imageImage and video hosting by TinyPicimage 



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