Clomid and Low morphology

pelzman5 · March 2014

Hi all, I have been trying to search the boards for a long time. I am wondering if anyone here could help me. I have just finished my 5th day of clomid (taken fir the first time). I didn't noticed any side effects so I guess I am lucky. Our doctor says I am a healthy 32 yr old with no fertility issues. My husband (37) has low morphology however (.05%). Everything else from the SA is good though. He has a 13 and 14 yr old from his previous marriage.

So the doc put me on clomid and hubby on different supplements/vitamins. We have been TTC for 2 years and I am really hopeful this is our year. Has anyone had any success with clomid and low morphology? Any helpful insights to pass my way? Thank you in advance!

Mommalawyer · March 2014

What's your RE plan of attack? Obviously the clomid is to make your ovaries be super ovaries and they can monitor your follicles & growth & ovulation..... I don't think clomid will help any of the fertility issues he has.... I know vitamins can help.... If you are going to do iui, then the wash is going to knock out any of the "bad" sperm and only leave the warriors. That probably doesn't completely answer your question, but hopefully it helps.

jenkellen · March 2014

I don't think you will find any success stories here as we are all currently TTC. Did they do multiple SAs on your husband? We had low morph the first time and they just did a repeat test. My husband also got put on vitamins and we are doing clomid/letrozole + IUI. The thought was to get 2 eggs and get the sperm closer to the eggs in hopes of better success.

pelzman5 · March 2014

Thanks for the replies. It was a fertility specialist that we saw and only one SA. The doctor didn't seemed too concerned with the morphology of .05% because everything else in the SA was really good and my health is really good. My husband has been taking all of the vitamins since we got the results. I guess that is really all we can do and keep trying. It is frustrating because I read the low morph is not a big deal some places and then others saw it is. The doc basically said 1 out of every 100 of hubby's sperm is normal. In one milliliter he had like 147 million sperm and the sample was 3.5 milliliters. With that amount, you have to figure there is a lot of normal sperm. Well this week is ovulation, so hears to hoping!!

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pelzman5 · March 2014

What is RE? Is that a doctor that just deals with SA issues? Our doc said me going on Clomid would increase the chances of the sperm making it to the egg. Also, my cycles are not regular, although they do happen every month. The doc said that will make it easier to pin point ovulation even though I was using OPKs before. Our doc seemed confident we would get pregnant in with in the 3 months of clomid he prescribed to me. He wants us to come in after the 3 months if it doesn't happen and do another 3 months of Clomid. After that he wants to do IUI.

sundaybrunch · March 2014

RE stands for Reproductive Endocrinologist,a doctor that specializes in infertility. I would also ask for a referral to a urologist for your husband.

The only thing Clomid will do for you (since you do ovulate on your own) is to create more targets for the sperm to hit. If your DH has morphology issues than I would think you would move right to IUI in addition to the Clomid and a trigger. Not doing so seems to be a waste of cycles. If I were you I would call your doctor and ask what their reasoning is for not starting with IUI right away. I would also ask about moving on from Clomid after three cycles.

If you're not seeing an RE please make sure you're monitored while on Clomid.

pelzman5 · March 2014

I have to go to the lab to test my Progesterone level at cycle day 21, 22, or 23. I am going to call my doctor to see if my husband needs to go to a urologist. Just so weird how my doctor made this seem like no big deal and now I am very confused! Thanks for your help ladies.

pelzman5 · March 2014

BTW, we are seeing a RE, I just looked him up online. Sorry, not familar with all this yet.

sundaybrunch · March 2014

I think it's very important that you start lurking on this board, doing research, and anything else you can to educate yourself. There's a lot to learn but you need to advocate for yourself and the only way to do so is to be informed.

pelzman5 · March 2014

No, I stopped using them after seeing the RE. I can test though to see. I am pretty sure I am now (day 15).

pelzman5 · April 2014

Ok, my progesterone levels came back normal and were tested on day 22 so I did ovulate. Since I was tested on day 22, does that mean I ovulated on day 15? How do you figure that out? I got more ovulation test strips for the future (if I need them).

lebradford · April 2014

Getting your progesterone checked is not sufficient monitoring for a Clomid cycle. You should be getting your estrogen checked and vaginal ultrasounds to see how you're responding. For example, if your goal is to ovulate a few eggs at once to increase your odds, but you're still only releasing one egg on this dosage of Clomid, then the treatment is doing nothing for your odds. You need more information to know how to proceed.

Also, I'm not a doctor, but if it were me, I'd push for an IUI right away if there were sperm issues. An IUI is not very invasive or expensive. In fact, my RE recommends them right off the bat even without a sperm issue.

pelzman5 · April 2014

Well AF started yesterday and i am going back to the RE Monday or Tuesday for my ultrasound. so weird that my cycle started early and was only 26 days long. I appreciate the comments and plan to ask my doctor about IUI when I go. I have tried to do so much research on low morphology but there really isn't too much on the internet. Our RE really made it sound like not a big deal at all. Well this month I am using OPKs and hoping to make it happen! Also will be 3 months that DH has been taking his supplements and I know it takes 70 something days for the sperm to be affected by that.

MissEm15 · April 2014

My husband also has low morphology of 2-3%. After his SA, the RE said to do IUI w/ Clomid. I am very regular and have great reserve of eggs. However w/ clomid, I only had one follicle and very thin lining. You should def. have u/s to see how your body is responding to the medicine.

meld42 · April 2014

It seems like you might be missing some valuable info from your RE! It's easy to do, it gets overwhelming!

I would definitely ask why you are on Clomid and for general clarification in the plan of attack. Because as Previous posters have said, you taking Clomid will only add extra eggs for you (assuming you're on a good enough dose) and his sperm will stay the same unless he's on meds too. It's also extremely worthwhile to get a urologist for your DH, who can work with your RE.

For what it's worth, my DH has low morphology and some other low figures, and he's doing Clomid + vitamins. This coming cycle we will be doing an IUI where I am taking Clomid + a trigger.

Just get super clear with your doctor on what's happening!

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