Cd3, SA, and hsg done..thoughts on results?

Danielle0311 · May 2014

Hi ladies!

I am in the midst of my monitor cycle and so far it's going pretty good and I'm so grateful for that. My HSG showed that my only remaining tube is clear and that make me feel so much less anxiety about this process because now IUI is a real option for us! I did have a few questions though ..

So DH's SA was actually pretty good. He had 37mil count and 69%
Motility so that was great. However my RE said his morph was borderline at 4%. He didn't seem to concerned but from what I'm reading it doesn't sound too great. Any thoughts or experience with this? Anything he can do to improve it?

Also, my cd3 numbers were all good except my prolactin is high. I didn't get an actual number
Because I go back on Tuesday and he is gonna re-check it but does anyone know what high prolactin could effect? From what I'm reading it can effect fertility but I'm not really knowledgeable about this hormone.

Any advice or thoughts are appreciated! Thank you

lebradford · May 2014

I have hyperprolactinemia. My numbers before treatment were 101 and I think average is under around 25. (I don't know the exact number.)

High prolactin can keep you from ovulating, or give you irregular cycles because as PP said, it kind of tricks your body into thinking you are either pregnant or breastfeeding.

High prolactin can be caused by a benign tumor on your pituitary gland. The good news is, it very rarely requires surgery, and is treated best through medication. If your prolactin is high again when they retest it (it can vary quite a bit), they will probably have you get an MRI.

If you have any other questions, I'd be happy to try to help.

BunnyBerry · May 2014

I was just diagnosed with hyperprolactinemia (my first # was 77, second # was 60). I have an MRI next week to check for a pituitary adenoma (with #s under 100, it would probably be a micro size under 1cm if I have one).

The treatment would be meds. There's a faster-acting med that's not safe for pregnancy, so RE said I'd go on the other one, but he would also send me to a medical endocrinologist for a consult.

Things that can slightly increase the prolactin # other than a pituitary growth: PCOS, not fasting before the test, a range of meds (your RE will probably check any meds you take), sex and/or breast or nipple stimulation in the last 24 hours, maybe something else but that's all I heard about!

Through charting, I know that I O regularly so the prolactin shouldn't be having an effect on my fertility, but it does make me wonder about the quality of my Oing. RE said if I wasn't TTC, we could do watchful waiting, but it's good to get these under control because they can grow, including in response to fertility meds or pregnancy. Sometimes, with large adenomas especially that have been resistant to treatment, it's necessary to forego breastfeeding. If they grow too much, they can cause headaches or blurry vision from putting pressure on the optic nerve.

I'm glad you have a beautiful clear tube! As far as your DH's SA, our RE said that he's looking for at least 5-6% morph. Sounds like your great count and motility can boost your post-wash numbers for an excellent IUI (RE said that the wash does slightly improve the concentration of morphologically normal sperm, so maybe that could bring you into the target range).

MissEm15 · May 2014

My DH has low morph.. there really isn't anything that can improve it. My RE said 4% is normal. The higher count and motility can make up for the number of abnormal forms after being washed. Good luck!

Danielle0311 · May 2014

Thanks so much for your replies. I am a little freaked about now about the possibility of a tumor

Danielle0311 · May 2014

@nariadreaming .. I was finding so much conflicting information on what normal morph is so I totally get what u mean

As for the prolactin I just called and my number is 33, they said it's slightly elevated not too bad and they are gonna recheck. Hoping the lower side of high would mean it's not too serious. I guess I will know soon enough .. Thanks again ladies

lebradford · May 2014

Yeah, 33 is only very slightly high. I'm not sure if they would even treat it....

Danielle0311 · May 2014

Yea I have been reading up on it and it doesn't seem to high, not sure why my re felt the need to freak me out like this and mention possible treatment of it ??? Guess I'll find out more on my next appointment... Thank you for your advice ladies!

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Cd3, SA, and hsg done..thoughts on results?

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