Kruger strict morphology question

Radler · January 2009

OK, so I'm a TTTC veteran, going on 3 years now, and we've just had our first SA on the Kruger scale (old RE didn't do Kruger and this is now part of an IVF workup with a new RE).

The WHO semen analysis was always in normal limits for count/motility/morphology, and we've had probably 8-9 SAs now, but on the Kruger scale we have 1% normal.

I really have a hard time wrapping my head around 4% normal being OK and 1% normal being "infertile." Both just seem like such small numbers. Can someone help me understand?

And also ... does this mean we finally have a diagnosis? I'm freaking out a little here. It sounds like this means IVF with ICSI could work for us. After 7 IUIs. Oh wow.

Cassie D · January 2009

I know that personally we also have 1% morph on Kruger for both the SA and follow up. My RE recommended that we go straight to IVF w/ ICSI, due to the low morph. I know that kruger is a much stricter guideline to follow. I would say based on what you are telling us that you have MFI.

We decided to do IUI with donor sperm for financial reasons, as my only problem is anovulation.

HTH...

Mahon Baby · January 2009

I'm stunned that you've done so many IUI's w/o doing a SA by atleast the second one. My DH has 1% morp on Kruger but was "low end of normal" on WHO. When the Kruger came back my RE said he would never had done the IUI's had he seen our morph first. I was pissed at that, but that's another post, but we have to now do IVF w/ ICSI.

Hopefully, that's your diagnosis and IVF will be the charm. Good luck!! Keep us posted.

preheatedoven · January 2009

Our strict morph was originally 0%....sucks. But, my DH had a varicocele, surgery, and now we are up to 3%

I would definitely say that 1% strict would be MFI.

Quizzle · January 2009

We have 1% strict morph and lowish motility and count, and were told straight to IVF. My main issue is anovulation, too, and the doctor isn't worried about me, even though I haven't had any CD3 bloodwork yet.

I asked about IUI and was told we could do it if we wanted to -- he'll let us try it -- but he thought that we'd be wasting our money and that he estimated our chances to be about 5%. I'd rather spend the money and try for something with a better chance of working, so it's IVF for us.

ginger67 · January 2009

Hi There - Im a longtime lurker but this is my first post. My boyfriends first two SA's last year showed 0% morph. I was seeing an accupuncurist at the time who gave me "conception rx" vitamins for him. Dont know if it was vitamins alone (never a smoker or drinker) but after being on them for 4-5 months morph just tested at 17% which R.E. said was great because they like to see anything over 14%. I believe my R.E. goes by kruger. R.E also told me that the reason IUI can work for poor morph is that it bypasses CM which has a web like structure to keep out odd shaped sperm. Hope this helps someone. Ive had 2 IUI's with Follistim that haven't worked and I'm really hoping new morph numbers do the trick. Do the girls at TTC after a loss read this board also? I hate to think of people being told they have no choice except to cough up $15,000 for IVF. I'm OOP as many of you are.

fallbride110406 · January 2009

My situation was basically the same as Quizzle. ?Our morph on strict Kruger came back at 3% with horrible motility but good numbers, and 1% with good motility and good numbers again. ?We were told straight to IVF with my only problem being PCOS which was giving me long, irregular cycles and?inconsistent?ovulation. ?IUI just seemed like a waste to us with our natural chances at less than 1% and IUI at only 5-10%. ?IVF was 65%+.

HarleyQ8 · January 2009

I dont know how to interpret the #s...I just wanted to say that if you headed to IVF w/ICSI, I really hope this will be the end to your TTTC journey & that a BFP is in your future soon!

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