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Semen analysis

lentilcat
03-24-2006, 01:37 PM
I just wanted to post her because 5 years ago when we first started ttc my husband was tested by my regular obgyn and had no problems. We tried several iui's with his sperm and clomid. I was already 36 so we went to a RE after about a year at my obgyn. Well...when they tested his sperm it turns out he had low morphology and no chance of fertilizing an egg without icsi! I was so angry to lose a year trying. Make sure the lab that tests the semen is using the best tests because otherwise you could be wasting a lot of time and money. I did get an apology letter from my ob! I still am trying , but now I'm 41. I hope this warning helps someone else. You have to be a smart patient.

AMF
03-25-2006, 05:14 AM
I just wanted to "bump" this one...because we were very close to making the same mistake...my OB/GYN...said IUI "shouldn't" be a problem...DH did labs etc...
Well, as it turns out in the middle of trying to decide what to do..IUI seemed possible, we had to change insurance....new GP told us, let's do another SA....
When my DH called for results...
Him: This is so and so...calling for the results of my SA...
Her: "Oh, right...you had the vasectomy right?"
Him: CLICK...
Umm...ya think IUI would have worked? I think NOT!
So applause for you for being smart, lentilcat! You go!

stephhuck
03-27-2006, 02:50 PM
Were you told there is no chance of his sperm fertilizing an egg? My hubby also has very poor morphology (1-3%) but good motility and good count (121 million). They told us iui is definitely worth a try. We did 3 natural iui cycles w/ no success and one cycle w/ me doing FSH/trigger injections - no success. I worry about going through all of this and it never working. Of course everyone says ivf w/ icsi is our best bet, but we're not ready nor do I know if I'll ever be ready for that. 1% of 121 million is still 1 million - you'd think one spermy could do it's thing!!! It is very frustrating! I'm always so afraid of wasting time. I'm still fairly young (34) but time moves fast! Good luck to you and please let me know what you were told. Thanks.

AMF
03-28-2006, 07:48 AM
Hi there Steph,
No, we were never told that IUI wouldn't work, but we didn't meet the criteria for success with IUI, due to low count...(2 million) and low morph (13%). RE said, "It would be a waste of time."

They seemed to be most concerned with the count...and that doesn't seem to be your issue at all.
With your numbers, I probably would have persued IUI.
It took me a year to decide on the whole IVF/ICSI thing, a year I am glad to have not wasted hoping IUI would work, as our GYN to alluded to, only to be told by a specialist, it would not...

One thing RE did mention, and was very direct with us, is that IVF w/ICSI is the only treatment for MF...
(I assume he meant with the numbers he has to work with.)

I still have not received a satisfactory answer as to why or how it works, or in this case why it has not worked....
considering we were all told, "it only takes one..."
Remember in High School... when we were warned about an unwanted pregnancy back in the day? Anyway, I am very curious as to why that is....

Anyone else care to make an attempt to get through my thick skull?

belle3
03-30-2006, 11:11 AM
its hard to get all this info straight, especially since we are all individual cases.

we have MFI with less than 1 million, good motility, and unknown morph because there wasnt enough sperm to tell (which i still question, because another center was able to tell us with still less of a count)....anyway....

it was almost no question that they sent us straight to ivf with icsi. she told us there wouldnt be enough sperm to weaken the egg. it takes many million to come up to the egg and try to get in. normally, working as such a big army they weaken or "beat up" the egg enough for ONE lucky spermie to get in. We didnt have many million. so, icsi takes that entire process out.

it still didnt work for us, but i think icsi has a 30% success rate, and then theres the 50% chance of it attaching. dont quote me on these %s....for some reason these numbers are in my head. so even still by cutting out the middle man, theres lots of finger crossing to be done.

thats the way i understand it anyway :)

AMF
03-30-2006, 01:41 PM
i didn't know that belle, about "beating up the egg" That makes so much sense!
thanks

Emily A.
04-07-2006, 05:49 PM
Hi all, just reviewing your threads on SA. We just got ours back today IN THE MAIL, with no explanation of all the numbers on it...the word that stand out is abnormal to us... :confused: if anyone can help I will post some of the numbers?? I have to wait till Monday to get the Doctor on the phone to help me interpret what this means. Any help would be appreciated.

Mom2BSomeday
04-07-2006, 10:04 PM
They mailed you your results????? What kind of place are you going to???? Geeze our RE's nurse called us and explained all of our numbers to us. I'd have that doc on the phone giving him and earful if I were you. That seems way unprofessional to me. Especially if something says abnormal.

belle3
04-08-2006, 12:59 AM
hi emily,
i thought it was odd that they mailed it without having discussed it with you first. now you will be making up your own "abnormal" definitions all weekend!
some of our numbers were under the "abnormal" column...and for us it meant that the numbers were under the "average" amount they like to see. its my understanding that the "norm" for the actual count is at least 20million, motility should be at least 50%, and morphology should be at least 30% (WHO) and 14% (Kruger). i got these numbers from my dh's last SA chart. i dont know if it differs between labs.

i hope all turns out well. dont forget that you are not alone in this journey.

Emily A.
04-08-2006, 07:10 AM
Hi guys-
Let me clear up that this is my primary care Dr.'s office that mailed me the results. After a year of TTC he said he wanted to start with the SA and then refer me to a specialist. Still, I think that they should have called and help explain. I did look all over the net, and feel a little better about the results. I posted them under BBT Question thread. It looks like all is ok till it gets to the viscosity and all this other stuff. If you can, look at the results and give me any input that you have. I would really appreciate it. I don't know what I would do without you guys...I just started coming to the site and it is a God send.

Tess914
04-08-2006, 07:59 AM
About "beating up the egg", I saw a video on that :) It's true. What happens is that a bunch of sperm all surround the egg and try to penetrate it and it gets weakened in a spot and then one *lucky* little guys gets to make it's way in.
Tess
xo baby dust to all!!!

sarafina
04-08-2006, 10:20 AM
I had a post on the board somewhere about having a problem with my gyn but I can't seem to find it :( I was saying that my dr. doesn't seem too sympathetic in helping us either. She has said that she will put a lab request in for me to have my progesterone tested and for my dh to do the sa test. So I am going this monday to do my test and then this week for my dh. what i was uspset about was that she said she will not schedule an endo test until after we both do our tests. Like she was saying don't waste my time! I wanted her to do these test first before we went through with the IF clinic to already rule out anything we can first so we can get started right away with IUI. The only reason I thought I may have endo is bcuz of my painful menstral cycles and I can't think of any other reason of not conceiving after almost 6 years! Dh has 3 children from previous marriage. I'm 32 this summer and he will be 41 this summer.

BC-blu_sky
04-08-2006, 10:30 AM
The only way to diagnose endo is with a lap, so if your reg doc is not an expert in endo I would get a lap from someone who is.

Catpin
04-23-2006, 06:37 PM
Hi there....I'm a new member. I had 1 unsucessful IVF last month. On Sat. 4/29 I will hopefully have a FET. I have 5 frozen embroys that will start the defrosting process on Wed.

Has anyone gone thru this??? Thanks!

Mom2BSomeday
04-23-2006, 08:10 PM
Catpin, welcome!

There are quite a few ladies who have been through FET successfully. You might also check on the FET Board http://www3.fertilethoughts.com/forums/forumdisplay.php?f=25

Good Luck!

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