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Advice - DH's analysis is abnormal
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#1 BB1511

Posted 18 January 2013 - 01:39 PM

Just got the results of my DH's semen analysis and it wasn't quite what we expected motility was 46% and abnormal morphology was 92%. The GP he saw was useless and just said these were not within the normal range and referred him to an IVF clinc. Can anyone help with interepting these numbers? We are making an appointment but I am a little anxious to get some info/knowledge before then. As background we have a DS who is just over two and we got pregnant 2nd go with him but this time around we are at 8 months. Has anyone else had a similar experience?

#2 hillplain

Posted 18 January 2013 - 02:01 PM

HI BB,

I am sorry I will probably not be much help. We have no children and my DH's tests came back as only 2% (98% no good) viable in morphology however motility, number etc was fine. We were informed that there was no way but IVF with ICSI and they use HA also.

We have had 100% fertilisation with the few eggs that I have produced using this method. As your DH are a lot better I an not sure what will happen?

Best of luck with your journey.

#3 FeRaL n ScReWeD

Posted 18 January 2013 - 02:16 PM

My fiancé had his come back as 4% normal morphology,
We decided to go ahead with a tubal reversal and 11 months later we were pregnant. I was told it would be unlikely that we would conceive but we did.
I realy don't have much to add, just that we decided to give it 12 months and if nothing had happend then we would start planing to see a specialist.
If I was any older I may have seen someone earlier, we just decided to give it a bit.

#4 HRH Countrymel

Posted 18 January 2013 - 02:46 PM

Hi OP I just went and found my posting on a similar subject:

Post one.. (edited)

QUOTE (countrymel @ 02/07/2009, 12:15 PM) <{POST_SNAPBACK}>
my partner just got the 'swimmers exam' (as he called the sperm morphology test) results back, according to the results only 8% are normal(preference range >8%)
82% have 'head defects' there is also a 'TZI' of 1.17 - the preference range is <1.60


Followed by post two in the same thread (edited)

QUOTE (countrymel @ 24/07/2009, 10:46 AM) <{POST_SNAPBACK}>
just thought I'd let you know, we went to the fertility specialist yesterday and apparently those are GOOD readings!! silly me. DP is now referring to his 'super sperm' (hmmmmmm)



So don't freak out - the FS actually told DP that he had "One of the best samples I've seen in ages.."

#5 Glitterz

Posted 18 January 2013 - 03:15 PM

HI OP
46% motility is fine... the reference for 'abnormal' is below 50%.. so its nearly on pa.
Do you know what the percent was for rapid motile?  These are the sperm that are mainly looked at within IVF clinics as these are usually the ones that fertilise.

Morphology normality in the male population is declining, and in fact, the WHO have reduced the reference for normal forms from like 5% down to 3%.  So really, your DH is fine.

Id really recommend a secondary analysis to be done within an IVF clinic though, as we find our results differ to analysis done at pathology centres.
Hope this helps.

And good luck!

Edited by Glitterz, 18 January 2013 - 03:18 PM.


#6 spring_rain

Posted 18 January 2013 - 03:54 PM

Hi OP,

Just wanted to offer some support - we (DH and I) are in exactly the same position. We have a 2 year old DD, conceived the old fashioned way within a few weeks. We have been trying for nearly a year for #2, but no luck.

We ended up at a fertility clinic even though my results were quick to come through (all OK), there was a quite a wait for DH to get tested. His results didn't come back until I had already started in IVF #1, and his results were worse than your DH's. As I'm well over 35, we were referred to a FS quickly. Both the IVF cycles we did required ICSI. In the end, we figured out that it was due to a health condition that DH developed between conceiving DD and trying for no #2 - the medication for that lead to his poor results.

Though our FS didn't seem concerned, and said that many male issues can be overcome with ICSI.

Best of luck with your journey, hope to hear good news soon original.gif

Edited by spring_rain, 18 January 2013 - 03:55 PM.


#7 BB1511

Posted 18 January 2013 - 05:02 PM

Thanks for everyone's replies. The results took me by surprise as I expected there to be more likely an issue on my side than his. You've all made me feel a lot better. Sounds like the results aren't quite as bad as I thought. I have got some supplements from my naturopath for my DH which I thought we might as well give a go while waiting to get into the FS.
Glitterz - there was nothing on the results about 'rapid motile' there was 'forward progression' which was 41 so above the reference number.
Countrymel - the FS would probably be quite happy with my DH's results too then.
Spring_rain - I am only 33 and DH is 36 so we still have time on our side but I would have liked our children closeish in age. My DH doesn't have any medical conditions but his job has become increasingly stressful so I don't know if that has contributed.
I guess we will just keep on trying and wait to see what the FS has to say when we can get an appointment. I am going to see my GP on Monday to see if she can send me for any preemptive tests too. I hate waiting around doing nothing.
Good luck to everyone with their TTC journeys.

#8 dimensionk

Posted 18 January 2013 - 06:19 PM

The WHO criteria says if you have 3% or higher normal morphology then it's considered 'normal'.
The median is 14%.

DH had 2% on the first test. 1% on the second.
Just started our first IVF cycle and got 100% fertilisation thanks to ISCI.

8% isn't too bad at all. I think the FS will probably suggest giving IUI a shot.


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