ABNL. SA results-what do you think ?

[jenisuzy]

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So I got a copy of the "slightly abnormal" SA results; here ya go (any input would be appreciated!)

THE NORMAL RESULTS:
volume 1.6 ml
ph 8.5
motility 51%
forward progression 4
sperm count per ML 50 x 10 6/ml
sperm count per ejaculate 80 x 10 6/ml
Total, motile, viable sperm 40.8

THE ABNORMAL RESULTS:
viability 54% (normal >75%)
morphology 26% (normal >30%)

These are the few questions I came up with....we only had 1 session of BD prior to this sample being collected, on CD 8. This sample was collected on CD 12. Prior to CD8 CD the last time BD took place was on CD 34 on my 35 day cycle. I am just wondering if this maybe had something to do with the abnormals ??? Not enough BD to get rid of the "old stuff ?" I dont know....
Plan is to repeat another SA in a few months.
Any additional input would be great

[IT_Guru]

I would agree with the slight comment. I have a couple of suggestions for you.

1. Repeat the SA. WHO 4th Ed states the following on page 4.

Two samples should be collected for initial evaluation. The interval
between the two collections should not be less than 7 days or more
than 3 weeks. If the results of these two assessments are markedly
different, additional samples should be examined because the results
of a man’s semen analysis can vary considerably (Fig. 2.1).

2. Keep the time from the last BD to the sample collection as clost to 48 hours as you can.

3. Have a Kruger/Strict done on the next sample.

4. Use a "Collection Kit". To keep the results as close to what is really happening when BD'ing.

One last comment here are the reference values for an SA done to WHO 4th ed.

Volume - 2.0 ml or more

pH - 7.2 or more

Sperm concentration - 20x10^6 spermatozoa/ml or more

Total sperm number - 40x10^6 spermatozoa per ejaculate or more

Motility - 50% or more motile (grades a&b) or 25% or more with progressive motilit (grade a) within 60 minutes of ejaculation

Morphology *

Vitality - 50% or more live, i.e., excluding dye

White blood cells - Fewer than 1x10^6/ml

Immunobead test - Fewer than 50% motile spermatozoa with beads bound

MAR test Fewer than 50% motile spermatozoa with adherent particles

* Multicentre population-based studies utilizing the methods of morphology
assessment in this manual are now in progress.
Data from assisted reproductive technology programmes suggest
that, as sperm morphology falls below 15% normal forms using the
methods and definitions described in this manual, the fertilization rate
in vitro decreases.

[Mrs A]

Don't get caught so much with numbers until next sample. My DH's numbers were much worse than yours but my RE said it was workble. (which i didn't believe it at all, but it worked.) We also only did one SA, we didn't BD for about a month before the SA due to both of our work schedule conflicts and my stress etc...
Here is my DH's numbers to share. It was on Krueger's scale.
my GYN send DH to the SA. We did once. then i decided to see RE right away, when my GYN told me to have my DH to see a urologist. RE didnt' feel the necessity of repeating SA or seeing a urologist for DH as he felt it is a workable numbers for IUI with Clomid. We did all testing on my end, which turned out i had endometoriosis, polyps, many fibroids. We did Lap to clean it up.
I know everyone's treatment course is different, but i think there are hopes for your case and i agree with your Dr's statement of "slight" abnormality. SA varies greatly and i would say your numbers seems much better than ours.

Volume 1.4 mil
Variscosity 0
Count 23 mil/ml
motility 40%
Grade 2
Morphology 4% normal, 96% head defects
WBC none