SA results - please help decipher

[Sav]

We understand the bottom line, but would like help in deciphering the whole picture.

Could someone please break it down for us

Here are the results: (test results are in purple, normal range are coded in green)

ABSTINENCE 5 days
APPEARANCE Yellow
SEMEN VOLUME 3 >1.9 - mL
PH 7.6 7.2 - 8.0
MOTILE/ML 0.005 >9.9 - x10(6)
SPERM/ML 0.1 >19.9 - x10(6)
MOTILITY 4 >49 - %
GRADE 0.5 3 - 4
MOTILE SPERM/SPEC 0.02 >19 - x10(6)
VISCOSITY 4 3 - 4
AGGLUTINATION 4 >2 -

SUPRAVITAL STAIN Too few spermatozoa to do accurate study >74 - % live
COMMENT (NOTE)
Specimen appearance, volume, pH and viscosity were observations by
referring personnel.
OTHER Test Not Performed
Sperm count inadequate

[IT_Guru]

I would start by getting a second one done because the first could just be a fluke.

[Sav]

Actually ..that was the second one - the first had similiar results. It was done a few months ago.

Do you think ICSI will work for us?

[IT_Guru]

ICSI works for most people. The fact that he has countable sperm is a good thing. There's a thread that I just saw that someone with no sperm was able to have a child.

Have you started any vitamins or has your DH done a full blood work up. You might find there is a cause for this and fixing that issue will help with counts.

[Mondayschild]

Sav, So sorry you are going through this. Has your DH seen a urologist to find an explantation for his sperm analysis? Do you know what the morphology was. From the results it shows that the motility was poor and the grade was poor. I do not know what to tell you about ICSI. We always were able to get fertilization and even had our share of chemicals but never a successful pg. From what the urologist told us, the chances of a successful pg for us was slim due the issues with DH sperm. We did not find out everything we needed to know about DH sperm until we had completed several ART procedures. Good Luck to you and your DH

[cpgal]

I would also be concerned with 5 days of abstinence before the test. I have been to several places and was told that 48 to 72 hours is how long you should abstain anything longer than that then the sperm actually start dying and degrading so the count will not be accurate. 5 days MIGHT have had that effect.

We are going IVF/ICSI due to poor morphology (4% Krueger) other than that DH has higher than normal counts. From everything that I read the best way to correct morphology with very good results is IVF/ICSI. IVF is very good at correcting male issues even more so than female ones.

[IT_Guru]

There are two thinks I would point out.

1. I agree with the post above that 5 days is a little on the long side to wait.
2. The color, yellow, that doesn't sound right. I would check for an infection or something else that could be causing the low count.

I would see an Urologist to have a full checkup.

[IT_Guru]

One other thing I just found that might help with the direction you go with.

In addition to providing a diagnostic/predictive value for in-vivo conception, there is a plethora of studies documenting the assessment of traditional semen parameters that are clinically useful in the management of a couple requiring ART. Recently it has been shown that below a cut-off value of 1x10 6 total motile spermatozoa present in semen no pregnancies were achieved after IUI .

Campana,A.,Sakkas,D.,Stalberg,A., et al. (1996)Intrauterine insemination:evaluation of the results according to the woman’s age ,sperm quality,total sperm count per insemination and life table analysis., Hum.Reprod.,11,732-736

[tenseintexas]

SAV- my husband was low on everything...especially morphology ( 0% on krueger) and IVF with ICSI worked the first time for us. I have always thought of myself as lucky for the problem being male.