Hi! I was hoping to get some help in interpreting my semen analysis results... My primary care physician just told me I should see an infertility specialist.. Here it is:
Semen Analysis with WHO Morphology
Abstinence: 2.5 day
Semen Volume: 5.5 mL
motile/mL: 3.3x10(6) (L) ----> total motile 18.2x10(6)
sperm/mL: 9.9x10(6) (L) ----> total sperm 54.5x10(6)
motility: 33 (L)
motile/ejaculate: 18.2x10(6) ----> total number of motile sperm?
WHO morph NL: 22%
germ cells/mL: 0
The motile/mL, sperm/mL, and motility are all low, so that isn't good, but the grade is at least the baseline value.. The semen volume is well above the baseline, so would that make up for the low count per unit volume? I guess it is possible that a more dilute mixture might make conceiving more difficult, but I don' t know..
Well, thanks for reading!
Results 1 to 4 of 4
07-20-2012, 09:35 AM #1dugongRegistered Userhas no status.
semen analysis interpretation.
07-20-2012, 10:53 AM #2SC-Impatient_in_VASite Coordinator*ments* Baby pic in album
That they tested this with WHO morphology instead of Kruger strict morphology made it harder for me to find a reference document since most things refer to Kruger morphology nowadays.
The motility, count, and morphology are all a little low, but it doesn't look to me to be horribly low. And the volume does bring the count to a good level -- 18 million motile and 54 million total in that sample. But they're not moving so great -- only 33% are moving so you'll lose 2/3 of your 54 million right off the bat -- and normal WHO morphology is >30% where you are at 22% (WHO criteria for Kruger strict morphology is 4% but you weren't tested with that method).
What you're seeing here will make conception more difficult, and probably put you in line for doing IUIs (to get the immotile sperm out of your sample as they slow the good ones down).
The infertility specialist will send DH to a urologist (the man version of an OB/GYN) who will make a closer inspection of DH's business, his hormone levels, his case history, etc. to see if there's anything (surgery, hormones, medications) that can be done to improve the situation.
Bottom line, don't give up hope: DH has got sperm, so you're still in business.
07-21-2012, 10:18 PM #3dugongRegistered Userhas no status.
You mentioned the WHO morphology being 30%, but the test result says WHO Morph NL has to be greater than or equal to 15%. I haven't been able to find what the NL means or whether than means something different..
07-22-2012, 10:31 AM #4SC-Impatient_in_VASite Coordinator*ments* Baby pic in album
There are two kinds of morphology tests, WHO and Kruger strict.
To complicate matters, the WHO makes the guidelines for the minimal quality values and these are called WHO values.
What you wrote at the top of yours SEEMS to indicate it was tested with WHO morphology, but if it was in fact tested with Kruger then 15% is the "old" minimum (prior to 2011) and you have exceeded that just fine. It's best to call the lab who performed the analysis and ask specifically if your test results are referring to Kruger strict or not.
I don't have any idea what "NL" would stand for, either.
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