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Integrative Fertility (Expert Forum)
Sperm Morphology
Answered by
John H. Kim, M.D. - Women's Health, Gynecology, Acupuncture, Integrative Medicine, REI, Mind/Body Medicine, ReproductiveMedicine, IntegrativeFertility, Herbal Medicine, infertility, menopause
John H. Kim, M.D.
Los Altos - CA
This forum is for questions and support regarding an integrative approach to healing that combines the best practices in complementary and conventional medicine. Topics include: Acupuncture, Herbal Therapy, Mind/Body Medicine, Traditional Chinese Medicine, Fertility, Stress and Fertility, Body Weight and Fertility, Environmental Contaminants and Fertility, Polycystic Ovarian Syndrome, Recurrent Pregnancy Loss, Fibroids, Endometriosis, Hormone Imbalances, Menopause.
Sperm Morphology
by Atia_Julii, Sep 12, 2008 03:34PM
Hello.
My husband just had a semen analysis done as part of our infertility workup. The last time he had this test done, which was a year ago, his counts were normal. However this time, his morphology was low. Could you please take a look at these results? We don't have a consultation for a week, and the waiting is killing me.
The concentration = 122.5 x million/ml (Normal is anything >20)
Total progressive = 213.2 x million (Normal is anything >20_
Sperm morphology = 0 normal sperm. 100 abnormal sperm
The doctor's note says Morphology. Many tapered heads.
Can you please explain what this all means? And in these situations, do patients usually go right to IVF? And is IVF even possible if 0% of the morphology is normal?
Thanks.
My husband just had a semen analysis done as part of our infertility workup. The last time he had this test done, which was a year ago, his counts were normal. However this time, his morphology was low. Could you please take a look at these results? We don't have a consultation for a week, and the waiting is killing me.
The concentration = 122.5 x million/ml (Normal is anything >20)
Total progressive = 213.2 x million (Normal is anything >20_
Sperm morphology = 0 normal sperm. 100 abnormal sperm
The doctor's note says Morphology. Many tapered heads.
Can you please explain what this all means? And in these situations, do patients usually go right to IVF? And is IVF even possible if 0% of the morphology is normal?
Thanks.
Doctor's Answer
by John H. Kim, M.D., Sep 21, 2008 10:53AM
, Sep 21, 2008 10:53AMTo: Atia_Juliii
One abnormal semen analysis does not diagnose a male problem. You need at least 2 abnormal at least 70 days apart to make a diagnosis. It takes at least 70 days to get a new batch of sperm to test. If your husband's morphology was normal 1 year ago by strict morphology, then I think you can consider trying lesser treatment then IVF/ICSI (intracytoplasmic sperm injection) like IUI. However, with 0% normal and if before there was not a strict morphology done, then IVF/ICSI would be the fastest and most effective treatment for you and your husband.
I would recommend that your husband avoid heat ie hot tubs, saunas, bicycling, avoid alcohol and tobacco and take a multivitamin with antioxidant with Vit A, C, E, Selenium and Zinc. He can try FertilityBlend for Men which also contains B vitamins, ferrulic acid, green tea extract and L-carnitine.
I would recommend that your husband avoid heat ie hot tubs, saunas, bicycling, avoid alcohol and tobacco and take a multivitamin with antioxidant with Vit A, C, E, Selenium and Zinc. He can try FertilityBlend for Men which also contains B vitamins, ferrulic acid, green tea extract and L-carnitine.
Member Comments (2)
by Atia_Julii, Sep 15, 2008 11:25AM
(And just a head's up that strict morphology, or the Kruger method was used for his test)
