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Getting Pregnant with low sperm count and morphology

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We have been trying for almost 2 years to get pregnant. Recently, my husband had a semen analysis done, here are the results:

Appearance: Normal
Volume: 2.5ml
Sperm Concentration: 12.6 million/ml
Total Sperm Count: 31.5 million/ml
pH: 8.1
Motility %: 43%

Normal Forms: 1%
Head Defects: 97%
Cytoplasmic droplets: 16%
Midpiece defects: 50%
Tail Defects: 15%
Immature sperm cells: 40%

I am hoping to get some insight into what these results mean. From what his doctor mentioned, his results are low. We have been referred to a fertility clinic and now the waiting game. Everything seems ok with me.

With these results, is it still possible for us to get pregnant naturally?
With fertility assistance, do you think we would be candidates for insemination, or would we have to go straight to IVF/ICIS?

Thank you for your comments!
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replied May 17th, 2012
Yes, there is still a chance...

IF you consider that only the healthy and well formed sperm are strong enough to:
a: make the swim to the egg
b: penetrate the egg
c: form into a healthy zygote that can then attach to the uterine wall.

ALL three of those need to be met. From these results you can see that only 1% of his sperm are capable of that...

SO, you have a 1% chance of getting pregnant on your own. That is a better chance than getting pregnant on the pill (when it is taken correctly)!

Don't lose hope! The fertility clinic will help you along the way to finding the BEST option for your situation!
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replied December 1st, 2012
Low sperm Count
I just wanted to share my story...My wife and I tried for a very long time to get pregnant...My wife was diagnosed with two different problems as she needed to get surgery and I received a sperm test with a super low sperm count. We went through a whole year for seeing doctors and IVF specialist and took our last appt to start an IVF.
a week before our appt, my wife finds out she is pregnant.
it ONLY takes ONE sperm to do the job. I did not take any vitamins or medicine...But I kept praying and being hopefully. GOD has blessed with love and patience during those difficult times and we were rewarded with an even greater gift. So for all of you couples who might be struggling with a low sperm issue, I want to encourage you to keep the love strong in the relationship and keep believing in destiny...TRY over and over with love and hope, you never know when that ONE sperm will do the job.
Keep the Faith, things happen for a reason.
best of luck to all!!!
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replied August 2nd, 2012
Stilltryingnow, we are in a similar situation. & we have been trying for 2 years. We started on clomid because we first thought it was me who had the issue as i had irregular periods. The first month on clomid i got pregnant and then at 11 weeks had a missed miscarriage and had a D&C, we have been trying to get pregnant ever since.

My husband had a sperm test and it showed low count and morphology (1st sperm test total count was 6 million and the most we have ever seen is 18 million, his morphology ranges from 2-4%) We have seen 3 fertility doctors and 1 told us we had no chance with IUI because his concentrate count was less than 5 million, but the other 2 said they had seen pregnancies with IUI in worst cases than ours. We have had 1 round of IUI (negative) and are on our 2nd round this month, we have been told to try 4 rounds total. If that does not work then we will be starting ICSI.

You do have a chance of getting pregnant naturally because it does only take 1 sperm but i really believe that having a helping hand will give you a much better chance. Your count & motility really is not that bad but your morphology is an issue, like us i think ICSI would be your best option. You need to speak to a couple of different fertility doctors and then find out what your best options (and what options you can afford) are. Also, has your partner seen a urologist who specializes in male infertility?

Good Luck, i really do feel your pain.
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replied August 3rd, 2012
Thank you for your reply idreamofbaby. It's good to know we are not alone in this, although it is a heartbreaking experience that no one should have to go through.

We recently were seen at the fertility clinic, and they said we had the option of trying a few rounds of IUI first (with clomid in the hopes I could release an extra egg), or we could go straight to ICSI. We decided to try IUI and Clomid, if nothing else to gently get used to the fertility rollercoaster we are about to begin. Everything still looks ok with me, but they need to do a HSG test to check tubes, and then we can probably do our first IUI in October.

Sorry to hear about your miscarriage, heartbreaking. At least the one thing you do know though is that it actually CAN happen, sperm can actually reach egg! We have never had a blip of anything, just really wish we had some hope to grab onto!

Good luck with your next IUI!

*No, my partner has not seen a urologist who specializes in male infertility. Never even knew there was such a thing. Is this something we should look into?
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replied August 3rd, 2012
I know it's heartbreaking and what makes it worse is it seems everyone around us just keeps getting pregnant. Just think that when it happens it will be so much more special for you guys.

I think trying IUI first is a clever idea. I don't have much faith IUI will work for us but it may and it's better to try everything before spending $14k-$18k (our insurance doesn't cover anything!). We want to know we tried everything we could.

My husband was seeing a urologist and we found his estrodial levels were higher than his testosterone levels, he was put on the breast cancer pill as this can correct his levels and hopefully correct his sperm. We were sooooo excited about this and kept dreaming how awesome it would be to get pregnant naturally but found out last week his levels were now normal but his sperm was still as bad :'''( it took all I had not to cry in the doctors office. Ask your fertility clinic if they know a infertility urologist, that's how I found ours.

Please don't feel alone, your not, so many people are going through this. We seem to have a similar timeline so if you want to email me to moan, ask questions, share knowledge etc is be happy to give my email.

This month I'm doing 100mg clomid, HCG shot and IUI, 2 more of these after this one and then ICSI. My husband is military and he is being deployed for 6 months in October so we won't start ICSI until May time Sad

Keep smiling and just think of that precious baby you guys will have.
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