Question: Hello. I recently got a semen analysis done with the following results and want to get a sense of current probabilities of getting pregnant naturally:

Volume: 5.3
Concentration: 0.65 mil
Motility: 14%
Forward Progression: 1.3
Total Motility Count: 0.48 million
W.H.O. Morphology: 4%
Kruger Morphology: 0%
Ant-Sperm Antibodies: 0%

I got these results done at a lab that was out-of-network and will be doing a second analysis at a new doctor/lab that is in-network in the coming weeks.

Given this data, what are the approximate odds of conceiving naturally? When I was told the results, the doctor (whom I prefer not to see because he is out-of-network) mentioned IVF was an option, which leads me to believe that the odds are essentially zero of anything happening naturally. I am relatively healthy. 220 pounds, no medications. I do have Thalassemia Minor.

I recognize that there might be treatment for me that can improve the above, but what are the current odds of conceiving naturally under no treatment, what treatment options are available, and in general with second opinions is it a good idea to mention to the second doctor/lab the results of the first lab? Or better not to mention to not impact the second diagnosis? Thank you.

Thank you for the reply. Would this be due to external factors? Can weight, diet, occasional drug use be the cause of this? Or are the results so low as to suggest that it is unrelated to the diagnosis?