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Semen Analysis Shows Sperm Motility-40%, Progressive Motility Score-35, Sperm Normal Morph-71% And Sperm Count - 27Mil/mL. Suggest?
Question: Husband just had a semen analysis and was instructed to consult a Urologist. We are trying to interpret the results to determine our chances. I have three daughters from a previous marriage and have never had fertility issues. However, I am now 41 and my last pregnancy and birth occured at age 34. My husbands results are are follows:
Semen volume - 1.8 mL
Semen liquification - <60
Semen pH - 8.0
Sperm Motility - 40%
Progressive Motility Score - 35
Sperm Normal Morph - 71%
Sperm Abnormal Morph - 29%
Sperm Count - 27MIL/mL
With those counts and my advanced maternal age, how likely would we be able to conceive naturally? We have tried for 3 months using ovulation testing and symptom management, and considering my past experience, I know my body very well and could always feel when I was ovulating and I was always right. Please let me know what you think. I would rather knowmsooner than later to avoid any prolonged stress, which could also decrease our chances. Thanks!
Semen volume - 1.8 mL
Semen liquification - <60
Semen pH - 8.0
Sperm Motility - 40%
Progressive Motility Score - 35
Sperm Normal Morph - 71%
Sperm Abnormal Morph - 29%
Sperm Count - 27MIL/mL
With those counts and my advanced maternal age, how likely would we be able to conceive naturally? We have tried for 3 months using ovulation testing and symptom management, and considering my past experience, I know my body very well and could always feel when I was ovulating and I was always right. Please let me know what you think. I would rather knowmsooner than later to avoid any prolonged stress, which could also decrease our chances. Thanks!
Brief Answer:
Hi, 1) Your husband's sperm count , motility and
Detailed Answer:
Hi,
1) Your husband's sperm count , motility and morphology seem to be normal and not a cause for worry.
2) Your age is on higher side and I suggest you get evaluated for following blood tests on second day of your cycle: FSH, LH, AMH, TSH, Prolactin.
3) If possible get a transvaginal ultrasound examination to check follicular growth on second day of your cycle.
If all tests are normal you can try naturally. If not I suggest you go for IVF ( test tube baby) treatment.
Regards,
Dr. Mahesh Koregol
IVF & Infertility Specialist
Hi, 1) Your husband's sperm count , motility and
Detailed Answer:
Hi,
1) Your husband's sperm count , motility and morphology seem to be normal and not a cause for worry.
2) Your age is on higher side and I suggest you get evaluated for following blood tests on second day of your cycle: FSH, LH, AMH, TSH, Prolactin.
3) If possible get a transvaginal ultrasound examination to check follicular growth on second day of your cycle.
If all tests are normal you can try naturally. If not I suggest you go for IVF ( test tube baby) treatment.
Regards,
Dr. Mahesh Koregol
IVF & Infertility Specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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