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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Failed IUI, SA report shows asthenozoospermia

Hi Sir, I am Gopal, we are trying to have a child since 5 five years. My wife side everything looks normal(other than one cyst with size 2.6 X 2.6 in L.t overy. Last month we have done one cycle of IUI , but failed. Again this month RE asked us to come on 14th day of cycle. that day my wife had two eggs with (2.6X2.5 and 1.9X1.8) in Rt. overy and two eggs with (1.8 X 1.6 and 1.7 X 1.6) in Lt. overy. RE given injection for egg(s) rupture and asked us to have normal intercourse on next day(15th day) and come for IUI on 16th day. We had two times normail IC on 15th day. On 16th day scanning before IUI shows 2 eggs in Lt.overy and 1 egg in Rt overy already ruptured. They have done IUI. IUI seman sample was 20 millions, 50% SM, PC- Plenty. Since one more egg rupture was pending after IUI we had sex for two days and each day twice. Can you please clarify me how is my SA report looks, is motality & morphology ok? if not how to improve motality. Can we expect conceiving in this cycle. Also for some pooja(prayer), after IUI my wife had fasting for 1 day morning to evening. does it effect IUI. MY AGE: 32 Y MY WIFE AGE: 34 Y I had left vericocelctomy in 4 years back. My SA report ============ PHYSICAL CHARACTERISTICS 1. LIQUIFICATION TIME : 50 Minutes 2. COLOR : WHITISH GREY 3. VISCOSITY: NORMAL 4. VOLUME : 1.9 ML 5. REACTION: ALKALINE MICROSCOPIC CHARACTERISTICS 1. SPERM CONCENTRATION : 20 MILLINONS/ML 2.FAST FORWARD : - 3.MODERATE : 10% 4.SLUGGISH : 50% 5.NON-MOTILE : 40% MORPHOLOGY 1. NORMAL : 64% 2. AMORPHOUS HEAD : 04% 3. PIN HEAD : 04% 4. ROUND HEAD: -- 5. GIANT HEAD : 04% 6. DOUBLE HEAD: -- 7. NECK DEFECT : 08% 8. TAIL DEFECT : 12% 9. DOUBLE TAIL: 04% 10. NO OF PUS CELLS: 2-3 /HPF 11. NO. OF EPITHELIAL CELLS : 1-2 /HPF IMPRESSION: ASTHENOZOOSPERMIA ============
Thu, 25 Oct 2012
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Infertility Specialist 's  Response
Hi Gopal,
Chances of conception in one cycle of IUI with multifollicular ovulation after 5 years of infertility are around 20%.
Your semen analysis appears fine.
Fasting has no effect on success or failure of IUI.
You can safely try around 4 cycles of superovulation with IUI for maximizing chance of pregnancy. After 4 cycles, if you don't conceive, chance of success in IUI decreases & better to go for IVF.
As there are good chances of conception in this cycle don't think of future & relax. That might help.
Wish you good health.
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Failed IUI, SA report shows asthenozoospermia

Hi Gopal, Chances of conception in one cycle of IUI with multifollicular ovulation after 5 years of infertility are around 20%. Your semen analysis appears fine. Fasting has no effect on success or failure of IUI. You can safely try around 4 cycles of superovulation with IUI for maximizing chance of pregnancy. After 4 cycles, if you don t conceive, chance of success in IUI decreases & better to go for IVF. As there are good chances of conception in this cycle don t think of future & relax. That might help. Wish you good health.