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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sperm count of 72.4, thinking of tubal reversal or IUI. Which option in viable ?

My husband had a sperm count done with his number being 72.4 out of a range from 20-160. We are contemplating tubal reversal or IUI, and I need to know if his count is viable enough to validate the expense, and based on his count, which procedure to do? If it will take multiple tries at IUI, I would prefer the reversal.
Mon, 24 Jun 2013
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General & Family Physician 's  Response
Hello,
The semen count of your husband was 100% OK. But associated factors like motility, morphology are important. If the other factors are OK the count is viable enough.
I assume that the tubal reversal you mean is vasectomy reversal. The success rate of vasectomy reversal depends upon the age and the sperm count and motility analysis done during the procedure. Usually the success rate is reasonably high for an individual with a normal count and motility. If your husband's semen was stored before vasectomy surgery, IVF is the only option.
The IUI is of your choice.
Best wishes
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