Male Factor Infertility
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Depending on the morphology testing used 4%, 14% or 30% can all be normal limits. The 25% is above 2 of those limits and testing methods but just under on the 3rd so very likely this number will improve with those supplements to push him back into the normal limit.
AmyView Thread

112 x 30% = 33.6 million total motile this is also good since normal fertility is 15 million motile or higher.
The motility grading if A = rapid and D = sluggish or immotile we would like to more sperm in the A and B categories to know what sperm is showing movement are strong swimmers. A number of things can impact motility so following a sperm healthy lifestyle is very important. No heat to the testicles, no hot tubs, hot bathes etc, no smoking or other drug use, alcohol only in moderation = no more than 2 drinks a day, check side effects for any medications currently taking, check is any chemical exposures, eat a healthy well balanced diet.
Since count is high this offsets the motility being a little low. Normal motility is considered 40% or higher. I would read over my sperm healthy lifestyle guidelines to make sure there isn't doing something day to day that can lower motility. I also recommend starting on a fertility blended vitamin such as FertilAid for Men and their Motility Booster.
Morphology or normal forms at 50% looks good. Not sure what test they used but with a Kruger Strict 4% or high is acceptable and other methods classify 14% and 30% normal as acceptable so 50% is well above all those different types of testing.
The vitamins can help improve that motility and morphology so it might be the edge needed for a successful conception. Overall numbers look great. How long have you been trying to get pregnant?
Was any lubricant used in the collection process? Lubricant can decrease motility.
It is always a good idea to test another sample in 1-2 months since it is hard to base full fertility off 1 sample alone.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread

Not sure what supplements you purchased from GNC but if just a good vitamin regimen start immediately because it does take months to see the benefits.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread

Was he directed to inject Sub-Q or IM? I've seen in directed either way so maybe changing up if okay with his doctor would help. This might take a change in needle size, length.
I think you will get the best response for returning fertility for the HCG injections so hope the next goes better and he will be able to continue on for the next 3 months.View Thread

Remember that being a father does not have to be biological and your path in life has given a loving home to your adopted daughter.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread

Clomid treatment could possibly boost his production and sperm quality enough to bring his numbers back in range for natural conception.
You husband should have a full hormone workup, physical exam, medical review and lifestyle review to see what is the cause to his low sperm production.
If you can't find anyone in your area let me know your city and state and I'll find someone for you by asking our head urologist for a referral for male factor infertility.
Let your primary know that his referral was not helpful and he should look for another urologist to send men with fertility concerns.
Supplements - Start you husband on FertilAid for Men and test another semen analysis in 2 months to see if numbers improve. One semen analysis is not a true picture of his fertility. Stress of collecting into a cup for a lab test can lower results. Check my post on Sperm Healthy Lifestyle for other pointers.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread

If it is only a low testosterone level the Clomid should work but his he has low testosterone production due to an imbalance in FSH and LH the HCG will be the best treatment.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread


AmyView Thread

Work with your local urologist to see if you have testicular failure to cause the no sperm seen in the ejaculate or if other reasons like obstruction of some sort keeping the sperm from being ejaculated. A full hormone panel, exam and medical history review will need done.
It is possible to have no sperm seen in the ejaculate but still have some production in the testicles that can be collected and used for in vitro fertilization for a biological child.
Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy ReversalView Thread
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