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  1. #1
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    Default Semen analysis results not good....I don't think

    Hi all,

    New to the forums.

    After a little convincing for me (bit scary - kids!), my wife and I (yes, I'm the guy here) have decided to have a child. I have told her its one only and its a girl, and if its not a girl, its going straight back to where it came from!!! We are doing the Dr Shettles way.

    However, that is not the main issue. Looks like whether its a boy or girl is the least of our problems. It was decided to get her general tests, all came back perfectly normal, then I asked my doctor if there is anything I should do or get tested. He suggested because of our age (me 36, her 34) that I should get full bloods and a semen analysis. That is where the problem lies. My bloods including PSA all came back perfect. My semen analysis however:

    Macroscopic appearance: Normal
    Liquefaction: Normal
    Volume: 2ml
    "Occasional motile and non-motile spermatozoa seen"

    There was also no mention of count. Doc rang the lab who said it was less than a million. He says there is little chance given this result of us getting pregnant.

    Obviously my GP has now referred me to a fertility expert, but I'm wondering if I could get some advice from some of you who have gone through this and if the issues have been 'solved'. My Googling does not come up with any great number of men having these results and then going on to father a bunch of children, put it that way.

    As for my general health, I am overweight (although it seems being overweight on its own is not a major factor as long as my health is ok). I am a non-smoker (quit about 7mths ago), and only a very occasional drinker. I do drink coffee, about 3 cups a day including my morning cup. Once again, research shows mixed results with this, but I wouldn't have thought a bit of fat and a few cups of coffee would give me such bad results!

    Tell it to me straight. Are my results likely permanent? Is IVF/adoption likely to be the outcome?

    One other thing that may or may not be relevant. Slightly embarrassing, but then again, you all know now about my taddies, and it would be interesting to find if other guys with similar problems have this issue, but I have extremely sensitive testicles (painfully sensitive, off limits in the bedroom, tightish pants can be awkward etc, although I don't wear them often, and even I can't handle them very well to check for lumps etc. They have always been this way, its not a new thing).

    So now you all know more about me than I would really like to tell!

    Hope to hear from you soon!

  2. #2
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    Hi there, sorry to hear it hasn't yet worked out the way you planned.
    All may not be lost though!
    We haven't gone thru the same thing, but I heard others say they had next to no sperm count and then they went on Menevit tablets for 4 months or so and the count did a total 180!

    for what it's worth, my husband put his body thru A LOT when he was young, so I was a bit paranoid before we started trying.
    I put him on Menevit for 4 months before we started and I got pregnant on the first go!

    So maybe give it a go. You just get it from any chemist. Hope that helps and good luck!

  3. #3
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    Hi there, we are going through the same thing - except that my husband has non-obstructive Azoospermia - which means he has zero sperm in his ejaculate!! We have no answers as to what has caused this as his chromosones are all normal - his hormones are out that's because his brain is telling his testicles to make sperm but his testicles are failing. The only thing it could maybe be was he might of had mumps when he was younger (inlaws can't remember if it was DH or his brother ... Very helpful). We both have issues so for years we have been at it ttc thinking only I had issues - so it was a super hard smack in the face when we found about about DH. My husband has had zero sperm on 2 different SEmen analysis's and zero sperm found on a testicular biopsy !! We are now under a specialist for DH to have micro TESE surgery (they open the testes in surgery and look for sperm) and combine that with IVF/ICSI !! My husband can't have the surgery until he loses weight - the specialist was adamant about this - weight affects sperm production !! My husband is also following a regime I found on this site in the male infertility section - a lady posted a list of herbs and supplements that her husbands specialist gave them to follow - so while we are in limbo waiting for treatment we have nothing to lose so he is taking menavit, a multivitamin, fish oil tablets, aloe Vera juice & goji berries - all super herbs !! Either way hubby is feeling a he'll of a lot better !! In really hope you don't end up in the same situation as us but it is nice to know that there are things they can do for you now that years ago they couldn't do !! In the end tho - you can only try and give it your best and do what you need to do to make your family. Best wishes

  4. #4
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    Thanks you two.

    I forgot to mention I have been taking Blackmores Mens Multi-vitamin too, but I shall try the Menevit in the meantime and see what the expert says.

  5. #5
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    Hi again.
    Thanks for your replies.
    Final results are that I have a low count of around 600,000. The only good thing is that I have 79% motility. All blood tests show no problems with chromosomes or hormones or anything else so the doc says I am one of those guys who's low sperm count is unexplainable.
    The next step is ICSI however these tests and results came from doing them routinely prior to attempting to conceive so we haven't even tried naturally yet. I'm guessing with 600,000 its not going to be easy, but we are going to at least try a few cycles and see. At least it will be fun!
    Thank you again.

  6. #6
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    My DH's results weren't thrilling (they were ok, but didn't fill me with confidence) so to give us the best chance possible I got the book "Taking Charge of Your Fertility" and used the methods in that. We fell second cycle. Good luck and yes have fun trying

  7. #7
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    A lot of us girls start going to extremes to try to influence things for the better, eg. NO caffeine, weird herbs and supplements, etc. Basically if it's something you might regret then don't do it, and if it might help then give it a go.

    I didn't come across this thread when you started it. One thing that caught my attention is you said your bloods were fine, but sperm # was low. Normally, if testicular sperm production was low I, not being a medical professional, would have expected testosterone to be low and FSH to be high. Have you been checked out for a (partial) blockage that's preventing sperm from getting out?

    FSH comes from the brain (pituitary gland) and tells your testes to make sperm (in women it tells follicles in the ovaries to grow eggs). Then when sperm are produced the testes make testosterone which tells the brain to stop making more FSH. (The parallel in women: egg production makes oestrogen which tells the brain to stop at making more FSH.) So if you fail to make sperm, you don't make enough testosterone so FSH levels keep rising. But if you do make enough sperm in the testes then FSH will stop at a more respectable level.

    n.b. If testosterone is low, DON'T take testosterone supplements unless your FS (not GP) says to. Increasing testosterone will tell your body you've got enough sperm so it will stop making more, i.e. The feedback will tell FSH to drop and so it will not be high enough to stimulate sperm production.

    Since you do have hundreds of thousands of motile sperm you might be able to bank a few samples to get increased numbers and then try IUI (Intra-uterine-insemination, where they chuck away the bad sperm and put the good quality sperm directly into the uterus). We didn't have the option of IUI, so I have no idea how many motile sperm you need for it. But it's less invasive than IVF, and doesn't involve surgery for your wife. It may still involve hormone injections for her, depending on whether the FC will just monitor her (blood tests and internal ultrasounds) to catch ovulation time, or if they'll take hormonal control of her cycle.

    If you do end up at ICSI, consider using HA selection to get the best guys. Hyaluronic Acid attracts sperm, while dud fellas are more likely to ignore it. It is naturally on the outside of the egg. Methods are called HA-ICSI or PICSI which both use a HA covered petri dish. It's also possible to use immature eggs which would otherwise be wasted for HA selection of sperm. Digital High Magnification can also help select the best guys. You'll only need a dozen or so good sperm for ICSI, one for each mature egg collected (I average 7-8 eggs per IVF cycle). HA selection or digital hi-mag usually comes after you've received a bad DNA fragmentation result from the sperm analysis, but so long as you're aware of the available methods then you can make your own decision whether or not to use it regardless.

    Also if you discover bad DNA fragmentation, you might get better guys by doing TESA or biopsy. It will be a little bit sore for you. They collect sperm directly from the testes with a needle and local anaesthetic. If only part of the testes are making sperm the biopsy might accidentally miss the bits where the sperm are. TESA is the step before microdissection (mentioned by alohashellIVF). In microdissection they look inside the testes and go hunting specifically for the fat seminiferous tubules containing the sperm, ignoring tubules that aren't productive (i.e. skinny). For any type of surgical sperm collection you have to do ICSI because the sperm collected aren't mature enough to get through the egg on their own.

    Good luck. I hope you get a natural miracle.
    Last edited by felicita; 29-03-2012 at 15:29.

  8. #8
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    Hi

    We have that many books and things I'm sure we can give it a good go with all the info we have. There are a few other things I asked him about, mainly caffeine intake and my weight (which I've put on since quitting smoking), and he basically said those things can assist a certain percentage normally but given how low my count was and how normal all the tests were, nothing I could possibly change would make much difference if any. I guess a Professor at IVF Australia should know.

    Felicita, yes, testosterone etc were checked. I pretty much had 4 vials of blood taken for all the tests they were doing, then they called me and asked me to go in to give another vial as they didn't have enough! I also had a ball scan, or officially a 'testicular ultrasound' which was all normal. He was quite interested in this because I was born with only one kidney and with all these parts developing at the same time he thought there might have been something going on, but no, I have all my inner bits all intact.

    It would be quite a fluke if it happened so quick, but it would be amazing if this first cycle worked, just waiting for her period or not.

  9. #9
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    Hi Readysetgo,

    We had slightly similar situation. DH had a SA & was told had low no's & issues with motility (they just weren't moving). Anyway, we were told that we'd have no chance of conceiving naturally.

    I had googled on here & saw people in similar situations had suggested the following which worked perfectly for us -

    Vitamin C (1000mg one)
    Zinc
    Normal multivitamin

    Three months later we requested another SA & the doctor couldn't believe it, results had improved drastically!! DH & I didn't think it would actually worth but thought worth the try & glad we did as results came back at normal levels

    Anyway, thought I'd let you know in case you were interested in taking any of them.

    We got our BFP Dec 2011 & the doctor was amazed that it happened naturally and trust me, after trying so long you don't care if its a boy or a girl as long as everyone is healthy

  10. #10
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    Thanks Rocky27.

    I have been on those vitamins pretty much from the initial test to now with no difference unfortunately. Although all we knew from the initial test was 'less than a million' now we have a figure of 600,000 I suspect it has not improved at all since the initial test.

    We'll go at it like rabbits and see what happens. But I'm a little tired.


 

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