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  1. helpfromyou
  2. Infertility Discussion
  3. Wednesday, 11 March 2015
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I am 35 years old and my husband is 38 years old. We started TTC in December 2014. I have been tracking my ovulation using OPK's and fertility montior. We both are relatively healthy and don't smoke/drink.

Last week my husband got SA done. His numbers are
volume - 2.5 ml
color - yellow
liquefaction - <60 min
PH 8.0
Concentration - 57.86 million
Motility - 41.34%
Progressive Motility - 14.9% ( Rapid - 3.17% and Slow - 11.73%)
Motitlity grade - 2-3
Morphology - 10%
Agglutination - Slight

Here are my questions -

1) The Motility and morphology seem to have an issue - What should we do? Do we consult with you or some other specialist?
2) This has got me worried. Should I get tested for hormones, follicle tracking , HSG etc. as well? Will my OB/GYN do this or will you clinic help with this?

Thank you for all your help!
Accepted Answer
DrPeck Accepted Answer Pending Moderation
Hello!
Thank you for your inquiry. It is quite common to see low motility and morphology on a semen analysis. Common things that cause this are heat (saunas or jacuzzis) , toxic exposures, tobacco/alcohol/drug abuse, and some medications. You may want to start with a repeat semen analysis to confirm the results. There are some natural fertility supplements that may help, as well as being seen by a urologist. Since you are 35 if the semen analysis is consistently low, it would be a good idea to do a hormone panel on you to evaluate your ovarian reserve and possibly a hysterosalpingogram. We can do all of these tests here. Some patients choose to do them through their OB to start and come to us with the results to review options. It is best to come while on your menstrual cycle, around day 2-3, for an evaluation or consultation. Keep the faith, your husband has sperm. We would just encourage you to use it in the most productive way to help you conceive.
Best of luck,
Alison Peck MD FACOG
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