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  1. HRC Anonymous User
  2. Male Infertility
  3. Tuesday, 26 February 2013
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My husband and I have been trying to get pregnant for a year ( I am 31 yrs old). I am having regular periods and seem to be ovulating (according to a digital ovulation monitor). He rescently had a semen analysis and several issues were identified. Low sperm count and low motility. We know several people who have gone to HRC and highly recommend it. What tests/ assessments are recommended to be completed with the OB/GYN in our medical group? and when should we consider contacting HRC for a consult? My current OB/GYN has declined to give me clomid because of the regular ovulation. He is also waiting for the infertility OB/GYN that they are referring me to, to order the hysterosalpingram.
Responses (1)
DrNelson Accepted Answer Pending Moderation
After attempting for one year to conceive on your own, it is appropriate to initiate an infertility evaluation. This evaluation should be comprehensive including an assessment of male factor, uterine factor, tubal factor and ovulatory dysfunction. It sounds like your are ovulating consistently based on the regularity of your menstrual cycles and a consistent ovulation predictor kit. There does seem to be an issue of male factor based on the description of your husbands semen analysis. The reason for low semen parameters should be looked at in detail which would include a physical exam, some hormonal studies, and a possible scrotal ultrasound. These are usually done by a urologist. Uterine and tubal factor issues are screened for by the HSG you are planning to have done. Follow through with the HSG and consider a urology consult. Now is also a good time to talk with one of us at HRC. If there is no clear evidence of ovulatory dysfunction than I would also not recommend Clomid as an empiric treatment. There would be better treatments to offer.
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