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  1. chalt14
  2. Infertility Discussion
  3. Sunday, 14 September 2014
  4.  Subscribe via email
Hi there!

My husband and I are on our 14th cycle of trying. I am 26, he is 30.

He is a veteran, so gets his health care through the VA. In July he had a semen analysis done at their lab, most all of his numbers were below normal (8 mil concentration, 3 mL volume, 36% motility, 3% morphology, liquification >1 hr, WBC >1mil). The VA is not used to dealing with fertility related issues, but sent him to a urologist, who ordered blood tests and scheduled a follow-up for Sept 26.

On to me. I have pretty regular cycles (29-30 days usually with an oddball here and there). I monitor my cycles with temperature, cervix and mucus checks, and occasionally use ovulation tests. My luteal phase is usually 12 days, sometimes 13. I have a normal flow and average cramping/symptoms during my period. We just moved to LA last month, so I found a new OB/Gyn to check me out. He did a vaginal ultrasound on the first visit (around the 27th day of my cycle, roughly 9 days after ovulation) and said my uterus tilts to the right. He wants to jump straight in and do a laparoscopy and hysteroscopy on me without any hormone tests first. He is trying to work with me and insurance, realizing a HSG is fertility related and insurance won't cover it. He says it could be endometriosis tilting my uterus and a lap would allow him to check for that, and check my tubes in case we need an IUI eventually.

Realizing you won't give medical advice here, I just wanted to present my case to you and see what you think should be done next. Are my husbands numbers low enough to warrant fertility specialists? Is it absurd to jump into surgery so soon!?

I found your site last week, and realized I just missed the West LA free seminar on Sept. 4th, and the next one is not until Oct. 23rd, so far away! I would love to go to that (I did sign up) and especially get the free consultation that comes with it.

Thank you for taking the time to read my long story!
Accepted Answer
DrCoffler Accepted Answer Pending Moderation
Hello chalt14,
The sperm count appears pretty abnormal. I would repeat it first and consult a fertility specialist if those numbers are consistently low.
Dr Coffler
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