Saturday, October 18, 2008

Its all about the Sperm!

Our official diagnosis is male infertility, due to low morphology. Now if you didn't understand a word in that sentence I will explain.

Men have a biological clock, just like women, only their ticks a little slower, but can still create problems. The easiest thing to check and normally one of the first things to do when dealing with the inability to get pregnant is to have a semen analysis done on the male. All of the women's test are very invasive and can be painful, where a semen analysis is very easy for the male to do and is not invasive at all.

There are 4 things that are tested in a semen analysis:
Volume- Should be at least 2 ml
Sperm Count- Should be at least 20 million per ml
Motility- Should be greater then 50%
Morphology- Should be greater the 14%, but anything over 4% is considered decent (Kruger scale) if testing on a WHO scale it should be greater then 30%

There are 2 scales with morphology, Kruger is stricter and is used by fertility specialist, WHO is used by most basic labs. I really suggest the Kruger scale, because it will give you a better test, but it just depends on your lab and what type of doctor ordered the test.

There is a lot of debate about morphology, as to how much effect it has on male fertility, and its a heavily debated issue in the world of fertility.

My husband has been diagnosed with having low morphology, so we are told that his sperm cannot penetrate my egg and fertilize it. Well, that does create a problem, if the egg cannot be fertilized then I cannot get pregnant. It all makes sense. But the good thing is that he has sperm and they are good swimmers.

We were told that IVF with ICSI ( intracytoplasmic sperm injection) was our best option, because it allows the lab to take the sperm and directly inject into my egg, therefore taking our sperm problem out of the equation. The fertilized egg will then be put into my uterus and hopefully implant, and then I am pregnant! We were told if we going to have a problem, this was a good problem to have, because it can be solved very easily. IVF with ICSI is very common, it gives the best results.

So if you having problems getting pregnant have your husband or partner get a semen analysis, it may give you insight as to what the problem is.

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