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Thread: Semen Analysis

  1. #1

    Join Date
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    Default Semen Analysis

    Just wanted to get some ideas from you all about semen analysis. We have been recommended ICSI because of low count and high percentage of abnormalities. This is the first time this has ever happened. Other SAs have come back fine. What I need to know is has anyone else had fluctuations in the quality of their partner's sperm? Could other factors have influenced this particular time? I have seen some posts where people have mentioned abstinence etc having an effect on sperm quality so could this just have been a bad batch?


  2. #2

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    The first thing that should be done after a bad SA is to get one repeated. The other thing that you should be sure to do, is make sure the analysis is done by a specialist semenologist. If the analysis was done through an IVF clinic, then this would have happened, but if it was done through a regular pathology clinic then it is unlikely. I'm told that SA must be done by eye through a microscope - they can't just stick it in the machine and get a printout at the end.

    We've been told that the amount of time you abstain before the analysis does have an effect. The semenologist that DH saw for his second analysis said that anything more than 4 days the sperm quality starts to deteriorate as they end up sitting around for too long. I suspect that only applies to cases like ours where the quality is pretty low to start with. But the answer of whether semen analysis can vary a lot - yes, it can! That's why they usually repeat the analysis after a bad batch.

    Hope some of this ramble helps, Poppy.

    BW

  3. #3

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    I agree!

    Your DH should really have another SA. My DH has had three and he has low sperm morph. But each time he's taken it the Sperm Morph has changed. It depends really, a man's Sperm Count doesn't stay the same each month!

  4. #4
    ~Jane~ Guest

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    Definately get another test. My DH's first test came back terrible and he had to have a repeat 70 days after as this is the life cycle of a sperm, the second test was also pretty bad but slightly better. In the end he was referred to an andrologist who said that count and morphology etc can vary quite significantly between tests. The period of abstinence is also important and you must follow their directions to get the most acurate result. The other thing I recommend is getting your DH to book into one of the rooms on site for producing the sample, then there is no way travel time etc can be a contributing factor because as soon as it is produced he hands it over. (my gynea recommended this after our first bad test)

    Good luck.

  5. #5

    Join Date
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    Default

    We definitely had variations in DH's SA results ...
    - the first SA - count was <1 million
    - the second SA - count was 4 million (for ICSI IVF procedure)
    - the third SA - count was 11 million (for IUI procedure, and after DH had been taking zinc supplements for the previous 2 months - may have been conincidental, but maybe it's what helped)

    If you're concerned, I would definitely request a subsequent SA to be done. ICSI costs a lot more than a SA, so if you don't need it, you'll save yourself a little bit of money, and IVF is expensive enough as it is!

  6. #6

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    Default

    Thanks everyone. I feel alot better about it. I am sure his bad health this year (he has had a heart attack, contracted Epstein Barr Virus and had a foot injury all in one year) has contributed to this somewhat although every doctor says it doesn't.

  7. #7
    ~Jane~ Guest

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    Oh wow, they asked my DH if he had been sick, our dr said even a cold can have an effect on the results, particularly if he was sick around 10 weeks before the test, are you seeing an andrologist or specialist infertility specialist?

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