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The short version: Everything run on me is normal. Dh's SA was great except his strict morphology was low. This may be why it is taking so long. Dr said it was up to us if we wanted to keep trying on our own for awhile OR we could see an RE and possibly proceed to IUI. It's probably warranted to also get Dh checked out with a physical exam and repeat the SA in hopes that the morphology would improve. I haven't talked to Dh about it but I'm hoping that we will schedule a visit with an RE and just go TALK about what our options are.
The long version:
My lab results (CD 4): All normal
LH 5.8 (norm 1.9-12.5) FSH 6.7 (norm 2.5-10.2) Testosterone 40 (norm 14-76) TSH 1.614 (norm 0.35-5.5) calculated DHEA-Sulfate 54 (norm 65-380) -she said this was normal b/c it was a calculated value
Volume 2.5 (norm >2) normal even though he thought everything didn't come out. Hah Sperm concentration 214 (norm >20) Whoo hoo! Also says proven fertile range is 60-120 Overal motility 87% (norm >50%) Proven fertility 60-80% Progressive motility on a 0-4 scale = 3 Kruger (strict) morphology 11% (greater or = 14 is fertile, 5-14% sub-fertile, <4% infertile)
It all looks great except that darn morphology. My dr did say that it was good to repeat the SA after 2 months in hopes that the morphology would be better. Also I mentioned that even though he did ejaculate 3 days before the SA, the time before *that* was a couple weeks. She agreed with me that it was possible that there may have still been some "old" sperm and maybe that was why the morphology was low? But she thinks the morphology problem could be why it is taking us so long to get pregnant.
She said we could proceed to IUI and that it could speed things up. It's just a matter of do we want to take that step or not. At this point, I don't think Dh is. She said she could go ahead and give me Femara if I want, but that if I am going to see an RE, I should probably just wait and see what the RE has to say.
Also she said Dh should go to a general practitioner or urologist and get a physical exam, basically get his scrotum checked out. She didn't say, but I guess for variocele.
She said the IUI should run about $3000 for everything. That seems awfully high to me but maybe that is the norm? So I may start working more and saving up money for if we want to do that because our insurance doesn't cover anything that is infertility related.
Right now I have yet to talk to Dh (he left his cell phone at home) but what I'm hoping is that he will be willing to just go talk to an RE. That way we can talk about what our options are. Then if the RE wants to run more tests to rule things out (HSG, follie check, another SA) we can go ahead and get started on that. She recommened an RE to me also.
I asked her about accupuncture and she said she had not had enough feedback to say if it really helped with fertility, but that it was kind of my call as to whether I wanted to spend the money and go do that. I'm undecided on that I guess.
She was very nice and said she understood it was difficult when both spouses were not on the same page. She was a little surprised that my Dh wasn't there at the appointment with me. She has 2 girls and is pregnant with a boy right now. They had two miscarriages in between the kids they have and she said it took a year and a half for them to get pregnant before (not sure if that includes the m/c into the timeframe) and they are both doctors who know how to do everything right!
Does anyone else have experience with crappy morphology? I would think that the good count and motility might help make up for it a little but I've read that if your morphology is bad it can indicate that even the sperm that look "normal" may have something wrong with them that keeps them from penetrating the egg. But I'm not sure if that is only the case when the morphology is very low (4 or less) or if that's also true when the morphology is in the mid range of crappyness like Dh's is (11).
Wow you got ( and remembered) a ton of info! Sounds like you've got a great doc. She seems really in tune not only with all the physical stuff you're going through, but the emotional as well. I think getting DH to go with you to the RE sounds like a good idea. Hopefully he'll also take your doc's advice and get a physical.
If I'm remembering right, Norina and EricaInOhio (and possibly Nykoal) used acupuncture and wound up successfully pg not too long after starting that. They also cleaned up their eating, focusing on more whole foods/healthy foods. I think we've also had some with low morphology, but I can't remember off the top of my head who it was.
I can tell you're feeling a bit down from your appointment, but I'm honestly excited for you that you now know your options! Let us know how discussions went with DH.
Do not sorrow; the joy of the Lord is your strength." Neh. 8:10
Well, Dh wasn't crazy about going to the RE and still thinks we need to try on our own a few more months. But I told him let's just go and see what they say and if there is any more testing we should do. There are other tests they will probably want to run on me (like HSG). I promised we would not jump into IUI right now. So he agreed to go and we have an appointment for June 23!
I can tell you that I went the IUI route because my DH is basically infertile, he doesn't have much and what he has is 'retarded' as he calls them. SO that being said, we are doing donor IUI. Without having to buy swimmies, the $3k is prolly about right. I never added up all I paid out as my insurance doesn't cover infertility, I'd prolly have a heart attack...but I did also go through all the blood work, HSG etc. I did call my RE after I lost my little girl...luckily, I don't have to redo any testing, I can just go in for another consultation then start the precedings as long as it's before Sept 8th. Otherwise, I have to redo my infectious disease bloodwork and I can't remember how much that ran me.
GL to your and yours, hopefully you'll get your BFP w/o the RE, but if not..I'll keep my fingers crossed for you either way.