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Conception

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TTC Cycle 8 with 1% sperm morphology

84 replies

DreamingSwan · 17/01/2025 10:22

I’m a longtime lurker here and have just signed up because there’s no one I can talk to about this in real life who understands or is going through the same thing. I’m looking for some kind words, success stories, or just general solidarity!

I am 32, will be 33 in less than 5 months. I had just turned 32 when we started trying. My DH is 29, turning 30 in 5 months. We’re now on our 8th cycle of TTC for baby #1.

I’m massively Type A so we’ve never had a “relax and see what happens” phase. I’ve been using OPKs from the very start, sticking them in a book and marking when we DTD. We use conception-friendly lube.

My cycles are very regular, 26-28 days on average, but my bleeds are on the heavy side. I was on the pill when I was at uni well over a decade ago, but came off it because it made me depressed—I think I was never on it for more than a year or two. I am slim, non smoker, barely drink, eat healthily.

Not a hint of a BFP yet, no chemicals, nothing. I’ve been worried something is wrong for a while now so I booked DH in for a SA. The results came back showing a very high sperm count, slightly above average motility, but only 1% morphology. The report said this is classed as teratazoospermia and it said his sperm might find it hard to find and penetrate my egg. It was a horrible shock to read the report.

DH doesn’t like alcohol—he has approx 3 ciders a year and that’s it. He’s never smoked or done drugs. He eats healthily and is very slim (always has been). He is the epitome of health. He cycles to work, but given his count is so high I’m not convinced it’s the cycling that is causing his morphology issues.

The evidence seems mixed about whether low morphology is problematic when other sperm markers are good. Anecdotally, it looks like lots of couples get pregnant anyway, but lots don’t and need IVF with ICSI. We can’t find any evidence on whether there’s a reason it seems to affect some couples’ outcomes and not others. The GP has told DH not to worry and that it may just take us longer. Other people in the same situation have been told they’ll need IVF. I’m terrified of IVF because of the expense and how low the success rates are. I’m so anxious I don’t know what to do with myself. I hate the uncertainty.

I’m convinced something is wrong with me too. I’ve been having pain on deep penetration for the last 2 years or so, having never had problems with deep penetration before. I also get random twinges in my pelvic region and I’ve been told I’ve got a tilted (retroverted) uterus. In 2023 they investigated these symptoms and found a polyp in my womb and having it removed was so excruciatingly painful I nearly fainted. (It was meant to be mildly uncomfortable.) I’m worried I have undiagnosed endo or something (albeit with less severe symptoms than the typical endo case). I also never get EWCM. Could it be that the SA is a red herring, and the problem is actually with me?

Does anyone have any advice? I’m so tearful all the time because my maternal instinct is so strong and not being able to get pregnant is breaking my heart. It’s a cliché, but it really is true that all my friends and family members who have babies got pregnant within the first or second cycle of trying. I feel so jealous. Seeing babies everywhere is even starting to bother my very stoical and calm DH.

Sorry for such a long post, I’m just going out of my mind with worry and I don’t know what else to do but post here and hope someone can offer some consolation.

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DreamingSwan · 05/05/2026 13:13

EmCha · 05/05/2026 08:17

Hi lovely, just found your thread as I was searching for help myself. I’ve just started my period and onto cycle 14. My partner has high count, very good motility but 1% morphology. We’ve had our first fertility clinic appointment with the nurse and booked my partner in for a repeat semen analysis next month. Once we have the results then we can speak to the consultant about next steps. I’m so worried in case my tubes are blocked though so just want that arranging now. Everything feels like a waiting game and it’s so hard. I’m really sorry to hear how difficult your journey has been. I hope your IVF journey is going well.

Hi there, gosh this all sounds so familiar! It’s so stressful and I’m so sorry you’re in this situation. I remember being desperate to find something “wrong” that could be fixed… but aside from the morphology there was nothing.
Definitely get your tubes checked. It’s worth doing a DNA fragmentation test too as this can correlate with low morphology—sadly not available on the NHS.
In the end I think we tried for 22 cycles before doing IVF. Our fertilization rate was quite low and our embryos were slow to develop—we had poor results on day 3 so we thought we had nothing. Thankfully two pulled through and we ended up with one transferred and one in the freezer. What happened to us is quite unusual… poor day 3 embryos usually don’t become blasts. The embryologists can’t say for sure but they think my eggs are a bit poor and DH’s sperm are a bit poor so that’s why fertilization wasn’t happening naturally. Even under lab conditions our results weren’t great. But they say it only takes one… (sensitive news): I’m now 13 weeks 4 days pregnant. It feels like a total miracle and I am still anxious about losing baby. But I do hope this gives you some hope. All the best of luck.

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EmCha · 05/05/2026 08:17

Hi lovely, just found your thread as I was searching for help myself. I’ve just started my period and onto cycle 14. My partner has high count, very good motility but 1% morphology. We’ve had our first fertility clinic appointment with the nurse and booked my partner in for a repeat semen analysis next month. Once we have the results then we can speak to the consultant about next steps. I’m so worried in case my tubes are blocked though so just want that arranging now. Everything feels like a waiting game and it’s so hard. I’m really sorry to hear how difficult your journey has been. I hope your IVF journey is going well.

daisyrae06 · 08/01/2026 17:52

@DreamingSwanhello just wondering how everything is going? We have postponed IVF due to work and needing to qualify for maternity pay but have been doing all sorts to try naturally, I had a chemical in September so been recovering from that emotionally but finally feel ready to getting back on track. Hope things are well with you

PregnantForNow · 08/12/2025 09:11

Hey @DreamingSwan I remember chatting months ago (I'm certainly not pregnant any more as this username implies).

I'm mid IVF stims currently and just wanted to wish you the very best of luck for January when you start. I should hopefully be having an egg collection this week and transfer next week all being well, and it feels good to take control and get something going!

DreamingSwan · 07/12/2025 14:46

daisyrae06 · 28/08/2025 22:28

Hello just jumping on this thread as me and my partner have been TTC upcoming 4 years in September, he was first diagnosed with low count and that increased to 41million but his morphology is 1% so I feel like we are in the same boat. We have had our first IVF consultation and will be starting the process in November (choice of ours) NHS funded, it took us a few years to get to this point however I have never given up hope that one day it could happen naturally for us. I am very open now to doing IVF though as at first I didn’t want to with selfishly me not being the problem as my tests come back all good. I guess I just wanted to say that it is very mentally draining and no one can say anything to make it better but I was once in a constant loop of living from period to period and eventually with hard work I took myself out of that and started to enjoy life again and breathed. Although I get still get those heartbreaks and niggles in my head thinking it could be this month, it felt like I was just existing? I completely get all your points, all my friends are having babies and it really upsets me deep down but equally I’m so excited for their journeys and take it as an opportunity that they can support me when hopefully that happens. I just wanted to say you’re not alone and it is such a hard time but please try remember yourself and you’re own well being and enjoy life, it’s only short we need to live it and be happy. I’m so sorry if this comes across asif this is no help but I just wanted to explain as someone who felt like you. It’s such a hard topic to speak about and articulate the correct words to someone else. Sending you lots and lots of luck 🤞🏻xxx

Hi Daisy, sorry I’m only just replying to your message, which made me feel less alone—thank you. Did you start your IVF and, if so, how did it go? We are due to start in late January because of Christmas clinic closures and my period due at the end of Jan.

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daisyrae06 · 28/08/2025 22:28

Hello just jumping on this thread as me and my partner have been TTC upcoming 4 years in September, he was first diagnosed with low count and that increased to 41million but his morphology is 1% so I feel like we are in the same boat. We have had our first IVF consultation and will be starting the process in November (choice of ours) NHS funded, it took us a few years to get to this point however I have never given up hope that one day it could happen naturally for us. I am very open now to doing IVF though as at first I didn’t want to with selfishly me not being the problem as my tests come back all good. I guess I just wanted to say that it is very mentally draining and no one can say anything to make it better but I was once in a constant loop of living from period to period and eventually with hard work I took myself out of that and started to enjoy life again and breathed. Although I get still get those heartbreaks and niggles in my head thinking it could be this month, it felt like I was just existing? I completely get all your points, all my friends are having babies and it really upsets me deep down but equally I’m so excited for their journeys and take it as an opportunity that they can support me when hopefully that happens. I just wanted to say you’re not alone and it is such a hard time but please try remember yourself and you’re own well being and enjoy life, it’s only short we need to live it and be happy. I’m so sorry if this comes across asif this is no help but I just wanted to explain as someone who felt like you. It’s such a hard topic to speak about and articulate the correct words to someone else. Sending you lots and lots of luck 🤞🏻xxx

DreamingSwan · 20/08/2025 23:12

Stillwinston · 20/08/2025 14:50

@DreamingSwan I haven't posted in ages but have been keeping an eye on the thread to see how you've been getting on. Just wanted to say that it took us 3 years of trying before we fell naturally with our son so please don't give up hope, there is still a chance. And if it doesn't happen naturally then IVF, although tough both physically and emotionally, can - and does - do miracles and I'm so happy we took the plunge and went for it. Sending you lots of luck and positive vibes xxx

Thank you for the kind comment, I really needed this today. ❤️

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Stillwinston · 20/08/2025 14:50

@DreamingSwan I haven't posted in ages but have been keeping an eye on the thread to see how you've been getting on. Just wanted to say that it took us 3 years of trying before we fell naturally with our son so please don't give up hope, there is still a chance. And if it doesn't happen naturally then IVF, although tough both physically and emotionally, can - and does - do miracles and I'm so happy we took the plunge and went for it. Sending you lots of luck and positive vibes xxx

DreamingSwan · 20/08/2025 14:07

1woodpecker · 31/07/2025 14:51

That’s good re DNA frag!

how did your appt go?

we’ve got our first NHS appt coming up, I’m curious to know what will happen and how quick/slow it will be. As I’ve had ultrasounds/lots of blood tests already, I wonder if next step will be checking tubes, or if they’ll repeat bloods again etc. The appt letter said they might do a scan on the day. wishful thinking but hoping there’s not too much delay and might be able to try something different! My acupuncturist recommended asking them about clotting issues because I’ve had 2 chemicals, so need to read into that a bit more

Appointment was fine. We discussed the possibility of IVF if I’m not pregnant within a few more months. We were told “it could just be taking longer and everything looks great.” I am fed up of medical professionals telling us to be optimistic and happy because everything looks great, when the reality is we’re now on cycle 16 and still never have a whiff of a pregnancy. I asked if I could have hormone tests and he said it’s unnecessary because I have regular periods. I am unconvinced by that argument and feel demoralised.

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DreamingSwan · 20/08/2025 14:04

ANOTHER period arrived today… onto cycle 16. I’m so upset and disappointed—and angry at myself for being disappointed when I should have known. I’m so scared I’m never going to be a mum.
Are we wasting time continuing to try naturally? It would have happened by now, surely… I feel so demoralised but also I just want to start IVF so I can try something different from the heartbreak of monthly ttc naturally. How is everyone else getting on?

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1woodpecker · 31/07/2025 14:51

DreamingSwan · 28/07/2025 10:12

Update with us: we’re now on cycle 15. DH has had a DNA frag test which thankfully came back good. I was so worried it would be terrible because of his poor morphology. We have our first NHS consultation this afternoon at King’s Fertility. Still don’t know why we’re not pregnant and I’m losing hope.

That’s good re DNA frag!

how did your appt go?

we’ve got our first NHS appt coming up, I’m curious to know what will happen and how quick/slow it will be. As I’ve had ultrasounds/lots of blood tests already, I wonder if next step will be checking tubes, or if they’ll repeat bloods again etc. The appt letter said they might do a scan on the day. wishful thinking but hoping there’s not too much delay and might be able to try something different! My acupuncturist recommended asking them about clotting issues because I’ve had 2 chemicals, so need to read into that a bit more

PregnantForNow · 29/07/2025 21:06

Hey sorry to hear you're feeling down. Still not pregnant over here but we are just waiting for our first IVF appointment. It sucks I know! Sorry to hear nothing has changed for you either.

DreamingSwan · 28/07/2025 10:12

Update with us: we’re now on cycle 15. DH has had a DNA frag test which thankfully came back good. I was so worried it would be terrible because of his poor morphology. We have our first NHS consultation this afternoon at King’s Fertility. Still don’t know why we’re not pregnant and I’m losing hope.

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DreamingSwan · 28/07/2025 10:11

1woodpecker · 05/07/2025 20:31

I did it with Daye, really easy and quick. Came back as high in one bacteria which needed antibiotics. Haven’t retested yet but think it helped? Apparently that can affect fertility and miscarriages. It was £99 I think but I’ve got a discount code if you did look at it!
Otherwise no reason found. I thought I might have a thin lining but it was ok when I had a scan just before ovulation.
DH is convinced his sperm are fine but morphology is low and I think this is part of it! He’s got a highish count etc so thinks it’s balanced out but I’m not sure?

Thanks for this—I had no idea there were affordable versions of the test! I will definitely go and research Daye right now.
How are you getting on with your investigations?

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DreamingSwan · 28/07/2025 10:10

PregnantForNow · 05/07/2025 15:13

Yes it's an unfair system unfortunately. We will also be going private as the wait is too long. Currently trying for two more cycles post my clear HSG on my remaining tube. My issue was a blocked tube, and now I have only one, but at least it's clear.

All good clinics offer payment plans and I'd strongly urge you to consider the 3 cycles plan - as you may not get pregnant first round. It's more upfront but if you shell out the thousands for a single cycle and it's doesn't work you'll be gutted.

In my area you're allowed 1 private cycle to fail and can still be eligible for NHS. If you have two failed private cycles you're no longer eligible for NHS. So check your areas rules - you could do one round whilst waiting for NHS. Hopefully that one round works! But it might not. There are options to consider.

Just to say I understand completely. Fertility is such a hellish world - just remember as much as you see women bragging about how 'SUPER fertile 😂🥰 only-have-to-look-at-my-husband' they are, that doesn't mean they're actually better than you. It's chance. It's luck. It's nothing you've done wrong.

Hey PregnantForNow, sorry for the slow reply. I tend to come on Mumsnet when I’m feeling terrible and avoid it when I’m feeling a bit better. I’m currently dealing with AF and onto Cycle 15 so seeking people who “get it” on here again!
We will look at multi cycle packages. So scared it won’t work and we’ll have spent money for nothing. :(
You’re totally right that it’s not my fault and it’s luck. I’m going to try reminding myself of that more often as I definitely feel like I’m a total loser. I hate being an object of pity. I’m sick of people’s insensitive comments too!

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1woodpecker · 05/07/2025 20:32

Losing track of if I’ve said this already but we had a consultation with Plan Your Baby who were affordable, as an in between whilst we wait for NHS

1woodpecker · 05/07/2025 20:31

DreamingSwan · 05/07/2025 10:14

@1woodpecker I’m so sorry you’re going through this too. It’s so hard. Where did you get your microbiome tested and did it show anything unusual? Have they found any other reason why it hasn’t happened yet?

I did it with Daye, really easy and quick. Came back as high in one bacteria which needed antibiotics. Haven’t retested yet but think it helped? Apparently that can affect fertility and miscarriages. It was £99 I think but I’ve got a discount code if you did look at it!
Otherwise no reason found. I thought I might have a thin lining but it was ok when I had a scan just before ovulation.
DH is convinced his sperm are fine but morphology is low and I think this is part of it! He’s got a highish count etc so thinks it’s balanced out but I’m not sure?

PregnantForNow · 05/07/2025 15:13

Yes it's an unfair system unfortunately. We will also be going private as the wait is too long. Currently trying for two more cycles post my clear HSG on my remaining tube. My issue was a blocked tube, and now I have only one, but at least it's clear.

All good clinics offer payment plans and I'd strongly urge you to consider the 3 cycles plan - as you may not get pregnant first round. It's more upfront but if you shell out the thousands for a single cycle and it's doesn't work you'll be gutted.

In my area you're allowed 1 private cycle to fail and can still be eligible for NHS. If you have two failed private cycles you're no longer eligible for NHS. So check your areas rules - you could do one round whilst waiting for NHS. Hopefully that one round works! But it might not. There are options to consider.

Just to say I understand completely. Fertility is such a hellish world - just remember as much as you see women bragging about how 'SUPER fertile 😂🥰 only-have-to-look-at-my-husband' they are, that doesn't mean they're actually better than you. It's chance. It's luck. It's nothing you've done wrong.

DreamingSwan · 05/07/2025 10:20

PregnantForNow · 04/07/2025 22:50

Hey @DreamingSwan (this is the username I used on this thread before and I am not pregnant now). I can hear how raw your pain is. TTC is so soul destroying and I have written and said so many of the same things. It's very hard and sometimes feels there is no end in sight. This might not be the advice you want as it isn't free but when you feel you've hit a wall with the NHS - go private. Honestly. You'll be blown away at how quickly things move and how they talk to you like they AVTUALLY care!

I'm still TTC and I've now had three losses. It isn't easy. I also feel like happy healthy pregnancy is something other people achieve easily - everyone, in fact, but me. Just know that is not true. There's really loads of us out there. The ignorant people who are nonchalant about pregnancy also wind me up. They don't know their blessing. I truly believe this journey makes better parents out of us all in the end - regardless of what route we end up taking to get there. Come back to chat whenever you need there's so many women here who get it.

I’m so sorry for your losses @PregnantForNow Have you had any investigations into why you’ve had recurrent losses or if there’s anything that may help you in the future? I hope you have good support around you.
You’re totally right about going private. So far we’ve paid privately for one semen analysis, one ultrasound and consultation with AMH test, and one HyCoSy. We want to be able to get some free advice and see what our options are with the NHS but we know that morphology isn’t taken seriously so it’ll be “unexplained”, which means we have to be trying for 2 years before we can get IVF. Realistically, I know we’re looking at private IVF but we don’t have much money. I’ve told DH if we’re not pregnant in the next two cycles I want to go down that route and we will just have to take a loan out or something. It’s so bloody unfair when other people just have sex once and get pregnant for free. I’m so sad.

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DreamingSwan · 05/07/2025 10:14

1woodpecker · 04/07/2025 21:59

Hi @DreamingSwan im feeling quite the same - think on cycle 16 now and feel like it’ll never happen! DH is now taking sperm supplements and has an analysis retest soon and I’m trying a few months of progesterone. Sorry you’re feeling like this - it’s really bloody hard!
I also got my microbiome tested and we both had antibiotics so hoping that might have helped 🤞🏻

@1woodpecker I’m so sorry you’re going through this too. It’s so hard. Where did you get your microbiome tested and did it show anything unusual? Have they found any other reason why it hasn’t happened yet?

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DreamingSwan · 05/07/2025 10:12

Everythingisokay · 04/07/2025 21:47

@DreamingSwan I just read your last update and wanted to say that it's so tough when everyone around you is getting pregnant left and right, without even trying for too long.
I hope a day comes when you're holding your baby and you look back all you're going through now and know it's just the past.. 💕
It is crazy how draining TTC journeys can get, both mentally and physically. Wishing you all the best.
Are any people in your circle being supportive and understanding?

Thanks so much @Everythingisokay, this is so kind of you. I hope you’re right about looking back one day… my fear is that it’s never going to happen for us and that I will be grieving and in sorrow for the rest of my life.
People in my life are kind but no one “gets” it.

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PregnantForNow · 04/07/2025 22:50

Hey @DreamingSwan (this is the username I used on this thread before and I am not pregnant now). I can hear how raw your pain is. TTC is so soul destroying and I have written and said so many of the same things. It's very hard and sometimes feels there is no end in sight. This might not be the advice you want as it isn't free but when you feel you've hit a wall with the NHS - go private. Honestly. You'll be blown away at how quickly things move and how they talk to you like they AVTUALLY care!

I'm still TTC and I've now had three losses. It isn't easy. I also feel like happy healthy pregnancy is something other people achieve easily - everyone, in fact, but me. Just know that is not true. There's really loads of us out there. The ignorant people who are nonchalant about pregnancy also wind me up. They don't know their blessing. I truly believe this journey makes better parents out of us all in the end - regardless of what route we end up taking to get there. Come back to chat whenever you need there's so many women here who get it.

1woodpecker · 04/07/2025 21:59

Hi @DreamingSwan im feeling quite the same - think on cycle 16 now and feel like it’ll never happen! DH is now taking sperm supplements and has an analysis retest soon and I’m trying a few months of progesterone. Sorry you’re feeling like this - it’s really bloody hard!
I also got my microbiome tested and we both had antibiotics so hoping that might have helped 🤞🏻

Everythingisokay · 04/07/2025 21:47

@DreamingSwan I just read your last update and wanted to say that it's so tough when everyone around you is getting pregnant left and right, without even trying for too long.
I hope a day comes when you're holding your baby and you look back all you're going through now and know it's just the past.. 💕
It is crazy how draining TTC journeys can get, both mentally and physically. Wishing you all the best.
Are any people in your circle being supportive and understanding?

DreamingSwan · 04/07/2025 21:34

If anyone is still following this thread… we have no idea what to do next. We’re now at the calendar year of trying. Cycle 14. Is there anything else we can try? I’m becoming super heartbroken and panicky. I’ve started counselling sessions but so far they’ve not given me much except validation, given that no one in my real life gets it. I just found out another person in our life got pregnant immediately after starting ttc (aged 35) recently, and we can add them to the list of literally everyone we know with a baby. I’m so jealous. This is so isolating.
I have no hope for this cycle and can’t ever imagine a BFP—they happen to other women, women in movies, not me.
Still no referral from the NHS, either.
I just want to wake from this nightmare. Rant over.

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