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Conception

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Abnormal SA - first Fertility Clinic apt

30 replies

redstrawberry · 16/11/2012 12:16

Hi

Short story -We've been ttc for 7 months, had a CP in July. DH and I had tests done. My uterus and ovary scan came back normal.

Just got DH's SA result and all the GP could say was higher abnormal count than normal :( GP hasn't offered any further info or guidance - hes not sure how to read the results properly. Told us the fertility clinic will be able to explain.

We have our first appointment at the clinic next week. And apart from being very sad and upset, I am wondering what to expect? Anyone know what sort of questions I should be asking? Also what does an abnormal SA actually mean for me? Will I be able to conceive?

I can't focus on work and I just don't know when I'll be able to hold a baby in my arms.

OP posts:
winkle2 · 17/11/2012 09:34

I think it's good that the count is so high. 2% of 348 million is millions!

One thing I'd like to know ( if you don't mind asking the clinic) is do the abnormal ones die pretty much quickly or are they getting in the way of the normal ones swimming to the egg?

redstrawberry · 17/11/2012 12:17

I was going to ask the same question winkle! And the most important one - what are our chances of conceiving naturally?

His total sperm count was 348m per ejaculate, and concentrated was 138m, Total motile count was 60m so I am not sure what all the varying counts mean.

I know 348m is loads but f it wasn't an issue why has it not happened in 7months. If you hv any other questions let me know - happy to ask them all!

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rabbitonthemoon · 17/11/2012 12:26

I read there should be 16million motile normally formed sperm in one load to put you in with a chance of conceiving on this fertilichat website. Not sure how accurate this is though..

winkle2 · 17/11/2012 13:47

Thanks red!

I think the chances question is a good one too.

Also how to improve morphology, is there anything he can do?

redstrawberry · 20/11/2012 18:33

Just wanted to provide an update after our appt with the FS.
She didn't seem to concern although she said morphology was a little concern but more importantly the abnormal diagnosis was because of Antisperm Antibodies (ASA). Dh has 25% of ASA and the normal should be 10% and under.

The presence of ASA impairs the motility of sperm. They Antisperm stick to the good sperm and prevent them from swimming further trapping them within the cervical passage. The morphed sperm are not a problem apparently.

She said the wellman conception pills would help to bring the numbers of ASA down. She's asked some more tests on me and said if mine come back normal again then she wants us to keep trying naturally first, but if we want she will refer us for an IUI treatment and clomid.

Dh and I talked and we have decided to try conceiving naturally for another 6-8months and then she where that leaves us.

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