Well, bit of a game-changer this morning. Went for my scan to start the IUI and the doc flicked through the notes and said " we've already explained the sperm issue..." and I said, "er, no, what issue?"
Turns out DH's morphology is only 1%, when 4% is the minimum normal level. (Morphology is when they are the right size and shape). He has high count and motility (speed of swimming) which I understand to be encouraging because although only 1% of his boys are any good, the absolute number is still quite high. But this explains why we've been having problems (though am sure is a combo of us both).
Why we were not told this before I do not know. DH wasn't with me this morning so now I have to explain this to him - he'd seen the results sheet before but we didn't know how to interpret it and my GP had said it was "fine" - NB HS26 hope your GP is better than mine at interpreting results....
At our first appt with the consultant GP had not faxed it over so he didn't have the info during the appointment (though I seem to remember the nurse looking at it when it finally did arrive and saying it was OK.)
Anyway we're going ahead with the IUI so I have had my first gonal-f injection today and four more to do. Totally painless, it's a pen thing, goes into the tummy, but like a clown I managed to prick my finger when the nurse was showing me how to dispose of the needle!
I'm toying with not telling DH until after the insemination in case he gets too anxious and can't perform. But I think honesty is probably the best policy. This will come as a bit of a shock to him, he's only 36 and doesn't smoke or wear tight pants (in fact he is well known for lounging about commando at home, ew). But he does like a drink, isn't always the healthiest eater in the world and could do with losing a stone and doing more exercise. As could I of course. He won't have the first clue what it all means, so I predict a lot of googling tonight.
Consultant says that IUI isn't the best fix for this problem (that would be IVF with ICSI I think) but that IUI will improve the chances beyond natural DTD so we may as well give it a go. However if it doesn't work then we'll be straight to the IVF clinic. And in the meantime get him on vitamins and salads, off booze and caffeine and into the gym. Actually a tiny bit amusing since he was being a bit smug when I was briefly pg about how he would not be giving up alcohol in sympathy with me...