Please can someone make sense of my partners syperm analysis!?

[Svm1994]

Hi all,

We have gone private for this test (after myself having numerous issues) and we needed the results quickly. However, my fertility doctor is now on holiday, the clinic want another £100 to tell me what the report means and I'm stuck after already paying £125! I'd be really grateful if someone could let me know what this means, especially the high level of round cells :(. With me having an AMH of 7.7, we now feel like this an issue too.

Can anybody help? My doctor is now on leave and the private clinic want another £100 to tell me what these results actually mean!

Volume ml – 2.40
pH – 7.50
Appearance – Clear
Viscosity – Normal
Liquefaction – Complete
Density x106 /ml – 44.00
Total count x106 – 105.60
Motility %
Progressive – 72.0
Non progressive – 1.0
Immotile – 17.0
Normal forms % – 4.00

Other Parameters
Agglutination – Nil
Aggregation – Nil
Round Cells (x106 /ml) – >5.0×10/6/ml

Conclusions:
Normozoospermia. All parameters above the lower reference limits, therefore this sample is suitable for any form of treatment.
High density round cells
Increased round cells please discuss with the clinicians. Please call the contact centre on —– to book a follow-up appointment with the clinical team.

I'd be so grateful for any info.

Thanks in advance.

Pay the money or wait for Dr to come back You need proper guidance. I spent £20k on fertility treatment I know its frustrating but next steps depends on both your situations this isn't an Internet diagnosis situation

I wouldnt pay a penny for an interpretation, were you told you needed an 100 for am explanation before you had test done? If not, i would insist they tell me before id report it to trading standards or something or other.

I'm afraid we don't have this kind of money. I'm 23 and my partner is 24. I've recently come out of hospital after a laparoscopy finding severe endometriosis and been told My AMH is only 7.7 and my NHS fertility doctor has told me if I want children I need to move quickly. We have just moved in together so we can try to start a family, so all money is now going on this. I feel I shouldn't have to pay extra after £125 on a treatment which is avaliable on the NHS as I can't wait 2 months for an appointment. I also cannot afford the £6,000 for egg freezing which is needed for an illness which is no fault of my own, meaning I have no choice (which of course is a no brainier, as we have always wanted a family). I suffer with EDS and POTS also (a heart condition and a lack of collagen causing all sorts of issues), I just feel I'm being treated slightly unfairly and help is no where to be found

Sorry broodynmoody, we were not told that just to tell me the meaning of 'high round cells' means and how high his actually is!!!

It's normal.

It's between the lower and upper limits of whatever they consider normal.

It's suitable for any form of IVF.

They have no problems with the state of the sperm sample.

Gingernaut, thank you so much for your reply. Do you think the round cells could be an issue? Stated at the bottom?

Round cells are immature sperm but can also be a marker of infection. The updated (2010) WHO criteria for semen analysis say not to include round cell count in an analysis as it's of uncertain significance.

Op funding for fertility treatments is a postcode lottery. We got no funding at all paid all £17k ourselves. It does feel unfair but seriously you'll drive yourself crazy dwelling on that, and ivf drives you mad anyway without that.
Good luck 🍀

How long have you been trying? I have heard that the round cells can be markers of infection too but your partner does have a normal pH ( usually that'd be off in case of infection too) so it might be ok but I'm not a doctor to say for sure.

The motility of his sperms is excellent ( so they swim well) - basically much better than the majority of men. The count is low, well below average (4 out of 5 men would have higher counts). His morphology is poor at 4%, though - it's borderline subfertility at that level (19 out of 20 would have better morphology).
Having said that, you can get pregnant naturally but it is likely to take a little longer. To help you, I'd suggest keeping testes cool and using supplements (Proxeed/Profertil, Pycnogenol) and eating lots of veg and fruit (8 of 5 a day), nuts, seeds, omega 3 etc. to improve the parameters.

And the obvious one of having a lot of timed sex - the more he ejaculated around the right time, the more sperms will have a chance to make it to the egg.

Hi JoJoSM2,

When I had my lap done they fitted a mirena coil. Quickly after, I found out my fertility situation and requested to have it removed. They now can't remove it, as due my condition meaning I have a lack of collegan it has 'gone missing'. I'm booked in for minor surgery next Tuesday to have it removed and we will trying straight away (well, as soon as I'm allowed).

I'm now confused! As the bottom says he has 'normal sperm within the normal range', and they haven't specifically said he has anything to worry about. Is this quite a bad result then? My fertility doctor is away until the middle of next week so I feel pretty lost at the mo.

Don't worry, it isn't bad. The morphology is borderline but overall the sample looks like you'd be reasonably likely to get pregnant within a year. Your doctor might want to carry out another test to make sure the morphology doesn't drop - if it were any lower, it would be classed as male factor.

Results fluctuate so make sure he tests again in 3 months. My DH has had four tests and had 2% then 1% then 4% twice on morphology.