August 22, 2008
Hello doctors,
I just had my second IUI. The reason we're doing IUIs is because of moderate male factor. Since February, my husband's sperm values have been low across the board: count, motility, morphology. We were told that IVF/ICSI would likely be "inevitable" but that we could try a few IUIs first.
The first IUI we did only gave us 300,000 motile sperm which was injected (post-wash). I think the pre-wash count was 9 million, 25% motility -- consistent with several semen analyses we've done in the last 5-6 months.
However, this time around, count was still low (20M pre-wash), but the motility improved to 60%! For my second IUI (this past Wednesday), 2.3 million motile sperm were injected. As you might guess, our RE was encouraged by the dramatic increase in motility, and said that the overall QUALITY of the sperm had greatly improved, though the count was low. So here are my questions:
1. For IUIs, what's more important: Quality or Quantity?
2. What could account for this huge motility improvement, as my husband doesn't bike, already wears boxers, doesn't sit in hot tubs, etc.?
3. If the quality of the sperm is good, but the count is still low, do we still have a decent shot at getting pregnant?
Many thanks!
August 22, 2008