Can motility improve THAT much?

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

Yes, sperm is constantly regenerated, so it is possible.

August 22, 2008

my DH had a 1% morph when he had the SA and then just found out that he had a 6% morph with our 1st IVF like 5 months later! Thats crazy!!!

Im so happy for you hun, thats great news!!!

August 22, 2008

Thanks all --

What more important for IUIs: Quantity or Quality of sperm?

August 22, 2008

both are pretty important but i would say the quality is the one thats more important.

August 22, 2008

Christine.. I would have to agree with Chels.. quality would be more important then quanity b/c all it takes is one to fertilize and egg but if most of the sperm are disfigured then its not going to matter how many u have then.

August 23, 2008

Thanks everyone -- that's good news then! I just hope DH's sperm continues to improve. Maybe this IUI think will actually work!

All the best to you--

Christine