HELP 0% Active Motility
May 29, 2008
Ref Range
Volume 1.0 ml (2-6)
Sperm count 30 x10^6ml (20-250)
Normal forms 17% (>15%)
Active motility 0%} ACtive motility
>=25%
Sluggish 20%} or
Non Motile 80%} Active+sluggish
> = 50%
The gp said the only way is IVF.
What could of caused this?
Is there anything that can be done to help the active motility rate?
We so need any advice anyone can give coz we so can NOT afford IVF
I also have pcos and endo and do not ovulate on my own. Only with the help of clomid.
If IVF is the only way then our dream of having a child is over. :'O(
Please Please Please HELP us....
Is there sperm present, they are just not moving?
If that is the case, from my experience, they will want to test for testicular cancer- we had to as well..it just a scrotal ultra sound to look for masses...there are a feew reasons why the sperm sre there and not moving..try not to get all worried just yet..I got worried for nothing..so it could just be nothing
Also how old is Shane?
You should seek help from a Urologist who speciales in Male Infertility... he def will make you repeat the SA.. We did it 3 times to get a complete picture.. My DH'd counts started coming back up..so we had improvements.. I hope you will too
Has Shane ever had the SA done before??
A common cold would not make the numbers drop- I asked the same thing..the Doctor told us it would have been worse than the common cold.
Maybe we should buy an alarm clock to wake the 20% sluggish ones up more lol....
Will be definatly getting that referral tho tomorro even if it kills me...
My husbands sperm count is normal their all alive, but there's just no motility. Is there a cure for this. Does any one else have the same problem. Did u concieve or how long was it b4 u concieved. We're going to a male infertility specialist in march but, was wondering if we still had a chance or not, even with the infertility doctors help!
Dr. Q:
February 08, 2008
Hi
So long as the sperm are alive, you have a real ggod chance, but most likely it'll only be with IVF+ICSI...However, you do need a second sample drawn at least 2 1/2 months apart to confirm that this is the case...
You can consider using male fertility supplements also...
Good luck, and keep us posted..
*****babydust******
So maybe you can talk to the doctor about your options...
The only thing the doc did say that I forgot to mention b4 was that the fact he had hypersidea (spelt wrong) as a baby MAY have something to do with it...but this doc didnt know much. Ive always disliked him...
Flutter I am praying for you sweetie..i am sure that all will turn out well..many have had these issues and have gotten preggo..keep the faith sweetie leave it to God and he will provide what is best..Take care
http://en.wikipedia.org/wiki/Hypospadias
Hypospadia (from gr. hypo: “under” + spadon: “slit”, “break”, or “gash”) is a congenital malformation of the male sex organs: The urethra does not open through the glans of the penis, but somewhere through the underside of the penis shaft or even at the base of the penis. As a result, it is difficult to urinate normally, i.e. to control the stream of urine.
The cause of hypospadia is some hormonal imbalance or deficiency during a certain critical period before the boy is born. Because of this imbalance, the formation of his sex organs could not be properly completed. In addition to prenatal hormonal problems, various genetic and environmental factors may also contribute to this malformation. In mild cases of hypospadia the urethral opening is small and lies rather close to the tip of the glans; in severe cases, the opening is more of a gap and lies close to the base of the penis. Very often, the penis is curved, bending downward. There may also be a connection with other physical problems, for example undescended testicles and intersexuality (see there). The number of males affected is relatively small (an estimated 1 in 300), but it seems to be rising in several countries. (Very rarely, a comparable condition is found in females: Because of a malformed or missing urethra, the bladder empties into the vagina.) Severe and complicated cases of hypospadia may be related to the more serious problem of intersexuality.
By:
Mark Perloe
Question :
My husband had many surgeries as a child for his hypospadias. We have been trying for a year to get pregnant. I have been checked out and I am OK. Today, the doctors say that hypospadias is not a problem. But 28 years ago, it was really different. Can he still have kids? I don't know if they still do the same surgery today or not.
Trish
Answer :
Hypospadias is a condition where the urethral meatus (opening) is not on the tip of the penile glans; instead, the opening occurs on the ventral side (bottom or underside) of the penis. We don't really understand why this malformation occurs. It may result from lower levels of male hormones at the time the genitals are formed, while the baby is still in the womb. During pregnancy with a male fetus, the hormone hCG from the mother's placenta will actually stimulate the fetus' testicles to make testosterone, which in turn prompts the formation of the male external genitalia. The testosterone is converted to the more potent DHT before it carries out these actions. A problem may occur at any point in this process, so the culprit may be abnormal placental hCG production, low testosterone production from the testicle, or incomplete conversion to DHT.
Hypospadias may occasionally interfere with pregnancy; if the opening is not close to the end of the penis, the sperm may not reach the woman's cervix during intercourse. Men with hypospadias may also have other less obvious abnormalities elsewhere in the male genital tract. Abnormalities in the prostate gland or seminal vesicles may be found in conjunction with hypospadias. Any of these abnormalities, as well as inadequate testicular function, may lead to problems with the semen that can affect fertility.
The first step is to consider a semen analysis. If that is normal, a urinary-LH-timed postcoital test may be a good idea. This test measures the level of sperm in the woman's body after intercourse timed to a specific point in her monthly cycle. If sperm are not found in the woman's cervical mucus 12-18 hours after intercourse, that suggests that sperm is not reaching the womb. If that's the case, intrauterine insemination may offer the best chance for pregnancy.
No worries dear...more above for you...
Thank you times a million angel for all the info you have given me......You have truely given me hope when I thought I was losing all hope....
The urologist did a complete examination and said that the op shane had as a baby was not for hyposedia but in fact for an undesnted testi (his right on). We had a ultrasound done last wk and this discovery apparently fits in with what was found in the u/s.
Shane is now being sent for more blood tests (to re-check hormones), a 2nd sa and an abdo CT to check for blockages. In 2 months provide what the other tests show Shane s booked in to have a biopsy done on his right testi as this can apparently determine if it is producing sperm.
All in all the doctor said that he may either one of 2 things, some meds maybe to help sperm producing etc or aan op if there is a blockage. He also mentioned that if these things dont work or cant be used then we will be looking at ivf+icis or possibily ivf with a sperm donor. Shane is fine with all of this tho is a bit uncertain about the sperm donor like I am and we have decided that if we need to use a sperm donor then we dont think we will and will probly look at adoption. We may even look at this as an alternative to ivf+icis. But no definate decisions have been made as atm neither one of us is ready to make those decisions. We are just taking it day by day and praying for God to work what ever miracle he sees fit in this situation....Shane sees a hormone specialist also on the 30th June and sees the urologist on the 23rd July again
Adoption is great too! :) I just don't have the patience for the waiting game or the ability to have an open adoption..
I'm sending you mega prayers and I hope and pray that you don't have to even choose a different route and that it will happen naturally for you!
YEAH for your DH for being so great through it all!
Yeah we arent going to rush into any decisions yet. Like you said its too soon after our los and espesh since we dont know all the answers to shanes problem yet. We are just trying to take it step by step and absorb all the information the doctors give us. I even took a notebook to the doctors so I could make notes of wat he was saying to us etc Lol the doctor jst looked at me as if I was crazy lol Then he had this look of shock on his face when I started asking all these questions and using statements like 'I read that this could....' 'Iv done research and I was wondering....' then he made comment as we left that he had never been asked so many to the point questions about a patient b4 and that he was happy we where stepping up and taking charge of what was going on in our situation
He said he felt so glad that we have taken charge of our situation and are arming ourselves with as much info as possible. He actually thought I was in med school or a nurse coz of all the terms I was using lol...
Anyway so far so good...Hoping things continue to look up for us...
We see the hormone guy again in 3wks when hopefully all the blood results and new sa results are back...
Once he finds out what those results he said he will see if shane needs to take any of his 'magic medicine' lol he really is a character, lightens the mood with humour but at the same time he is to the point and very serious and honest with us...
He also mentioned that if the urologist does do the biopsy then the hormone guy will be recommanding that they harvest some sperm to either use straight away or have it there if it comes to actually needing to do ivf etc.
Im so glad this doc doesnt actually care about the weight side of things so much, well he does just in a different way. His more interested in the measurements of waist's. Shane needs to lose 9cm = around 13.5kg and I need to lose 25cm = around 36kg. Ive already lost 20kg over the past 12 months so I so know I can lose the weight. Espesh once I get back into the gym etc like I use to be b4 my iron started going crazy lol
He sees the hormone guy again on wednesday and then the urologist the following wednesday so hopefully they will be able to tell us more.
SEMAN ANALYSIS:
*this sampal was 1mL which is still a low volume
*Sperm count is DOWN from 30million to 22million *Normal forms is UP from 17% to 23% (woohoo improvement)
*Active sperm is UP from 0% to drum role please....20% (still low but doc says is a good sign)
*sluggish sperm remains the same at 20%
*Non-motile is DOWN from 80% to now 60%
SPERM ANTIBODIES:
Negative to both IgG & IgA
THYROID:
*TSH Is normal @ 0.88
*Folate red cell is normal @ 1256
*Vitamin B12 is normal @ 622
LH ~ is slightly high @ 10.20, the recommanded range is 2.0-10.0
Prolatin ~ is normal @ 128
FSH ~ is still really high @ 18.2, the recommanded range is 1.5-13.0
His Pelvic CT scan was all normal too
So all in all there are some good improvements. The doctor says the the biopsy from his view will need to be done but he is leaving the final dicission up to the urologist on that. He has also refered him on to a ANDROLOGIST what ever that is (going to research it in a sec). He was really proud also of the weight shane had lost 5kg in total and 7cm of his waist. He doesnt want to see him again for another 6months unless the ANDROLOGIST or urologist asks for him to see him sooner. Shane sees the urologist in a wks time so hopefully the final lot of test results will be back by then. Also on the biopsy the doctor highly believes that we should harvest sperm when it is done to use later for iui or ivf as he is concerned with my pcos also involved we may need to go down that road but cant say for sure until he sees me as his patient in about a months time.
I kept asking about ivf etc but he jst said that they couldnt say anything for sure until he had biopsy and saw the andrologist...so its a waiting game now...
The hormone guy said giving him medication atm would do more demage then good.
Hope all is well with you and thanx so much for taking the time to look at the results...
He sees his urologist again on wednesday so we should find out then if the biopsy is a go ahead....
The urologist is jst waiting till he sees the andrologist b4 booking him in for the op incase the andrologist wants/knows something that is beta....


May 30, 2008
Special Note: Getting his hormone levels check could help because if his FSH levels are low clomid and hcg could help him. Plus testorne levels could and does effect sperm production also. If the FSH levels are high that could be future risk of testicle failure and he needs to find out why that is happening. Plus Accuputure does help Male Infertility. However right now you and him need to seek help from a Male Infertility specialist and Endocrinologist and not a GP.
Keep us posted!!! Sending you prayers