HELP 0% Active Motility

May 29, 2008

We have just gotten back from seeing our gp and getting my boyfriends SEMEN ANALYIS following are his results:

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....

May 30, 2008

Flutter, I'm so sorry for what is going on and sending you big big (((hugs)))). However I do recommend for you and the dh to seek help and advice from a Male Fertility Specialist. A true SA results he will need to get another SA done in 2 1/2 mths. Also get his hormone levels checked with this specialist and/or Endocrinologist. Just know that all cases are not textbook to say but right now for the both of you seeking the help and the information from a Male specialist and a Endocrinologist (hormone specialist) is the best you can do at this time.

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

May 30, 2008

Thanx Angel....I have know idea what Im doing on this one but at lest you've pointed me in the right direction.....We are both emotional wreaks atm coz they even mentioned the possibility of cancer and it has scared us to death.....Im doing pretty good at not crying so thats got to be good right..... :o/

May 30, 2008

I'm so sorry and so understand we went thru this issue several mths ago.

Why did they say cancer? Please explain.

May 30, 2008

Good question they just thru that one at us. They said he will need to be checked for testi cancer coz of the 0%active and 80%non motile. I have no idea on what any of this stuff means arrrgh.

They said to be checked just to be sure....

We are so confussed....

May 30, 2008

Interesting...did Shane or you ask why?????

May 30, 2008

Shane went quiet from shock and I started asking a 100 questions but all the gp said was to make the appt with the ivf clinic and they would be able to explain more.....I kept insisting for answers too but eventually the news statred to hit me and we had to go. Luck for us Im close to the receptionist and shes been thru this journey too so when she saw us crying she took us into a room and sat with us....

May 30, 2008

Awww poor dear well that dr is a gp and not a specialist. All I can say that I have given you the advise from what we have learned and been thru this past year and half but it is up to you and Shane to follow in what you and him want to do. Wishing you the best of luck!!!

May 30, 2008

We will most definatly be taking your advice and putting it to good use.....I cant thank you enough for being here for me....You REALLY are an ANGEL

May 30, 2008

you're welcome love!!!! go to another gp and get a referral from a new gp!!!!!

May 30, 2008

Would the fact that he had a cold and hadnt been getting proper sleep contributed to his 0% active motility???????/

May 30, 2008

hi flutter, I would say nope to this idea. This all has to deal with is hormones and his prituary gland in his brain. Just like woman it is all control by his hormones. It is not as simple as that the male fertility and femal fertility is not a simple process. Having 0% motility tells me (Now I'm not a dr) that something is going on with his hormones and that must be checked out via blood test and seeing specialist that have a better understanding in this matter.

May 30, 2008

Flutter- I am soory that the SA did not yield good results.. we had a similar situation- but just a dramatic drop...

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.

May 30, 2008

*Male and Female fertility is not a simple process. Female is lil more simple than male that is what I have learn.

May 30, 2008

Thanx again angel...have 100 things going thru mind atm and I figure its beta to ask the question then sit and wonder... Your a true treasure.....

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...

May 30, 2008

Flutter I found this post from another user with DR 's Respnse so do not loose hope..

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...

May 30, 2008

Awww dear I understand but with what we had to deal with and with us asking questions via other sites and ppl I know. I don't believe he has cancer he would know trust me. The best thing to do is get to a specialist but that is a decision you and him will have to discuss. Now like I said before no case is textbook every person is different and knowing his case with our talks before he needs to see a specialist. GP's don't have the expert knowledge like a specialist. They just have a general idea. So next step for you and him is to find a good specialist and a hormone specialist also. Don't give up it's just a bump in the road. Good time to focus on other stuff.

May 30, 2008

Caryn ~ yeah there are sperms there but non are active 20% are sluggish and 80% are non motile. Shane is 34 turning 35 and this was his first sa...We are going to see a gp tomorrow and demand a referral to specialist. We want to know whats going on and why.

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...

May 30, 2008

Thanx angel...looks like its the perfect time to be saying offically we are on a break until him and I have both got our fertility stuff soughted.

I saw that post Caryn I think I actually commented on it hehe but thanx its really appricated

May 30, 2008

Julie, you got some great advice from the girls on this post! I agree 100% and would follow up with another SA in a few months and also would follow up with a male fertility specialist. It's not over yet, it's a bump in the road and you'll make it over the bump and on to smooth roads again. ((((((big hugs)))))) and ((((((big hugs for Shane))))))

May 30, 2008

FLutter did he do his sample at home and then brought it in or right a the clinic?

Many men who do it at home and bring it in don't have good results and therfor need to be retested!

May 30, 2008

Sarah ~ we are going to get a referral tomorrow to a specialist if there is a doc open that will give us one. We are also hoping to retest in a few months.

Sailor ~ we did the sample at home and had it to the lab within 20mins of taking it...

May 30, 2008

My hubby sat in the parking lot and got his sample in the car and then ran it in. lol

May 30, 2008

Food for thought...

My dh did his first s/a at home and it came back bad and he redid it at the centre and it was great that was 8 yrs ago now. Now with the most recent s/a done he has low count and morph issues.

Stay positive and maybe once you do the a re-test things may be better!

May 30, 2008

Did he make sure he kept the sample close to his body to keep it really warm? That is really important too :)

May 30, 2008

He drove while I nursed it in my lap lol We joked how I was nursing our soon to be baby.....

May 30, 2008

LOL Sar22222 that is a good way to do it..My fiance said that if he had to give his sample in that cup one more time that i was gonna have to come in there and help him...LOL..what is it with men and giving samples...

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

May 30, 2008

We stuffed our sample in a backpack with about 20 towels in it...lol...that was in January with a bad ice/snow storm...lol....

May 30, 2008

holy crap dh will read this and give me a look...taking back the lol comments....

May 30, 2008

ok flutter....here's some information about the df's situation....

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.

May 30, 2008

Hypospadias & Male Fertility

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.

May 30, 2008

Thanx angel....pretty sure I have that info printed out somewhere but I will print it again just to make sure I have a copy...

May 30, 2008

Male-Hormonal problems - these problems can include structural problems including hypospadia, absence of vas deferens, undescended testicles, blockages, retrograde ejaculation, and vasectomy. Other problems can include sterility (no viable sperm) and low sperm count.

No worries dear...more above for you...

May 30, 2008

It was winter here for us too and Jay was freakin out just bringing it from the car in the parking lot into the building. lol He put it in his pants. LMAO

Julie.. I sent ya a msg. Sorry it's long.

May 30, 2008

Hmmm so that is saying that there is a chance that the hyposidia may be a factor in this, yes??? Or am I miss understanding...

May 30, 2008

http://www.google.co.uk/search?hl=en&sa=X&oi=spell&resnum=0&ct=result&cd=1&q=Hypospadia+and+fertility&spell=1

May 30, 2008

Angela you are so awesome with the information you give out!!!

May 30, 2008

yes because of his hormone levels being out of wack just like my dh....that is why I have directed you to a Endocrinologist. Very important key. His Hypospadia is a hormonal defect while in the womb and that can cause a hormonal imbalance in him. Now am I 100% + with this nope because I'm not a dr but it is a start for you and him. Can it be resolve? That is something that the Endocrinologist can determine. Love you are almost in the same boat as we are.

May 30, 2008

Thank you Sarah! I'm in the process of chatting someone about writing a book with what we have been dealing with. Poor Jay and the sa story!!!!

May 30, 2008

really? cool!

May 30, 2008

yes that is one of the reason why I haven't been on much. I have been writing and meeting with ppl that have these issues and looking at how there is low support or information for the male side of ttc.

May 30, 2008

Im so referancing all these sites when I request a referral just so that the doc knows that Im not just 'over-reacting' as they like to tell us aussies about these things...

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....

May 30, 2008

I was wondering where you have been lately? :)

May 30, 2008

Best to get it rechecked in a couple of months and to see a specialist...

May 30, 2008

Oh wow angel, you didnt tell me about the book. Thats heaps exciting. I baggs first copy lol. Im sure it'll be gr8

Thanx dr Q

June 01, 2008

BUMP FOR AMANDA....HOPE IT HELPS...ANGEL REALLY KNOWS HOW TO RESEARCH WELL SHES A TRUE ANGEL :o)

June 19, 2008

Shane has urologist appt 2morro plz keep him in your prayers. Hoping we get the help we need on this...

June 19, 2008

Flutter my DH had his yesterday. Follow up to 2 SA's, results weren't stellar but he is saying that he now wants an ultrasound to check the seminal vesicles and bloodwork to check hormones....evidently if there is blockage of some sort a minor surgical procedure to reroute things can be done. DH is really open to this so that is at least good. Good Luck Flutter to you and Shane. You've been through so much it's time for some good news for sure.

June 20, 2008

Ok so heres the update....

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

June 20, 2008

Hi Flutter, we also have debated over using sperm donor and it's a hard hard road to go down. In the end though my DH and I felt that we'd love a child no matter how he/she came into our lives and that if the child was even just half of one of us it wouldn't matter. He said he loves me soo much that he'd love anyone that was a part of me as his own..

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!

June 20, 2008

Thanks for the update Julie, so it's not over yet, stay positive and keep us posted on the other doctor appts. Don't make any decisions yet on sperm donor or adoption, it's too soon for those decisions with your recent loss and not having all the answers yet on Shane. I'm keepin ya both in my prayers and I truly believe that somehow you two will become parents!!

June 21, 2008

Awww thanx so much Sarah it truely means so much hearing ppl say that we'll be parents somehow...

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

June 21, 2008

Wow awesome Julie!! I'm so proud of you and I'm sure Shane was too :))))

It's always so much better to go to the docs prepared and armed with information. Way to go!

June 29, 2008

Hormone specialist tomorrow for Shane. Tho the urologist said that he probly didnt need to see a hormone specialist coz his hormomes arent that off really but he said to still see him coz it would be better for the hormone specialist to decide for himself if theres an issue with the hormones or not. So we are hoping we get a goodish report tomorrow for this doc and then we can start getting his bloods and sa re-done and book shanes ct. we have like 3wks to get it all done before we see the urologist again and we find out if he wants to do a biopsy, which we are hoping he wont want to do. But if it needs to be done then it most certainly will be getting done

June 30, 2008

I'd just like to say Im so in love with the hormone specialist. He is so lovely and supportive. He is sounding really encouraging atm he thinks shanes high fsh could be coming from his undesented testi whn he was a kid and also from snoring (sleep watever it is, cant pronounce the last part) He has put him on a low carb diet to help him lose some of his weight hoping that will help too. He is getting arrange of blood tests down basicly every blod test possible to hormones again, iron, tyroid etc etc. He said that he believes that even with my history he may be able to work out away to get us pregs without needing ivf. He is also going to take me on as a patient for my pcos and has also but me on low carb diet and everytime before I eat I am to do 30 reps of 2kg hand weights in each hand. This helps with matabolisim. He calls it no pain, no eat.

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...

June 30, 2008

forgot to mention his reccomanding shane does one of those sleep tests coz of how bad his snoring is and the fact that at times he will stop breathing in his sleep.....

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...
Use_it
KEM

June 30, 2008

I am so happy you like hime! If Shane has sleep apnea it can make him feel horrible and he won't even know it! My Mom had it horribly before she lost a lot of weight and she was so tired all the time! He may put him on a machine to help him breath at night!

June 30, 2008

Flutter the sleep apnea is primarily because of weight issues..may be some harmonal imbalance too.

June 30, 2008

Yep sleep apnea is from too much weight, so have Shane stick to the new diet and he'll be all better in no time! My dh snores too once he hits a high weight. But good news is once he drops even 10lbs it goes away. Sleep apnea is dangerous so I'm glad Shane is going to take charge of his weight and get healthy! Losing weight for you too is going to help with your PCOS Julie and make you feel better too :) You're both headed in the right direction and you're both young so you have plenty of time to get in shape and then work on having that baby!! As always, I'm here for you :)

June 30, 2008

Yeah he did say that the sleep apnea would be related to the weight but his thinking it may be more so related to hormone levels etc because of how EXTREMELY bad his snoring is (keeps me awake some nights lol and I have to kick him out of bed and into the spare room :O)

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

July 10, 2008

Shane had all his blood test re-done on monday plus some extra bloods done too jst to check I think everything absolutly possible, including if Iv drove his mad or not lol...Today he is having a pelvic ct to check for a possible blockage among other things and 2moro morning he is doing his 2nd sa. So hoping all this shows something of an improvment evn if its jst one extra sperm that is kicking and ready to go. As long as its an improvment I dont care how big or small it is. I jst want all to be ok with the guy Im totally head over heels in love with :O)

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.

July 11, 2008

Glad you're one step closer to some answers Julie!

July 16, 2008

Ok so we saw the hormone guy today and got the majority of shanes results back...

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.

July 16, 2008

For anyone who is like me and didnt know what a ANDROLOGIST is and was wondering, they are basicly the same as whata gyno is for women...check this link for better info on what they are http://en.wikipedia.org/wiki/Andrology

July 16, 2008

Flutter with his numbers and fsh levels IVF+ICIS would be the best esp with DNA issues....

July 16, 2008

Angel I think its the dna test that we are waiting for the results to come back.

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...

July 18, 2008

We got Shanes ANDROLOGIST appt its 3pm 18th August, 1 month exactly way....Its costing "an arm, a leg and a heart beat" so hopefully we get some answers to wat is causing these issues and wat can be done etc. I did some research on the guy we are seeing and apparently his the best in Australia....

He sees his urologist again on wednesday so we should find out then if the biopsy is a go ahead....

July 23, 2008

We saw the urologist today. Looks like shane is having an op to check for a blockage or something around his prostate, plus they going to put dye thru some tube thing (forget the name of it but it goes from testi to prostate) to make sure theres no blockage/leaks, do biopsy on both right and left testi and possibly harvest sperm (if we can afford for that one to be done)...

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....