cycles

Cycle and Semen Analysis History

Semen Analysis:

Date Volume Total Count Motility Morphology Antibodies
4/6 5.6 78.4 million 26% 4% suspected due to agglutination
4/27
58.2 million 18% 3% 37% IgG an IgA head and tail binding


Intrauterine Insemintation

IUI # Days of Stims Insemination date Pre-wash count (millions) Pre-wash motility Post-wash count (millions) Post-wash motility Post-wash total motile count (millions) Result
1 9 5/23 45.6 58% 9.5 57% 5.4 BFN
2
(dbl)
9
7/11
140.6
23%
2.3
53%
1.2
2 (dbl)

7/12
93
31%
2.2
56%
1.2
BFN
4 5 (clomid challenge) 3/13/08 65.6 50% 18 67% 12.06

Diagnosis: Male Factor due to Anti-sperm Antibodies (ASAs)
Me, 30; DH, 31
TTC since 7/1999

Diagnostic Tests:

CD 21 (in my case day 24) progesterone test: 10.8 (dr. wanted above 9.5 to verify ovulation and linning to support pregnancy)

Results of 4/27 SA:
Count: 58.2 million
18% motility
Positive for Anti-Sperm Antibodies 37% IgA and IgG tail and head binding.
Recommend dilution of sample and washing for insemintation.

Urology apt. 4/24:
Detected small left varicocele will request ultrasound.
Variococele not likely cause of IF.
Aglutination of sperm due to Anti-sperm Antibodies suspected – request new SA with ASA testing.

Results of SA 4/6:
Current SA results:
vol: 5.6
Motility: 26%
Count: 78.4 million (!!)
Morph: 4%
clumping issue – recommend antibody testing – scheduled Urology appt. on 4/24

HSG scheduled for 4/13
Update: HSG all normal and I quote “perfect uterus and two beautiful tubes!” Horray

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