We received Adam's SA results yesterday. There is good news and bad news. The good news is his motility improved significantly. However, the bad news is his morphology went down to 0%. It was good to see his motility show some improvement but that was not our goal in doing the surgery. Our goal was to see some improvement in his morphology and instead of seeing improvement we are seeing just the opposite. His morphology has actually decreased since doing the surgery.
A routine semen analysis typically assesses the volume, concentration, percent motility and progression of the sample. Sperm morphology is determined by the "Kruger Strict Morphology" method. For this test, the sperm are judged as normal based on the following criteria:
1. Head must be oval in shape with smooth contours with the acromsome taking up 40-70% of the head.
2. Neck and mid-piece must have no abnormalities
3. Tail must not be coiled or bend and should not have a droplet at the end.
After 200 individual sperm are counted at a magnification of 1,000 times, the percent of normal forms is calculated. More than 15% is in the normal range with a good prognosis, 5% - 14% is considered fair to good and 0%-4% is poor prognosis. We are 0% so it just makes our decision to do IVF with ICSI even easier. How we ever got pregnant on our own, I will never understand. It was truly a miracle.
Who knew you were going to get a lesson on how to understand the Kruger Method. You do learn something new everyday! What I have learned is that if you are having problems with motility, I highly recommend doing the Varicocele surgery and if you are having problems with morphology, don't waste your time and the pain you will put your husband through.
Now we move on to our doctor appointment in March to talk about and set up our IVF protocal. I was told over the weekend by a friend, who our new doctor got pregnant with IVF, that he did 5 IVF cycles in January and all 5 girls did get pregnant (but 1did miscarry). I am ecstatic about his odds. I have a really good feeling about Dr. Carnovale.
No comments:
Post a Comment