I have no past fertility problems. My husband had vasectony reversal 12/06. I am taking 100mg Clmid with planned trigger shot and IUI. My husbands last count 01/08/08 was 21 million with only 5% mobility. Do you think we have a chance at pregnancy?

If you don't have fertility

If you don't have fertility problems, then we'll only focus on his semen. First of all, it has been over a year, and you should schedule another semen count before the IUI so you know what th epicture looks like now.

Sperm count, or sperm concentration to avoid mixup, measures the concentration of sperm in a man's ejaculate, distinguished from total sperm count, which is the sperm count multiplied with volume. Anything over 20 million sperm per milliliter is considered normal. So you are safe there.

But. That 5% isn't ideal. 50-60% is what you're looking for. Again, another semen count can give you more exact numbers, specifically where the motility of sperm are divided into four different grades:

Grade 4: Sperm with progressive motility. These are the strongest and swim fast in a straight line. Sometimes it is also denoted motility a.
Grade 3: (non-linear motility): These also move forward but tend to travel in a curved or crooked motion. Sometimes also denoted motility b.
Grade 2: These have non-progressive motility because they do not move forward despite the fact that they move their tails.
Grade 1: These are immotile and fail to move at all.

Get new numbers and evaluate carefully before moving on to another IUI. With sperm issues, a natural IVF cycle (with low stimulation) may be a better investment.


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