Been with a girl. Had an STI. Took antibiotics. Resulted negative afterwards.. but this is where it gets interesting. Been started having some problems with libido and ED. After doing some tests, my prolactin levels seem to be high ranging between 450 - 900 while not affecting testosterone and estrogen. I cannot quite understand why has an STI impacted my hormones. Anyhow I kept doing research and all tests were negative (urine, urethra and sperm culture) when I got first SA results it showed as followed

(26.09) Liquefaction - normal Viscosity - normal

Total sperm count - 80 x10•6 (Ref. >39)

Sperm concentration - 40 x10•6 (Ref >15)

Total motile sperm - 45% (Ref. >40%)

Progressively motile - 22.5% (Ref. >32%)

Non-progressively motile - 22.5%

Non-motile sperm - 55%

Vitality (live sperm) - 75% (Ref. >58)

Agglutination - Negative

Aggregation - Negative

Leukocytes - 12 x10•6/ml (Ref <1)

Remaining cell forms - 6 x10•6/ml

So by this time I could notice low progressively motile sperms 22.5, and unusually high leukocytes 12.

I have taken same tests again as leukocytes suggest an infection but nothing shows.

Still decided to take doxy dose and redo a SA. Now my results show:

(08.11) Liquefaction - INCOMPLETE Viscosity - normal

Total sperm count - 120 x10•6 (>39)

Sperm concentration - 60 x10•6/ml (Ref. >15)

Total motile sperm - 26.6% (Ref. >40%)

Progressively motile - 21.6% (Ref. >32%)

Non-progressively motile - 5%

Non-motile sperm - 73.4%

Vitality (live sperm) - 74% (Ref. >58)

Agglutination - 1A

Aggregation - Negative

Leukocytes - 15 x10•6/ml (Ref <1)

Remaining cell forms - 2 x10•6/ml

So while TSC and concentration went up (even though all the bigger count, it seems its only producing infertile sperm) basically everything else went sideways but the most concerning results are incomplete liquefaction, now having Agglutination 1A, and an even higher leukocytes number. Seems it’s only going for the worse.

Does anybody have an idea what could be going on? Where do I proceed? Is agglutination gonna keep getting worse progressively?

Husband's SA came back "severe hypospermatogenesis" with a sperm count of 3 and "rare motile sperm seen on direct assessment" - no problem, we can work with that hopefully.

The thing that I question is based on the low count, they were unable to assess motility and morphology. Has anyone else had that happen? I feel like I see many stories of low count where people still get results regarding motility/morphology..

To note, this was a life labs analysis. We have a GP appointment this week where we will request a fertility specialist referral where we know he will be asked to do this again.

Thanks for any insight!!

First time posting on here. Wife and I are trying to have a baby. We've been trying but still nothing. Going to see an andrologist soon. I'm posting the results of 4 different sperm analyses. I must mention though that the results were translated from another language to English.

What can I do to improve the results and increase our chances of conceiving. PS. I stopped drinking alcohol for about 2 months now. I do not smoke cigarettes but vape occasionally.

Thanks.

I have mild Varicocele. If my semen haven’t enough sperm, and remains same for 10 years like this and then if I take surgery then will my sperm count increase?

I didn’t do SA though. I just want to know about it. There’s a swollen vein in my left testicle. Sometimes it disappears, but it's tortuous and dilated vein I feel. And I have mild ache often.

Hi guys, 35 year old healthy active male here. Been TTC with my fiance who is 30 next month for a bit less than a year. In june I did a walmart take home test which only measured sperm count I believe, it gave a "normal" result. A few weeks ago through my partner's family doctor I did a more detailed SA. My partner and I have been having A LOT of intercourse over the last year. Usually anywhere from 5-10 times a week. More on her high ovulation days. I am beginning to think we are doing it way too much and not giving my boys time to build up. Would this be a possibility?

I have made major lifestyle changes in the last 3 weeks and will continue since my SA results. I was always a gym goer and hiker/walker and play sports. I have fully given up marijuana as I now know this can impact sperm. I have started taking a wide variety of supplements (coq10, vitamins e, c , b 6 and 12, zinc, selenium, ashawangha, multi, omegas etc). I am hoping these changes I have made post analysis help.

My SA results showed 10 mil per ml, and 10 percent motility with some abnormal morph. but no specific number on that unfortunately. We were intimate about 12 hours! before my SA, which I know was a mistake. I am wondering if this could dramatically effect my numbers? From what I am reading it definitely could as we did not wait 2-5 days that is the guideline. Would it be worth taking the test again right away, or should I wait a few months for these lifestyle changes to possibly have more of an effect as well?

Would it be wise for us to start having way less sex as well? I would also masterbate occasionally but stopped doing that the last few weeks as well.

I knew when I was doing the recent SA that it would likely not be as good as it could be due to the short time. Could this have possibly effected motility as well as the overall count? Thank you!!

I got diagnosed with hyperthyroidism about 1 month in, had a test and I was told from the results I have teratozoospermia. I was on heavy medication. What can I do now to improve please

I’m extremely new to all of this. Are we doomed? Do we still have a chance of convincing naturally? Please help.

I’ve come across some information suggesting a possible link between periodontal (gum) disease and male infertility, but I’m curious to know more. Could inflammation from gum disease really impact sperm health or overall fertility in men? If anyone here has insights, research, or personal experience related to this topic, I’d love to hear your thoughts. Thanks!

How accurate is PGT-A testing? Because I had a healthy embryo, and everything on my labs looked great, but my first FET failed, and there isn’t a reason why, just that it happens sometimes. My husband does have 0 morphology so not sure if that’s maybe a reason, but the embryo was tested and was healthy

Hi everyone

Let me explain my situation. A year ago, I was diagnosed with Sertoli cell-only syndrome, and because of this and other issues, I ended up divorcing my then-partner. Currently, I’ve started a new relationship, and we’ve been together for only two months. Despite this, I still haven’t told her about my infertility, perhaps out of fear of being abandoned.

I’d like to know when I should tell her about this issue or if I even should. I really like her, and I wouldn’t want to ruin the relationship because of it. For now, we’ve only discussed having a formal relationship and possibly getting married, but the topic of having children hasn’t come up.

In any case, it’s still too early to bring up such topics as I’m still getting to know her. What would you do in my situation? I’m not sure if this is the right place to post this, but since my issue is infertility, I thought it might help others in a similar situation.

Thanks for reading.

Hi. I have had 2 SA with 0 sperm. Had bloodtest with high FSH and normal testosterone.

Been drinking above alcohol average for some time and have now stopped entirely.

In all likelihood how linked are the things and could this be retrievable? Is the fact the fsh is high and testosterone normal a positive or negative at this stage?

My ejaculate is watery with what appears to maybe urine to laced to it.

Diabetes is coming under control a1c dropping but I wonder what could be the case.

Is this something I can fix by adding kegels to my daily routine.

Tomorrow I start doing 200 kegels and 200 reverse kegels every morning.

What would this community suggest?

Please help me make sense of this I stopped trt 2 months ago and have been doing enclomphene for 5 weeks 25 mg EoD M W F stopped drinking about 6-7 weeks ago

I dont knw where to start. Im 38, and im on the journey of doing ivf after married for 8yrs with no luck of having a kid. Im getting nervous and worried as a few months back, my 2nd semen count was low. It was only 600k compared to the first test which is 1million. Seeing my wife doing the injection everyday, makes me worried. Got me thinking, what if i cant make it? The doc said, the egg retrieval and semen collection mite be next week. Its making me more stress to be honest. Is there anything thing tat can boost sperm count at this very last min? Or is it too late? Sigh. 🫤

Need help with this. We had an appointment at the fertility clinic about 2 weeks or ago. After 3-4 natural cycles with no success, she ordered a SA(not good), and gave us the rundown on the next ovulation cycle (Oct 10) and to come in after a positive ovulation test to do the IUI. I did the SA and bc I had a spinal cord injury(SCI) a few years ago and had read about how that can cause fertility issues and just knew it wasn’t going to be good… I was right… Pre-SCI it was • 2.0mL •TSC-187M •73%motility And the most recent post-SCI • 0.5mL •TSC-46.5M •TMSC-11.5M •(PR)19% and •(nonP+PR)24% I’m not sure how to feel about our chances or even what they are. I haven’t spoken to the physician since before the SA. And we’re still set to go in a couple days. Seems my reflex for getting all the soldiers out is relatively weak in comparison to before. Just looking to hear what others have to say about it since I’ve never gone through this. I get a bit hyperfocused on things and this apparently is one of those things. Really wishing anxiety didn’t exist rn. Anyways thanks I can post the printout of the analysis if need be.

Hello everyone! After a medical consultation, looking after Quality of life + Cognitive + Gym performance, the Doctor checking my Blood Test suggested that he would like + indicating a Testoren Reposition to me, mentioning that my testoterones levels are kind of low for my age, considering I go to the gym at least 4x week and Eat healthy (405 ng/dL total / 9.76 ng/dL free). At first I found out that it would be cool for several reasons (performance + aesthetics), even thinking that I would need to be taking that needle shit forever. Until he mentioned about infertility risks. I'm married for 3 years by now, and was planning to start to try to have a baby in next 2 years possibly. So all that dilemma couldn't get out of my head for the last days. Today I went to do new Blood Tests + Spemogram and check my current Fertility levels, and proceed to my final decision. Apparently who takes in that exo testo, when decides to try to have a child, stops with the TRT and takes some medicine so the testicles begin to produce Sperm again, but some people or take a looot of time to regains that or never do, so I'm a little afraid and wanted to check if someone around here have some ideas to trade or experience, really appreciate that - thanks!

My partner got diagnosed with complete azoospermia a few months ago… while we are in the process of further investigations (blood tests/ ultrasounds ) which take twice as long because we live remote and everything is a 6week wait list at our closest town or we have to fly interstate for our specialist appts… we are hoping and praying each month that there is at least one little sucker in there that knows where to go 🙏🏼🥚 no idea of our chances and I’m sure you’ve all been there but I can’t help but hold hope a miracle will happen.

Hi all,

What would be the best entry level SA to go for in the UK?

Reason for the test is to ease anxiety pending urologist tests for an unknown condition.

Thanks

My husband has bilateral varicoceles and we are considering to see a private urologist to speed things us. It’s causing him pain and also we are trying to conceive. We had one failed ICSI cycle recently.

Does anyone know if it’s possible to see a urologist privately and then get referred by them for embolisation in the NHS? I’m not sure if we could afford it done privately, as we are paying our infertility treatments privately too.

The consultant we are considering to see privately also does clinic in our local NHS hospital where we want to get the embolisation done but obviously longer wait time to get NHS urology appointment. I read it could take months but will call tomorrow to find out.

Edit: Phoned the hospital and wait time for urologist appointment via the NHS is 22 weeks!

Hi update from a few weeks ago. Saw fertility specialist today with my fiancé. I am 35 had been a chronic marijuana user off and mostly on for years. Vaping usually. Healthy overall, gym five days a week play hockey, walk and hike. Try to eat reasonably healthy as well. Healthy weight.

Have been trying with fiancé for most of this year to get pregnant with no luck so far.

Had a sperm analysis take home kit from Walmart in June. Only measured numbers which was in "normal range" which I believe was above 15 million per ml.

Recently did a second more detailed analysis from a lab through her family doctor as I do not have one. Doctor called a few weeks back and didn't get into specifics but said low ish count, slow motility and some abnormal morphology. Advised us to fertility specialist. We had appt with her today.

She said my sperm was 10 million which is low but not super low as she measured 20 million typically, said my motility was 10 percent when normal is 50 and some abnormal sperm but didn't have a percentage.

I told her we had only abstained for 12 hours unfortunately as we were intimate the night before my SA (dumb I know). She said it could have effected the results for sure.

My partner and I have been having sex a tonnn over the last year. Usually daily sometimes twice a day on high days for her and might take 1-2 off days a week. She said every second day is better as it gives me time to recoup.

Since my not great SA 2.5 weeks ago I have been researching nonstop. My changes are as follows: I completely went cold Turkey on marijuana and have had none and will continue this. Limiting all alcohol even though I'm not a big drinker. Started taking coq10, vitamins e and c, b6 and b12, zinc, selenium, a daily multi, fish oil, and today I just bought some ashwaganda. Also limiting caffeine but not fully cutting it out as I am a shift worker and it's difficult for me. Trying to drink more green tea than just coffee.

The fertility specialist basically said we have some investigating to do but didn't sound too pessimistic. She recommended a procedure involving dye for my partner to check her tubes or flush them I think in the next couple months. And more blood work for us both. But basically recommended me take another SA soon after abstaining for 3 days and not 12 hours.

I am just looking for advice. Now that I have more information on my numbers, I am a bit worried about my motility. Hopefully my lifestyle changes and a longer abstinence period can help.

It was difficult for me to go weed free as it's helped my anxiety for years but it's a very small price to pay if it can help my numbers, especially motility. My parents are both in their 70s and I really want them to be able to see their grandkids. Thanks for listening to my long winded post, greatly appreciated.

Greetings,

Where can I buy clomid from an online reputable websites/company?

I’ve been on clomid for three months. Good results, minimal side effects only in the first month. I lift frequently and heavy for strength. Was struggling with subfertility. I’ve been off clomid for almost two weeks because I’m between insurances and between urologists and have no more refills. So I’m just trying to buy some as a holdover until I can get into a new urologist.

Hi all,

Thanks in advance for any advice.

I have been suffering with an undiagnosed urological disorder for the last six months. In April, I developed quite an aggravating pain at the tip of my penis, accompanied by increased urine and smelly urine - I also had occasional aching in my left testicle. I also developed a redness all over the head, which was diagnosed as balantitis and treated with steroid cream. I have had several STD tests, all negative. I had two blood tests and two urine tests, nothing abnormal (a small renal cyst, but nothing to worry about). I also had an ultrasound on my bladder, all clear. I was given a course of antibiotics for potential prostatitis, and the symptoms improved for three months. Now, I think I am experiencing pain/aching in my right testicle and strong smelling urine (none of the other symptoms) - I am awaiting an urology referral. In the near future, my girlfriend and I will be trying for a baby, and I can’t rule out that these symptoms are psychosomatic due to my intense desire to start a family (we have fallen pregnant previously five years ago) Based on these symptoms, I was wondering if anyone had experienced something similar?

Secondly, to attempt to ease my anxiety, I am going to complete a SA - what do people in the UK recommend? Bearing in mind I am testing out of curiosity, would a more entry level SA be ok?

Thank you, and apologies for the long post.

Just got my results and trying to make sense of it. My girlfriend and I are trying to conceive in the next few months. Here are my numbers:

Key Results:

• Volume: 3.0 mL (normal range 1.3-1.5)
• Total Count: 80.2 million (normal 35-40)
• Motility: 13% (should be 40-43%)
• Normal morphology: 2% (should be >14%)

The good: My count is actually above normal The concerning: Both motility and morphology are below normal ranges

About me:

• 38M
• Currently lift weights 4x/week
• Walk 2 miles 4x/week
• No alcohol
• No drugs
• Take vitamins B, C, and D regularly
• Briefly smoked hookah 2x/month this past summer, stopped in fall
• No other smoking history
• Otherwise healthy
• Managing fatigue and recovering from burnout
• Sleep is 6-7 hours most nights
• Use Oura ring to track my bio numbers
• 4 days abstinence before test
• Trying to conceive in next 2-3 months

I'm open to all suggestions, including Traditional Chinese Medicine (TCM) and acupuncture. Really want to improve these numbers naturally if possible.

Questions:

1. Has anyone dealt with similar numbers?
2. What worked for improving motility/morphology?
3. What supplements helped you?
4. Any success with TCM or acupuncture for similar issues?
5. Should I modify my workout routine?
6. Any success stories with similar numbers?

Looking for real experiences and advice. TYIA.

Hi looking for other's experiences about this plesse as feeling very distressed.

33 male, first SA shows 26 million sperms/ml but ZERO progressive motility. 5% non progressive motility. This came as shock and definitely made me very anxious.

I am waiting for review with Dr but just thought what could have caused this.

I have attached a pic of a part of the ejaculate, which to me seems very mucousy, sticky bit. Never any blood. Never smoked. BMI on around 32.

Can some one relate ot offer advice on what this sticky bit be and could this cause low motility?

Thanks for your advice.

I read somewhere on reddit only that taking these supplements for more than few months could have some negative effects on DNA fragmentation? Any comments?

My husband (posted with his permission) has had 3 SAs done in the last 2 months and all are roughly the same. Attached is his newest. The fertility clinic said the lab couldn’t get a morphology reading on such a low number of sperm. The previous 2 SAs were done at a different facility and showed 12% and 44% - which now I’m not confident in.

We saw one urologist who ordered testing.

Ultrasound was done, normal.

Labs done - FSH, TSH, Prolactin, Estradiol, LH, and Testosterone. All normal except FSH slightly elevated at 14.5. Testosterone was 372.

Genetic testing is next month.

Background - 33, non smoker, no drugs, some alcohol consumption (nothing excessive) but has scaled back to nearly almost none since the first SA, healthy plant based diet, not overweight. Has been taking a male preconception vitamin and CoQ10 (200mg) since September.

So, unless there’s a genetic concern - this all seems unexplained and IVF is seeking to be our only option.

We are seeing the urologist that works with the fertility clinic today - wondering if anyone has any input or additional questions we should be asking at this appointment?

If anyone has had any significant improvement in a similar scenario, we would love to hear some hopeful news.

Thank you for reading and I appreciate any feedback!!

Hello! Any advices and/or comments are welcome as i kind of feel lost and depressed, because i have always wanted to have kids and the thought about me not being able to have kids (hypothetically) makes me tear up almost every time and its like a haunting thought in my mind.

I am in my late 20s, generally healthy guy, who goes to the gym 3 times a week, normal weight and etc. Stress is maybe a bit much and sleep schedule is bad. Decided to get a SA and the results are hypospermia and oligospermia, with the amount of sperm per mL listed as 100k/mL. In a total volume of 1.4mL they found 3400 moving sperm (class A, B, C). I didnt know i had to get the more expensive analysis to get more info like morphology and etc., but i will take it again in a couple of months.

Went to the doctor as soon as i saw the results, he found i have varicocele grade 1, but nothing worth getting surgicaly fixed, also said it cant progress into a higher grade. Also he said that my testicles are a bit small in size. Basically told me to try getting pregnant with my wife for 6 months and if no results to come back to him.

I decided to start taking maca, Spemen by Himalaya (supposed to improve spermatogenesis) and some multivitamins.

I have always had little sperm when ejaculating, comparing to any porn i have ever watched, but it really is even less since a few months ago i think,i cant think of the reason for this.

If you've read the whole thing i sincerely thank you, any advise or story will be appreciated...

Edit: Forgot to mention, Testosterone levels are fine.