Possible PCOS and low sperm motility


#1

Hey all, I’m new here. I’m 29-years-old and my husband (who’s almost 33) and I have been TTC for 4 months.

I went and saw my OB back in July when I got off BCPs. I have [U]never[/U] had a regular period (even before BCPs); I generally have 3-4 per year. My OB thinks I may have a mild case of PCOS due to irregular periods and slightly elevated testosterone. No cysts.

As if that wasn’t enough, my husband recently went in for a semen analysis and he has slow sperm motility (count and shape are fine). My DH has a daughter (who is 10) from a previous relationship, so I never even considered there may be a problem with his swimmers.

I know we haven’t been TTC for very long, and our journey is just beginning, but I’m still struggling with the fact that getting pregnant really ISN’T that easy! I spent the last 10 years making sure I didn’t get pregnant, and now that I want to, it’s an uphill battle!

My OB will be calling me in the morning to go over some options. Possibly another semen analysis and then Clomid treatment. I just feel like our chances are even worse now, if we are facing infertility issues with both myself and my DH.

This sucks! :confused: Any words of advice or encouragement? Any success stories with double-whammy infertility issues?


#2

:grouphug: Im sorry you are being faced with this. But there are options. I’d first, start seeing an RE instead of an OB. When dealing with infertility issues you want someone who is trained in getting women pregnant, not to deliver babies. One thing to do is yes, get another sperm test for your dh. Then if it is low get him into see a urologist that specializes in male infertility while you start working with an RE.

Goodluck!!


#3

Thanks for the reply :slight_smile:

Good point, I probably should be working with a RE. I’ll have to do some research to find the best one. My DH went to a RE for the semen analysis and they were so disorganized and not very friendly at all, so I definitely don’t want to work with them.

[quote=missingmy#2]:grouphug: Im sorry you are being faced with this. But there are options. I’d first, start seeing an RE instead of an OB. When dealing with infertility issues you want someone who is trained in getting women pregnant, not to deliver babies. One thing to do is yes, get another sperm test for your dh. Then if it is low get him into see a urologist that specializes in male infertility while you start working with an RE.

Goodluck!![/quote]


#4

I’d definitely second the idea of having DH get another sperm analysis.

When my DH first got tested his motility was only 20%. The RE was thinking that the motility, combined with his morphology etc, we might need to do IVF. But had us go for a 2nd SA.

Well, then the 2nd one came back with his motility at 80%! So that’s obviously a huge difference. Then it was like oh no problem you just need Clomid. And we did get pregnant.

So you never know.


#5

I agree with the previous people. When my hubby got tested my RE said that if anything comes back abnormal they always repeat the test to make sure it wasn’t just a “bad day” for him.
Even if there is an issue, there are many options for both of you. Things as simple as diet changes, vitamins, etc could fix mild problems, and if a stronger approach is needed, there are a lot of meds to help you get your little baby.
Good luck!!


#6

I too have irregular cycles and though I don’t fit the criteria for PCOS (I don’t have all the symptoms, but poly cystic ovaries and irregular cycles). Clomid worked for me and metformin.

My DH was never tested since I was getting pregnant just not keeping the pregnancies. I agree with the other posters. Go to an RE and skip the OB with these issues.
Best of luck!


#7

What were your husband’s numbers on SA? My husband had 95 million/mL with 32% motility and 18% normal morph on his first SA (after only 24 hours of abstinence) so we thought that he might have an issue. A second sample with 5 days abstinence showed 80million/mL with 57% motility and a third (36 hr abstinence) was 70 million/mL with 39% motility. The doctor said that what’s important is the total motile sperm, which were 19 million in the last sample after washing. It should be higher than 10 million motile with 20 million ideal. Anything over 20 million motile sperm doesn’t increase chances of pregnancy so they are just “extra.” So it’s a bit complex, but depending on your DH’s numbers, he may not have much of a problem or any at all.
As for PCOS, they think I have it too and I didn’t show polycystic ovaries AT ALL until after stimulating with fertility meds (Letrozole, then Gonal F). At certain times in the cycle there may be no cysts on the ovaries so who knows, you may have PCOS. It’s the most common cause of female IF and your irregular cycles sound suspicious for PCOS. I have irregular cycles too, 5-6 per year, but no other signs except for the polycystic ovaries, which emerged later when I started stimulations.
If you have the option, I’d recommend trying clomid or letrozole a few times and if no luck (or thin lining, etc) go to an injectable such as Follistim or gonal f. I had terrible luck with letrozole and I heard clomid is even worse. They can thin the lining of the uterus and cause your cervical fluid to dry up so even if you get a nice fat follicle, there’s a lower chance of getting pregnant because of these side effects. A lot of people are afraid of injectables because they don’t like needles but the pen form of the injectables has a TINY needles that barely hurts at all. I’d highly recommend not spending too much time on letrozole or clomid alone if you can.

[QUOTE=Waiting4Peanut]Hey all, I’m new here. I’m 29-years-old and my husband (who’s almost 33) and I have been TTC for 4 months.

I went and saw my OB back in July when I got off BCPs. I have [U]never[/U] had a regular period (even before BCPs); I generally have 3-4 per year. My OB thinks I may have a mild case of PCOS due to irregular periods and slightly elevated testosterone. No cysts.

As if that wasn’t enough, my husband recently went in for a semen analysis and he has slow sperm motility (count and shape are fine). My DH has a daughter (who is 10) from a previous relationship, so I never even considered there may be a problem with his swimmers.

I know we haven’t been TTC for very long, and our journey is just beginning, but I’m still struggling with the fact that getting pregnant really ISN’T that easy! I spent the last 10 years making sure I didn’t get pregnant, and now that I want to, it’s an uphill battle!

My OB will be calling me in the morning to go over some options. Possibly another semen analysis and then Clomid treatment. I just feel like our chances are even worse now, if we are facing infertility issues with both myself and my DH.

This sucks! :confused: Any words of advice or encouragement? Any success stories with double-whammy infertility issues?[/QUOTE]


#8

Also, if you like your OB, you can ask for a referral to an RE or a fertility specialist. After all, you may end up back with your same OB for prenatal care when you do get pregnant, so it can be nice to work with doctors who already know each other (and may even practice near each other). Plus, you’re more likely to get a doctor you like, since the OB wouldn’t refer you to one who is very different in philosophy and bedside manner than they are. That said, if you don’t like your OB, ignore that, or if you get to an RE/fertility specialist and don’t like them, move on right away. There’s no reason to waste any time with a doctor who’s not giving you the best help they can, and if there’s no rapport, you’re not going to be getting the best care and you’ll be stressed.

It sucks to be hit with bad news, especially twice the bad news, but you’ll be glad you got started under a doctor’s care so early! DH and I started right away when we wanted to conceive, and it was a difficult process but I was always glad we didn’t wait. Best of luck!


#9

Thank you all for the great replies! I [U]really[/U] appreciate all of the info, as this is all new to me!

My doc called me this morning. She said according to the lab report his sperm was graded as 2/2+ on motility (slow/un-directed to slow/somewhat directed). His count was 112 million, she said average is 20 million.

She gave me a few options; I could try Clomid or similar or go straight to an RE and do IUI. I decided I’d like to try the Clomid first.

I’m going in next Thursday and she’s going to send me home with Progesterone (to start a period) and Clomid. We are going to try the Clomid for 3 months with charting my ovulation and timed intercourse at home. If nothing, then she is referring me to an RE she works with regularly and do the IUI.

I’m so glad I found this board. It’s great to read other womens’ stories and have support during this. :slight_smile: