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@mcg1102 Where I work, ancillary tests would typically be recommended to see if it's trending downwards. You don't get the complete picture without FSH/LH. As Sudden-Cherry pointed out, I'm assuming UK values whereas OP is - on the balance of probability - likely talking in USA values. There...

@s3anreilly In light of the irregular menses, we would probably still recommend ancillary tests to examine if any trend exists over time, or if anything else is looking borderline/potentially suspicious. But as I said in my first post - there is nothing to preclude OP from conceiving naturally...

@s3anreilly This could be the source of our disagreement. I've been assuming typical UK units, and forgot the USA is weird (joke). In the UK anything below 5 is low for anyone under 39. If a patients AMH is below 1 most clinics, including where I work, won't offer treatment with own eggs...

@s3anreilly That's true, I was working on the assumption OPs irregular periods are linked to the low AMH, and being irregular can make it harder to concieve/increase time to conception obviously. If the AMH result described was standalone, then at my clinic we would be recommending ancillary...

@deojames Out of interest, you mentioned your husbands morphology- how low is low, and what are the other parameters like? I'm an embryologist at a fertility clinic and do a lot of semen analysis. We usually worry about morphology the least out of everything. It's a point of contention among...

@s3anreilly I'm confused by this too and havent ever encountered it. Perhaps it's another variation of A to D, where A is rapid progressive and D is immotile? As you say we'd need clarification on whether 1 or 4 is the best number. When we grade embryos - at least in my clinic - 1 is considered...

@s3anreilly We use the W.H.O Sixth Edition Manual for diagnostic semenology. It is standard practice to consider the 5th centile as the lower reference range, as per page 211. Total Effective Count is an example of what the W.H.O. refer to as a multiparametric assessment, and there are no strict...

@katrina2017 I'm glad you found it helpful - I have just popped up a standalone post as well which you might find helpful 😊

@toothfairy65 Planning on posting a stand alone post about interpreting a semen analysis, I've answered so many of these, I think it might be helpful!

@starflower Thank you🥰

@joscar Hey there. I'm an embryologist at a fertility clinic and do a lot of semen analysis! I'm happy to help. And I'm sorry that your clinic has distributed these results to you with no explanation - that's not great practice on their part! Let's break this down... The volume is fine...