Husband's SA seems disappointing. Any advice?

[johndoo]

Apologies for using a throwaway account. My husband (33M) got back his SA results yesterday. We have tried to Google every number on the report and read through the stickied thread on r/maleinfertility from @glenn62 and we're slightly more confused about how bad these numbers are.

We are planning to schedule a visit with our Dr next week but we'd like to hear some thoughts on things that can be improved via medication/supplements and if there is something that is so bad that we need to be prepared for?

Duration of Abstinence
6 days

Volume
2mL

pH
7.3

Total Sperm Concentration
45 million/mL

Percentage Motility
55%

Progressive Motile
30%

Non Progressive motile
25%

Immotile
45%

Vitality
75%

Aggluntination
Negative

Pus Cells
3-4

Red Blood Cells
Absent

Epithelial cells
Occasional

Normal Morphology
10%

Abnormal Morphology
90%

a. Head defects
60%

b. Neck and Midpiece
30%

c. Tail Defects
10%

Semen Fructose Qualitative
Positive

 

[amandabroken]

@johndoo Hey @exinanition you have any insight/other friends you could tag to this?

 

[exinanition]

@amandabroken It looks pretty good to me! Might need a course of antibiotics if there’s an infection though.

 

[johndoo]

@exinanition Thanks. I'm concerned about 90% abnormal morphology - is that a typical number?

 

[exinanition]

@johndoo Yes

 

[melster]

@johndoo I'm not a professional, but I don't know if these documents would help at all (sure you've already gone over everything with a fine tooth comb):

https://www.britishfertilitysociety.../Understanding-your-Semen-Analysis-Result.pdf

https://www.uhb.nhs.uk/Downloads/pdf/PiUnderstandingSemenAnalysis.pdf

Just looking at how your husband's figures compare to known reference guides, although some do dip slightly below the 'normal', I can't see anything else that stands out...?

Hopefully there'll be someone along soon with experience in this area to give you something more specific.