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This is Dr. David
your sperm is actually pretty good.
you have 38million per ml, over 15 million is normal.
your motility is 69%, grade 0 is the best motility and you have 49% there.
so it doesn't look like it is your sperm which is the problem.
your wife has to do some testing as well.
under sperm data all the way to the right it says Tot Mot which is total motility and under it says 69.76
but at the very bottom it says you have >40% total motility.
some WBC cells are normal.
MTHFR deficiency is a mild condition associated with a slightly higher risk of neural tube defects and pregnancy loss. Roughly 40% of Americans are carriers of MTHFR deficiency, while 10% have the condition. For the vast majority, it causes no problems with their health or the health of their children.
you don't have to worry about WBC count
it is less than 2 million
so that is fine. doesn't mean there is infection.
let me know if you have other questions.
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your kruger score is >4% normal which is good, it would be better to be >14%
here are the levels of kruger score for morphology
Strict morphology score over 14 % normal: (normal; fertilizing capacity excellent)
Strict morphology score 4-14 % normal: (abnormal; possibly decreased or impaired fertilizing capacity)
Strict morphology score 0-3% normal: (abnormal; severe impairment or probable inability to fertilize.
I am sorry. I was reading the WHO normal levels at the bottom as your results.
your WBC count is zero under Description. you have no WBC in your sperm.
the motility is good at 49% grade 0 which is the best motility
morphology is bad at 100% abnormal and 100% amorphous sperm.
the chances are lowered because of teh abnormal morphology
but there is a chance with artificial IVF fertilization where they can take a sperm and implant it in an egg and implant the embryo into your wife to have a baby.
IVF is not dangerous and is not painful.
IUI may not work for you if you have severe morphology problems in the sperm.
IVF should work for her.
the next step is to consult with an IVF specialist.
do you have an appointment?