Assisted fertilization

Is it possible to get pregnant naturally with a low sperm count?

Dr. Kathryn BarlowLeave a Comment on Is it possible to get pregnant naturally with a low sperm count?
Salve.
After a year and a half, the gyno finally prescribes a spermogram for my husband. OUTCOME FROM FEAR Nema spermi 2.5 million (reference value from 20 to 300 million) Motality 1st degree progressive rapid 4% 2nd degree progressive slow 20% 3rd degree non-progressive 12% 4th degree immobility 64% Dysmorphia 90% The rest , viscosity, ph, volume, fluidization and appearance in the parameters. Ecodopler done. Varicocele result, for which he has never had symptoms, apart from the smallest testicle he has ever had. Inoperable given the age 51 years. Hormonal tests PROLACTIN within the parameters Testosterone within the parameters. FSH 12.5 (reference values ​​from 5.6 to 12.4) It doesn’t seem excessively high to me. A biologist advised us on drug therapy for three months. Given the waiting times for IVF. But is getting pregnant naturally completely impossible? Best regards.
Good morning

I state that the spermiogram would have been useful to have done it much earlier, both for the age of your husband and for the fact that any path concerning the search for a pregnancy always begins with a spermiogram.

Semen isn’t beautiful, but it’s not catastrophic either.

With those motility and number parameters, ICSI would be more recommended than IVF, but this is a consideration that must be made together with your gynecologist.

Unfortunately, FSH is already on high values, as the true normal cut-off for a fertile man is below 7.2.

Elevated FSH indicates that the testicle is having a hard time producing sperm and therefore increases in an attempt to compensate for the low production, probably due to the left varicocele and the consequent testicular hypotrophy.
Unfortunately, varicocele is almost always asymptomatic, but this does not mean that it does not create fertility problems, especially when it has a very high degree (from the third degree upwards according to Sarteschi’s classification).
With these parameters it is not impossible to get pregnant naturally but it is certainly very difficult, so my advice is to rely on an insemination technique.
Dr Kathryn Barlow
Dr. Kathryn Barlow

Kathryn Barlow is an OB/GYN doctor, which is the medical specialty that deals with the care of women's reproductive health, including pregnancy and childbirth.

Obstetricians provide care to women during pregnancy, labor, and delivery, while gynecologists focus on the health of the female reproductive system, including the ovaries, uterus, vagina, and breasts. OB/GYN doctors are trained to provide medical and surgical care for a wide range of conditions related to women's reproductive health.

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