I’m suffering from recurrent pregnancy loss. Should my husband get his sperm checked? (Ask The Egg Whisperer)

Recently, on Ask The Egg Whisperer, Elizabeth wrote in with this question: “Hi Dr. Aimee, I'm 34 and suffering from recurrent pregnancy loss. We had a son in 2017 with a very easy pregnancy & delivery. Since then we have had 3 losses. I am PCO-ish, AMH 6.52, normal BMI. Thyroid and hormones are normal. TUSHY check done with the exception of sperm. Should my husband get his sperm checked?”

I want Elizabeth to know that she’s not alone in what she has experienced. I’m honored that she reached out and that she’s shared her question and story with us. She shares that she is 34 and in good health.

I’m glad that you’ve taken the time to get your TUSHY checked. When you’re facing recurrent pregnancy loss, I also want you to look at the ANGEL Method  (you can go to angelmethod.com to learn more about it). What is included?

A: Age, autoimmune, and anatomy. 

Have you checked for a uterine septum? Has your doctor ruled out adenomyosis as a possibility as to why this keeps happening? Any type of surgery can cause scarring so rule out ashermans too. 

N:Nutrition: look at your diet and eat healthy 

G: Genetics. Check the chromosomes of you and your husband and a carrier screen 

E: Endocrinology. Since PCOS is on your problem list, do look at your testosterone, TSH, prolactin, hemoglobin A1C, and make sure that everything is optimized.

L: Lifestyle: look at your habits and do what you can to live your healthiest life.

And last but not least: I do think that sperm DNA fragmentation testing in certain cases can be helpful to look at if you've had a number of miscarriages. Even if the sperm sparkles on a semen analysis, sometimes that sparkly sperm can still have high DNA fragmentation. 

To submit your own question to Dr. Aimee for a future episode of Ask The Egg Whisperer, click here. 

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