As a Woman

Male Fertility Q&A - Morphology, Testicular Cancer, and IUI

Dec 15, 2024
Listeners hear a focused Q&A about low sperm morphology, what the numbers mean, and when to try IUI versus going straight to IVF. The conversation covers total motile sperm thresholds, how morphology is measured, and lab variability. Practical plans are discussed for using limited frozen sperm after cancer and steps to improve sperm through lifestyle changes and retesting.
Ask episode
AI Snips
Chapters
Books
Transcript
Episode notes
ADVICE

Use Total Motile Sperm To Guide Treatment

  • Calculate total motile sperm to decide treatment: volume × concentration × motility matters.
  • Aim for ≥20M moving sperm for IUI and ~40M for natural conception to maximize chances.
INSIGHT

Morphology Is Contextual, Not Absolute

  • Morphology matters most in context with other abnormal parameters like motility or count.
  • Multiple abnormal values suggest a true pathologic problem rather than benign variation.
ADVICE

Don't Keep Using Timed Intercourse After Abnormal SA

  • Avoid prolonged timed intercourse when a male factor is identified; escalate evaluation and treatment.
  • Consider IUI or IVF rather than persisting with timed cycles if sperm parameters are low.
Get the Snipd Podcast app to discover more snips from this episode
Get the app