She wants C to do another SA, of course, but it will be very extensive. She will culture it to make sure there isn't an infection, recheck the morphology, etc. One thing really cool about this office is that they have an open lab. She would want C to come and watch and see his lil swimmers on the screen. I think thats pretty cool. She said the person who runs the lab is someone with a Phd., not a tech or something. They have had no mix ups here because of the individualized attention they give each patient. She was pretty appauled at the lack of further testing Dr. D's office did on both of us.
If we go through the IVF process she would suggest ICSI, if his SA came back with the same result. Good news is that sperm change month to month and she has some good suggestions for him...
- "Take a multivitamin. A daily multivitamin can help provide selenium, zinc and folic acid — trace nutrients that are important for optimal sperm production and function.
- Eat plenty of fruits and vegetables. These foods are rich in antioxidants, which may help improve sperm health.
- Reduce stress. Stress might interfere with certain hormones needed to produce sperm. Stress can also decrease sexual function.
- Get regular exercise. Physical activity is good for reproductive health as well as your overall health. But don't overdo it. Men who exercise to exhaustion show a temporary change in hormone levels and a drop in sperm quality.
- Watch your weight. Too much or too little body fat may disrupt production of reproductive hormones, which can reduce your sperm count and increase your percentage of abnormal sperm. You're most likely to produce lots of high-quality sperm if you maintain a healthy weight.
- Watch out for toxins. Experts think certain workplace and household substances might have an effect on sperm quantity and quality. These include heavy metals used in industrial workplaces, pesticides and chemicals in solvents. Use protective clothing, proper ventilation and face masks to reduce the risk of absorbing such toxins.
- Quit using tobacco. The sperm of men who smoke may be misshapen and may move more slowly than those of nonsmokers. Smoking can also damage your sperm's DNA. Experts suspect such damage could even affect a baby's growth and development and increase a child's chance of having certain health problems, including cancer. And chewing tobacco isn't safe either — it also may cause low sperm counts and damage. As if that weren't enough, tobacco use can increase erectile dysfunction. Research shows men who both smoke and drink alcohol have lower sperm counts and motility than do men with either habit alone.
- Limit alcohol. Heavy drinking may reduce the quality and quantity of sperm. Limit alcohol to no more than one or two drinks a day. The combination of tobacco and alcohol is particularly harmful.
- Steer clear of illicit drugs. Marijuana can decrease sperm density and motility and increase the number of abnormal sperm. Cocaine and opiates can contribute to erectile dysfunction, and amphetamines can decrease sex drive.
- Skip the tub. To maximize the quality and quantity of your sperm, avoid hot tubs and baths. Spending more than 30 minutes in water 102 F (40 C) or above may lower your sperm count. Saunas and steam rooms may have a similar effect.
- Avoid hormone havoc. Anabolic steroids, usually taken illegally, can shrink the testicles and drastically reduce fertility. Anti-androgens used to treat prostate enlargement and cancer interfere with sperm production. Testosterone supplements also decrease fertility.
- Stay cool. Increased scrotal temperature can hurt sperm production. Experts know that hot work environments, tight underpants, prolonged sitting and use of laptop computers can all increase scrotal temperature. They are still studying how these activities affect fertility." (sited from the MayoClinic).