At what stage do infertility treatments typically begin?

Question

Hello doctor,

I am a 41-year-old male, a non-smoker, with a height of 6 feet and a weight of 185 pounds. I had a semen analysis done, and the results showed a volume of 2.5 ml, a concentration of 57 million sperm per ml (total of 142.5 million), 47 percent total motility, 8 percent morphology (Kruger strict criteria), and 93 percent viability. The pH, viscosity, and liquefaction were all normal.

What do you think of these results? My wife and I have been trying to conceive for 10 months without success.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I would like to know a few more details to better answer your query. Do you have the full report or at least the detailed motility analysis? Has your wife been evaluated by a gynecologist? What is your line of work—does it involve a sedentary lifestyle or a lot of travel? Have you been examined by a doctor for any testicular abnormalities?

The semen analysis report (attachments removed to protect the patient’s identity) is normal according to current criteria, but this test only evaluates the structure of the sperm. It does not assess sperm function, which can also be a cause of infertility. Since it has only been 10 months, I would suggest you continue trying, as your results are normal, and encourage your wife to get evaluated as well.

Thanks and regards.

Answer 2

Hello,

Welcome back to icliniq.com.

I have reviewed your complete report (attachments removed to protect the patient’s identity), and it appears to be essentially normal. I would advise you to continue trying, as it has only been 10 months. With normal reports and clinical examinations, further testing is typically recommended only if a couple is unable to achieve pregnancy after a year of regular unprotected intercourse.

In your case, since everything else is normal, I suggest waiting another three to four months while your wife is on Clomifene before considering further steps.

Thanks and regards.