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Hi Dr. Jacobs,
I am a healthy 33yo female with a normal workup. My husband's sperm analysis showed 106mil sperm (41mil/ml in 4mls) with 63% motility, a grade of 2.5, and a strict Kruger morphology of 3.5%. I've read that men with less than 4% strict morphology should go straight to ICSI. However, is the total sperm count of 106mil with 63% motility high enough to counteract the low morphology and warrant a trial of min stim IUI first? So, would you recommend min stim IUI or straight to ICSI? Thank you very much for your response!
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Given the total count and motility, it is possible that stimulation of your ovaries with FSH and performing intrauterine insemination may produce a pregnancy. Since I collaborate with a subspecialist urologist, trained to treat male fact fertility problems, I recommend evaluation and possible treatment of the male, before determining a treatment plan for the wife.
Good luck.
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