Basic Infertility Evaluation – What you should know

Dec 05, 2009 | Fertility Care
This is what I tell everyone who comes to see me for their first infertility evaluation, “It takes three things to get pregnant: 1. Sperm 2. Tubes that are open (this includes a normal uterus) and 3. Ovaries that are working.” If you remember those three things and look into possible problems with the three areas I just listed – you will know (most of the time) why things just aren’t working. So the question is: How do you know if there is a problem? 1. Let’s talk about sperm. The magic number for sperm is a total motile count of 40 million. If you have a total motile count that is less than 40 million, your chances to conceive are going to be reduced. There’s more to sperm than just the count and the motility and a lot of people miss this very important point. So not only are we looking for a total motile count of 40 million – take the % normal morphology (this is the percentage of sperm that are normally shaped) and multiply it by the total motile count – if it is > 40 million – you may not need my help. If it...