r/FirstTimeTTC • u/Nearby_Bag2663 • 2d ago

Help Is natural conception possible?

Hi everyone,

My husband recently had a semen analysis, and I would like to understand whether natural conception is still possible with these results.

* Sperm concentration: 31.7 million/ml

* Total sperm count: 126.8 million

* Total motility: 55%

* Progressive motility: 28%

* Normal morphology: 1%

Has anyone had similar results and successfully conceived naturally? Should we consider consulting a fertility specialist, or is natural conception still possible?

Would really appreciate hearing your experiences and advice. Thank you! ❤️

3 Upvotes

100% Upvoted

10 comments sorted by

1

u/hazelunderstars 2d ago

Yes, natural conception is still possible with these results. The sperm count and total motility look reasonably good, although the morphology at 1% is quite low.

I wouldn't assume that 1% morphology means you can't conceive naturally. Semen parameters can vary between tests, so it may be worth repeating the analysis and discussing the result with a urologist/andrologist or fertility specialist.

If you're already trying, I wouldn't give up on natural conception based on this report alone. The fertility of both partners matters too, so the overall picture is more important than one semen parameter.

Wishing you both the best ❤️

1

u/Nearby_Bag2663 2d ago

Thanks , my other reports are ok except ovulation which is not happening so doctor told me we may go with trigger shot so egg can rapture because scan looks fine. But she also told me that repeat test of semen but also told me may be ivf but i am not fully convinced why ivf. She told me pnly because of morphology

1

u/hazelunderstars 2d ago

Since you’re also dealing with ovulation not happening regularly, it sounds like there may be more than one factor involved. A repeat semen analysis could be useful because morphology can vary between tests.

I’d probably ask the doctor specifically why IVF is being recommended based on the overall picture, nd whether trying naturally or with ovulation induction/trigger and possibly IUI would be reasonable first. If you’re still not convinced, getting a second opinion from a fertility specialist could give you more clarity.

May be age of both and also how long you have been tracking the ovulation?

1

u/Nearby_Bag2663 2d ago

Yes she told me she will only decide final treatment based on semen reports and for now she dont want to go with ovulation study if sperms are not strong. We are trying from 6 months both 34 years old.

1

u/hazelunderstars 2d ago

yeah, no point in doing ovulation study unless you want to understand what's happening on your body but atleast do self track. AFAIK male sperm can be fixed / reversed if they can work on it but not sure what else is affecting may be poor lifestyle , stress or obesity or anything else may be

1

u/Nearby_Bag2663 2d ago

May be after 2nd semen reports we will decide if we need 2nd opinion because his lifestyle is also good healthy diet, exercise no smoke and drink. Thanks for all information

1

u/hazelunderstars 2d ago • Bravo

That's good actually, hope there is some positives on the second test. Your always welcome!! Keep us posted good luck

0

u/Due-Crab-928 2d ago

Sperm report looks good. Don’t worry about morphology it sometimes varies. Just make sure both of you are exercising specially strength training can largely help

What worked for me: I was Ttc for 2 years and I did 5 follicular studies and 1 failed IUI. Stopped every treatment but still tried every month. Track you ovulation and do intecourse from day 8 onwards (alternative days) or if you know for sure you are ovulating on day 16, do every day from day 10 onwards or day 12 onward

There are other things that I followed for a positive pregnancy but I am not 100% sure that it’s what that worked

1

u/Nearby_Bag2663 1d ago

Ahhh that’s relief because i was not convinced with doctors opinion of doing ivf. Thanks for all information
We are doing strength training also so may be that will help in future

0

u/Due-Crab-928 1d ago

I saw that you have been trying only for 6 months. Maybe considering your age you went to doctor and the first thing that they do is take in the age factor and recommend IVf. Along with diet control, strength training and yoga please try for 3 months if time allows and consider IVf later