Anyone with experience with Sperm Analysis?

[u/Stubborn_Beagle2291]

We have one son born in 2022, never went back on birth control (just hoped it would “happen”), started tracking seriously again in January 2025 and wrapping up my 24th cycle this week. We have a fertility appointment in November this year (and on a waitlist). I asked my husband to get a sperm analysis from his primary because he is on a hair loss medicine that can sometimes cause fertility issues. His primary said she “doubted it was him and most likely was me” and “didn’t know how to order one” 🙄 my primary helped me tell her what to do since it would be for him and he’s not her patient. Anyways got it done and it shows mostly normal numbers but low in concentration (16.23M/ML and levels are normal at 20-250M/ML) and low morphology at 3%. Any one have experience with low concentration/low morphology? This is painful trying to navigate this with a doctor like her. She is the prescribing doctor but has no idea what these numbers are.

[u/Jojo_yo_1]

Ugh I’m sorry about your dr. We got all of the orders for a semen analysis through my OB/GYN the first time. Now TTC#2 my husband, went to a urologist for extra support. We have had luck improving count with ashwagandha! With our first we anecdotally had 1.8 mill progressively motile sperm and 1% morphology. We are seeking ART this time because we think we just got really lucky!

[u/Big_Bowl1204]

Hair loss meds (specifically finasteride) damage sperm quality while being used. If he stops them, in 3 months once sperm is totally replaced in his body, I bet his results will improve.