Dramatic drop in sperm count

We’ve been TTC for 2 years. Had one pregnancy in that time which ended in MMC. We knew last summer that my partner has low sperm motility, it was at 24% in august last year and 16% in January this year. However we were told sperm count was ok at 18 million. However today we’ve had some devastating news with the latest test. Although motility is up to 25% and morphology has gone up too, sperm count has dropped from 18 million to 3 million. I’m beyond devastated. Not sure currently whether there’s a health issue for my partner,which is obviously the primary worry. But really don’t understand how the numbers could have dropped so dramatically. He also has a PH level of 9 which is apparently high and indicative of a prostate issue. I am so so worried about his health, and additionally our chances of conceiving now. I’m not even sure that 3 million is enough for IUI or IVF, and I can’t stop crying. Anyone who has positive stories of increased sperm count or success stories please please give me some hope because right now I am absolutely devastated.😞😭 just to note, we aren’t entitled to ivf on the nhs as he has 2 children from a previous relationship, and he has closed the door on donor sperm or adoption so they aren’t possibilities.

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Ivf (well ICSI) is totally possible with those numbers. Remember it's usually represented as 3million per millilitre, and there's usually between 2 and 8ml per ejaculation, so although it's lower than the normal limit it's not actually a low number of sperm!

Did he abstain for the same number of days before every test? That could change things.

My partner has 1.5milliom per ml, but about 8mls of ejaculate, and morphology is between 1 and 2% so that's on the low side too. His motility is within normal ranges. We're having ICSI

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I’m not sure day wise about abstaining. Don’t think it was as long this time. But to drop from 18 million to 3 million in a standard millilitre is very concerning. His sample was 2.5ml I think so guess that’s around 7.5 million in a sample. I read that they like it to be 39 million in a sample at least. Motility is lower than average at 25% but morphology is 23% which I think is good. Thank you for replying ❤️

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You can totally do ICSI. Get him to start taking some vitamins too. Procieve tablets worked well for us.
Abstaining should be 2-3 days for best results.
Sperm regenerates around every 3 months.
Could be some lifestyle factors eg anything that makes the area warm, laptops, cycling, hot tubs / baths etc.
my husbands went up and down all the time lowest was 600k highest was 7.5 million.

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thanks so much. We need to go private but in terms of getting help from the gp just feel totally unsupported. With this huge dip he’s google diagnosed himself with prostate cancer and scared the life out of me! We are both on diets as we are overweight but I’m 39 soon so time is really running out. He wants tests to make sure nothing serious is going on down there but I’m wondering if the PH level being high is due to some sort of infection and maybe that’s what killing off the sperm to see such low numbers. He is taking really good vitamins and has been for quite a while, I think that’s why morphology and motility have gone up

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thanks hun. Also good to hear. Hope you have some luck too! We are going to get some professional advice at a private clinic, but in the uk it’s difficult getting the likes of urologists etc unless the doctor will refer you and ours seems to be a pain in the rectum! 😡

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also, what were his morphology and motility like? We’re they already fine? Because my partners motility isn’t great,although has improved

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We had successful ICSI with a count of 5 million (total, not per ml) and less than 1% motility. Also 99% abnormal forms. Your numbers seem good in comparison! That’s what ICSI is for.

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that gives me great hope!! Thank you so much. Did you get that on the nhs or private? I’ve no idea what these kind of treatments cost but I know I need to improve my BMI or they won’t even look at us as candidates! We can’t get anything in the nhs though

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He would still be able to do IVF with ICSI with that count.

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