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MY HUSBAND HAS LOW SPERM COUNT AFTER VASECTOMY

My husband and I have been trying to get pregnant for about 5 months now. I have never been pregnant. He has two boys from his first marriage. He had his vasectomy in 9/2007. The results of his sperm count are 1/08 at 3 million, 5/08 at 9 million and 7/08 at 5.3 million. We have not had a semen analysis since 7/08.

I took birth control pills on and off for 15 years But have not taken them in the past 3 years. Also, I drink casually - about 1 drink 3-4 nights a week. I never overdo it on alcohol anymore. Should I quit altogther while trying to get pregnant?

Another concern is that my blood flow during my menstrual periods have decreased. My periods are regular but only last approximately 3 days - very light the first, normal flow the second and just spotting usually the third day. I am 36. I haven't always had such short periods, but they have been this short for awhile now. Is this a concern in trying to get pregnant? Anything I can do to to increase blood flow or the endometrial lining?

We are especially worried about the sperm count.

Thank you for your time. I look forward to your response.

Tina, Age: 36,

UK

REPLY

Tina,

There are three issues needed for pregnancy to occur:

I am afraid that your husband's sperm count is quite low. This is common after a vasectomy. A good sperm count should be between 40 to 60 million sperms per ml. Less than 20 million is generally considered low although pregnancy is still possible. A sperm count less than 10 million is quite low and needs further investigation.

In your case, taking alcohol at 1 drink 3- 4 nights a week should not affect your chances of pregnancy. And since you have not been on birth control pills for 3 years and you are ovulating as per the ovulation tracking tests, the only other thing you need to test for is patency of the tubes.

Please consult an infertility specialist. You will need to get a test called Hysterosalpingography (HSG) to test for patency of the tubes, and your husband will need tests to identify if the vasectomy is the cause of his low sperm count.

You can read about the various tests necessary in males and females in investigating infertility here:

I hope this helps.

Please feel free to ask a follow-up question if you wish to know more.

FOLLOW-UP QUESTION

Thank you, I will consult my Obgyn.

REPLY

JRH,

You are welcome. I hope you conceive soon.

Tina paid $20 on November 22 2008 at 10:15 AM


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