In response to my e-mail notifying my RE of S's SA results:
"[His] morphology is definitely abnormal. The impact of morphology on fertilization is highly controversial with some studies suggesting that low morphology is an indicator of the sperm's ability (or lack of) to fertilize the oocyte and other studies showing no impact. Morphology is not related (as far as I am aware) to hormones. Hormones control production of sperm and his numbers are fine. Morphology is definitely a gray area, I don't think in and of itself it is an indication for IVF (again controversial). I have had patients conceive with IUI with 0% normal morph. I would have [him] see a urologist to make sure there is nothing else going on. I usually send patients to Dr. Merrill Matschke, a reproductive urologist at (847) 295-0010.
EF"
Is it just me or is this not very helpful or reassuring? Everything with her is "highly controversial"; affect of septum, removal of septum, endo as a cause of IF, doing a lap to treat endo, relation of morph to IF, doing IVF for low morph. S is definitely going to see a urologist, but now I'm just starting to feel like we are on a wild goose chase. I feel like since we have to wait until August to do the lap, that I will be ready to do IVF ASAP after. Am I just being impatient? I'm not sure...
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