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After many failed TTC attempts, and even though I have glaring issues in TTC dept.I think we should go ahead and do a semen analysis on DH. However, I am slightly confused on who should request it ( PCP, Naturopath, my OB) and then do we have a fertility clinic w/ an in house lab ( and an expert..um... sperm analysis lab guy<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/duck.gif" style="border:0px solid;" title="Duck">: ) or would a typical lab do just fine. Also does someone need extreme expertise to interpret the results, or can a PCP do that? PHEW!!! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:
 

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Dh just had one done two weeks ago. Bsically my Dr. thought he should be tested and he sent us in the mail instructions. We called the hopsital and he set up a time to come in and "produce" a sample on the spot. I think if we lived within 10 minutes of the hospital he could do a sample at home and bring it in. Since we live farther away this wasn't an option. He checked in they sent him to the lab department and they gave him a room. Once he was done in about two days we got a call with the results.
 

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And, your pcp can interpret the results. Actually, YOU can interpret the results! They should be broken down into several categories, and the RR values should be included.
 

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Our fertility doc has a lab in house and since we live within an hour of the office, hubby just brought it in and we had results the next day. Anyone can read the results - they are pretty cut and dry and will say "normal is: blah blah blah and your reading is: blah blah blah.."
 

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you also buy kits to see if count is normal or not (OTC, about $25 for two kits) or set yourself up an at home lab and do it there<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Certainly won't be as concusive as the dr's lab, but lots more interesting!! We bought a microscope, slides and everything. More expensive then our copay, but more convienient too (and we homeschool so lab supplies are already needed)
 

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The kits are OTC are not worth it. They don't give very accurate results and if nothing else, they confuse the person more so.<br><br>
My OB has offered an SA for DH, as has our RE. Most any dr can order one really. And some dr's, if you are within 30 min of their office, allow DH to produce sample at home and have you run it in (while keeping it warm in a jar, between your breasts for instance).
 

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I would recommend going to a reputable fertility clinic if you have one nearby. A friend of the family works as an embryonologist (I think that's spelled right) at a local clinic and she said they regularly get couples in who were told by other labs that the man was sterile or had problems with his sperm and when they do the tests they find out the other labs were wrong. Supposedly, labs that aren't set up specifically for reproductive testing aren't as thorough and accurate, but I'm sure it varies greatly.<br><br>
Heather
 

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MY dh HAD to have semen anaylsis before I could get any IF treatments, through the reproductive endocrinologist we went through.....Even though we knew I was the one that had problems (Endometriosis)<br>
They had to check and make sure that that was the only problem we were dealing with.
 

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Our RE ordered the SA for us - that was just a part of all the testing we both went through before we decided on a course of treatment.
 

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I second what Heather said. Make sure it is a reputable lab doing the analysis and that they do the strict (Kruger) analysis, not the WHO (World Health Org) analysis. My OB ordered our first SA and said that DH's results were fine. We later started seeing an RE, who redid the SA, and we found out that there were major morphology (shape) and motility problems. We ended up doing IUI, and were ultimately successful. It doesn't really matter who orders the test, it's about the lab and the kind of analysis that is done.<br><br>
Good luck.
 
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