r/maleinfertility • u/mrcoolguy13579 • 1d ago
Discussion Two low SA results, urologist no help - next steps help
My wife and I have been trying to conceive for a year now. In April I went to see a urologist and went for a SA test and it came back low. 6 weeks later in mid may I took another and had slight improvements but still below ideal numbers.
Went for a follow up yesterday with the same urologist and he said I should see a specialist. He recommended me one but they don’t take insurance and I don’t want to pay for all of this completely out of pocket.
My wife is also seeing a specialist endocrinologist to rule out any issues on her end. It seems it’s a part of a fertility clinic and there is an initial consultation with the both of us at first. Is that the correct next step? Or should I try to seek out my own specialist on top of this for next steps?
Just feeling stuck since my urologist really wasn’t much help at all and couldn’t even really tell me anything about my results or what I should be doing to try and improve. I’ve taken into my own hands of exercising 5+ days a week and cutting sugar, which I think was reason for some slight improvements in tests.
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u/IntroductionOk4595 1d ago
Find a urologist that specializes in reproductive urology/men’s fertility. You’ll need hormone testing and a scrotal ultrasound.
In the meantime, this sub is great for finding other lifestyle changes and supplements to take.
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u/mrcoolguy13579 1d ago
Thanks. I actually already had an ultrasound and hormone testing done and both came back normal.
But I think I’ll have to do some research of my own to find a specialist.
Sounds like I’m on the right track through. Appreciate the response!
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u/IntroductionOk4595 1d ago
How low are your numbers?
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u/mrcoolguy13579 1d ago
5/20 Test Concentration: 5.11 M/mL Sperm number: 14.31 M/Sample Progressive: 20.66 % Motile: 32.86 % Morphology: 3.90%
4/17 Test Concentration: 4.38 M/mL Sperm number: 17.96 M/Sample Progressive: 16.02 % Motile: 31.49 % Morphology: 0.91%
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u/IntroductionOk4595 1d ago
I’m not sure if these numbers warrant genetic testing or not to find a cause. That could be an option. And no varicocele found on ultrasound?
Something that may give you some hope is that sperm take on avg 3 months to mature, so testing again at 6 weeks wouldn’t give you full picture of the changes you’ve been making so far. Get on vitamin stack, and check your thyroid and vitamin d levels.
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u/Ok_Carpet_3386 1d ago
Since all your hormones are normal and no varicocele, there’s no need to go and visit another doctor.
Basically, he will advise you to take supplements and start lifestyle changes then check again after 3 months if things improved or not
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