A member asked:

My husband spermogram shows that he has >nighty nine % of sperms are vacuoles.what does that mean.can we have a baby through ivf.and is their a treat?

3 doctors weighed in across 2 answers
Dr. Michael Opsahl answered

Specializes in Fertility Medicine

Unconventional term: Sperm analysis usually does not focus on vacuoles. I am not sure what the report is telling you. You should probably have a talk with your doc. If you have a baby with ivf then you already know that having a normal child is possible. Your doc should be able to review the test and then go over your husband's health hx to see if there are changes that might improve quality. Good luck.

Answered 12/9/2013

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Poor sperm quality: Vacuoles in sperm are considered a sign of poor quality - but they can't be seen with conventional microscopy of sperm, as used when we do icsi (intracytoplasmic sperm injection). Three choices for you & your husband - 1. Ivf with imsi (ultra high magnification view of sperm) which is 'experimental'. 2. Use testicular sperm (surgically retrieved sperm) instead of ejaculated sperm. 3. Donor sperm.

Answered 12/9/2013

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