Results & Options

The results came back yesterday and while they are low, I know that it's still early. The biggest concern I have is the drastic change in the count. On Tuesday, July 9th, Jay's count was at 26 million per mL which is with in the normal range of 20-200 million per mL. Yesterday, the results came back with a count of 5.2 million per mL. There are many things that may have caused this change. Drinking, lack of ibuprofen, caffeine and many other unhealthy habits that contribute to the over all health of a person. The ibuprofen is suggested after a VR because of the swelling, even after it seems/feels healed, swelling can cause a lack of sperm from being let through. So there are things we are going to work on at home.

Here are the results from yesterday: 

Count: 5.2 million per mL
pH: 8.5  (normal >7.2)
Motility: Minimal forward progression 
Motility: 20% (normal >50%)
Volume: 2.0mL (normal 2.0mL)
Morphology: 91% abnormal (normal 0-20 *I'm not sure what this means*)


These aren't great numbers. So Jay called his PCM yesterday to be told by a very rude receptionist that the lab shouldn't tell patients to call their PCM for explanation of results because doctors are busy and can't drop what they're doing to go over every lab result with patients. From my understanding, that's part of the doctor's JOB! Aren't they supposed to go over lab results with you, especially if they are BAD results?? I understand that the doctor was probably busy THAT moment when Jay called but seriously, she could have just said that the doctor was busy and would call him back to discuss the results at his earliest convenience. 

Well anyway, Jay calls this morning to schedule an appointment to speak with the doctor in case calling doesn't get him anywhere.  After he scheduled his appointment, he called and left a message with the nurse to call him back to discuss the results. The nurse called him back and read the notes in the file with the lab results. The doctor is going to refer Jay to a specialist. The two types of specialists that were mentioned were a Urologist or a fertility specialist. At this point, I feel as though the PCM is out of his depth with this case and doesn't know where to go, which is fine, not all doctors can be specialists in ever arena but I'm glad to know that this doctor knew when to pass the case. 

Now we wait for the case manager to call Jay with his options for specialists. Once he has the info he can start making phone calls to schedule an appointment with the new doctor(s). I'm not sure if he/we will see one specialist or both specialists, which specialist it'll be if it's just one but at this point, having someone familiar with reversals and infertility is going to be beneficial to our journey. Hopefully the next update is better.

Until next time,
Traci