Low Morphology + BFP?

[tkb24]

Hey ladies.. I hope its okay to post a question! I read yall's intro post and it didn't look like morphology was covered. I also searched and didn't have any luck with this discussion that I could find. I am not pregnant and am currently in the 2ww after IUI#2. RE's office called me today and said that Mh morphology is still 1%. Up from 0% 4 months ago, but still only 1%. I had a miscarriage at 8.5 weeks last year after Mh had been taking Fertilaid + Motility Boost for 3 months, because we didn't know at that point he had morphology issues. When we first went to the RE she said that m/c around 8.5 weeks is likely due to chromosomal defects. I'm putting 1+1 together and assuming that his morph may have had something to do with the m/c. Anyways.. a lot of yall's siggys say MFI and I'm wondering how many have had such low morphology and a successful pregnancy. Successful to me meaning out of the 1st tri. I hope I can get some insight because you know how the brain goes during IF... this is beating me up. 
My hopeful non-medical-probably-not-making-sense possible answer is that being on the motility boost gave bad sperm the power to swim better.. so if you take out the motility boost then a normal sperm will be able to penetrate like normal? 
Sorry if I'm rambling. Thank you so much for listening. Congrats to all of you ladies!

[bluefairy5]

Hey, lady

From all the research I've pored over (and according to my RE, and his teaching hospital's studies on same), morphology is not currently thought to affect the genetic components of the sperm. The idea of DNA fragmentation testing simply due to low morph is "controversial" at best, per ASRM. This is a good, quick overview.

Other posters here may have other information, but literally the only places I've found promoting the idea that poor morphology should automatically mean DNA fragmentation testing of the sperm are fertility clinic websites, who presumably make bank off said testing. But that might be me being cynical.

[tkb24]

Thank you so much bluefairy5

[jessimi06]

Hi there! Like bluefairy5 said, dna sperm fragmentation isn't necessarily due to low morph issues. My DH also has 1% morph and we had to do ivf w/ICSI to get our BFP (iui#1 worked but ended in m/c from tetraploidy. I don't think it had to do with his morph as tetraploidy is so rare and spontaneous).

GL to you!

[lolasky]

Hi! My DH has low count (4-10m/ml on 3 tests), low motility (10-25%), and 0% morph, and I am currently 30w1d pregnant with a seemingly healthy boy. We did the DNA frag test, and everything looked perfect. DH also has high testosterone, and he is fit, athletic, super healthy.... No idea why he has these sperm issues. I got tested with everything, too, and I have no known issues.

We got pregnant after a little more than a year of trying--on a failed IUI cycle (our first IUI attempt; as in, I went to get my follicles checked on CD 13 to see if I should trigger, and I had spontaneously ovulated the day before). I remember being so upset--the nurse said doing the IUI at that point (post ovulation) would be a waste of money but that we should still try on our own.

We got pregnant. To this day, we don't know if this was a miracle, one-in-a-million--or if it just shows how little is understood about how sperm quality affects fertilization. (PS: We were actually so curious about whether his numbers had improved that we did another SA two months after the BFP, and it was the worst one yet... So it wasn't that his numbers improved.)

Anyways, I'm not sure what you will make of this information, but that's our story. Good luck with what you decide!

BTW: Our RE strongly urged us to do at least one or two IUIs before we moved to IVF-ICSI even though with DH's numbers, we were approved by insurance to go straight to IVF. He literally said that he's seem even dire-looking cases work out without IVF if only MFI was in play (as long as there were some sperm). I remember being so depressed at the time that I totally side-eyed him--but I guess he was right!