Thank you so much for all the comments on my previous post. I really appreciate all the feedback and it helps me to get a good ballpark for what this is going to cost. They were not able to give me a straight answer at the clinic yesterday — they’re just going to charge piecemeal for each visit, ultrasound, and blood draw, and tally it up at the end. Boo. Since we’re doing Clomid, at least the drugs are cheap.
Regarding what my husband did to get his numbers up — this is what we’re looking at:
- 7.9 million (up from 3 million)
- 58% motility (up from 13%)
- 4% morphology (up, but I don’t remember the old number)
We don’t have any hard evidence for this, but we suspect it has to do with him going off Prozac and Deplin. He has cyclothymia and has been on one antidepressant or another for over 10 years, and from time to time has combined them with various mood stabilizers. Over the past few years his cycles have gotten much milder and less frequent, and he made the decision about 4 months ago to go drug-free. Since stopping the Prozac, his libido has definitely been much higher (lower libido is a known side effect). After getting the latest SA results I did a little bit of poking around online to see if Prozac or Deplin have any effect on fertility. It looks to me like this just hasn’t been studied. I found one tiny little study that seemed to indicate SSRIs could decrease sperm count, but I can’t find where this has been studied on any kind of significant scale.
I asked our RE about this as well, and he said he just doesn’t know if there’s a link there.
That’s our best guess, and if we’re right it should mean that he’s doing even better now than he was last month, since it takes a while to produce sperm and it takes a while for the drugs to leave the system completely.