Prva stvar koju je MM rekao kad sam spomenula ovaj clanak (bili smo na ICSI-ju 3 puta) je bila da je to vazno za ICSI i da je to jako jednostavna stvar koja moze poboljsati kvalitetu kad kolicina nije vazna.

Nas problem je oligoastenoterato, s naglaskom na terato (0-3% normalnih na 4 razlicita spermiograma), gdje je ostecenje DNK bas potencijalno najvaznije za morfologiju, pa smo drugi put uspjeli zaceti prirodno, i to bas jesmo svaki dan nakon prisilne apstinencije tokom trudnoce i nakon poroda od vise od godinu dana...

Inace, kad smo tek pocinjali nas doktor nam je spomenuo slucaj kad je muz imao samo 5,000 spermija u ejakulatu (to su tisuce, ne milijuni) i svejedno se desila prirodna trudnoca. Trazila sam taj clanak sada, ali sam nasla jedan drugi gdje su testirali dijete da li je stvarno taj otac (je), i gdje je tip konzistentno imao spermiogram u prosjeku manji od 0.2 mil/ml. Link ovdje. Ne kazem da se to desava svima, ali daje nadu. Takodjer sam nasla jedan clanak koji je isto zanimljiv, a diskutira koji su minimalni parametri za prirodno zacece (volumen, koncentracija, totalni broj, pokretljivost, morfologija) - i rezultati su za mene zacudjujuci jer su parametri dosta nizi od onoga sto sam mislila:
Oligozoospermia: recent prognosis and the outcome of 73 pregnancies in oligozoospermic couples.

ORIGINAL ARTICLE
Andrologia. 38(3):87-91, June 2006.
van Zyl, J. A. 1; Menkveld, R. 2

Abstract:
Summary: The minimum value for each of the five main semen parameters, below which conception rarely occurred or did not occur at all, was calculated in a group of 1884 couples complaining of primary and secondary infertility: 304 conceptions including first as well as consecutive conceptions, occurred. The parameters evaluated were (minimum value calculated in this study between brackets) volume (1.0 ml), sperm count ml-1 (2.0 million), total sperm count (4.0 million), motility (10%), forward progression (2.0 MacLeod units: scale 1-4) and normal sperm morphology (3%). The pregnancy rate in the group of 308 oligozoospermic men and the minimum value of semen parameters were the cornerstones in determining the prognosis for oligozoospermic patients. A sperm count of >2.0 million ml-1 was considered relatively adequate for eventual conception judged by the 68 of 308 (22.1%) pregnancies that occurred among oligozoospermic men in this study, provided that the other five semen parameters showed values above the minimum value. In cases where the average sperm count was <2 million ml-1, the chances for conception became rare, viz five of 308 (1.6%). The total number of pregnancies in the group classified as oligozoospermic was 73 (23.7%). With these pregnancies there was no increase in the rate of foetal wastage and congenital abnormalities. Abortion occurred in 15.09% and ectopic pregnancy in 0.9% among first and consecutive pregnancies. One infant among the 56% boys and 44% girls was born with congenital abnormalities. Most of these infants had a normal birth mass of >2500 g.