Need advice about sperm analysis

iVillage Member
Registered: 05-19-2008
Need advice about sperm analysis
Sat, 08-03-2013 - 10:19pm

My name is Lizzy and I have been a lurker for awhile. My husband and I have been trying for 8 months to conceive our first child. I am getting very discouraged about the whole thing. So far we have done temping, opk's, pre-seed, soft-cups, fertilaid, and our own mixture of vitamins (CoQ10, etc). I have pretty regular cycles of about thirty days, give or take a day or two. I consistently get positive opk's on day 14/15.

I am concerned about my husband's sperm count and would like to get it checked out. He is on a low dose of an antidepressant and I have heard that they can significantly affect sperm count. He is also overweight (we are working on it). I just feel like with all of the things we have been doing to help nature along in addition to my seemingly healthy cycles, we should have conceived by now. I would rather go ahead and find out if there is something wrong than continue to try if there is no chance.

So finally to my question! Our insurance does not cover ANY infertility, including diagnosis. I have heard that an out of pocket sperm analysis can run about $300 but didn't know what steps I needed to take to get one done. Do I need to make an appointment with an RE? One of the main reasons I am wanting to start with the SA is because it is so much cheaper  than all of the tests they would likely perform on me and would rule out a major area of concern. If I make an appointment with an RE, will they want to test me too or will they start with just him? And finally, how much does a typical RE visit run without insurance? I have thought about calling the clinic where RE's send people for a SA but didn't know if I was allowed to call and set up my own appointment and if that $300 would include a discussion of the findings. 

SO SORRY for this novel. I just don't know where to start! I appreciate any advice!


iVillage Member
Registered: 07-01-2003
Tue, 08-06-2013 - 11:47am

My OB ran three tests for us. I too don't have fertility coverage.  Here's what we did:

1. HSG - I had to pay out of pocket, so they gave me a few places to call on. I went with the cheapest place for $368. They sent the results to my OB.

2. 3 day blood work - this was mostly covered by ins. I had to pay about $125 after ins.

3. SA - Once again, I got a few names of places. We found a lab nearby where DH could do his "thing" at home and then go drop it off. Only cost about $85.

All of our tests came back normal. I did three rounds of clomid (ins covered it! paid a copay for office visits/ultra sound and the clomid was free). Now I'm off to a specialist on 9/23. They are aware of my ins, so they'll work with me on next steps.

Good luck!


iVillage Member
Registered: 01-17-2005
Tue, 08-06-2013 - 10:15am

I had secondary infertility while ttc'ing my third child. Actually, my doctor ordered a sperm analysis right off for dh. When the results got back, they just said the test was normal and then after I asked, they gave me count and motility numbers. The test would be worth the money just to know where you stand. But really, most doctors won't start testing until after you've ttc'ed for a year. I see you're using preseed and cups and doing a lot of the right things to increase fertility. Bd every other day. Restrict caffine from both diets in general and any other toxic substances like nicotine. Loose boxers are a good choice for him as is staying out of hot enviroments (hot tubs, laptops on the lap, etc.) There are ways to test counts at home. Examining a drop of semen under a 400X and counting swimmers can give you an estimate but it can also lead to more anxiety if you do it incorrectly. It takes practice, but there are women who do it. I hope I've been of some help to you. Babydust!!!