Hi faith,
to be honest I am also not completely sure abt our "issue"... maybe it's just God's timing? hehe
But just to share our story, after trying for 1.5 yrs without good news, I went to a gynae recommended by my friends, he put me thru some tests and ultrasounds to ensure I was ovulating and tubes were clear. I know there's usually a hormone test done on CD2, but I did not do that one, possibly because my cycle is very regular, the gynae sees no necessity with that step. After it was all clear on my side, the hub went to do a SA at CARE and the result was he was suffering from severe teratozoospermia, morphology was between 2-4%, doctor prescribed him with supplements and vitamins and he took them for 3-4 more mths before going for another test.
The second test he went for, the results were better. For those familiar with sperm tests, I think there's 2 morphology standards, one of which is more stringent and one of which is less, I suspect that the second one is less stringent and the results came back that his sperm was normal. We tried IUI during September but not successful and decided to go to TCM Dr. Chan as he was near our place and supposedly well-known for male fertility issues.
Of course during all this time, we prayed very hard as we are Christians, and believe that we can do all the work, but life is an amazing gift that God gives according to His timing, as His plan for us is the best, no matter what other people say about our age, and warnings/advice given by friends out of goodwill unfortunately really cause nothing but fear and worry, especially cos I am reaching 35 next yr and hubby is 40 this yr.
So back to TCM, Dr Tan looked at our test results, and concluded becos I have a tipped uterus, volume of semen is very important, and he also give advice for me to lie in bed for at least 30-60 mins after BD. Previously I usually get up, pee and cleanup after the act because I am prone to getting UTI.
So I guess it's many factors but the most important is, even if nothing is going well, a positive outlook is very important otherwise, it's so hard for us to get past day by day...