25% normal morphology is low. But depending on how your clinic processes samples, morphology can often come out low-normal or low. Something to try:
- Ask to have the test repeated, along with a DNA fragmentation assay.
- Consider taking antioxidant vitamins.
- Speak to a urologist – they’re the final word in sperm.
In the end, 25% normal morphology may be amenable to intrauterine insemination cycles (IUI). IUI usually has about a 10% overall success rate (ranges are 7-22.5% depending on the clinic and other factors) and IVF about 32% (depending on age) per cycle. Yes, IVF has the better success rate, but many couples will try IUI first because it is less intense and less expensive.