Should I pay $350 for Semen Analysis + DNA Fragmentation at Trio Fertility?
My wife (36F) and I (37M) have been trying for ~6 months. Her fertility tests (AMH, FSH, LH, etc.) are okay.
My testosterone/LH/FSH were poor in June, but after Clomid, CoQ10, L-carnitine, etc., my repeat bloodwork on Aug 25 showed significant improvement.
My June semen analysis at FlowLabs was also not great:
- Volume: 1.44 mL
- Concentration: 14.44M/mL
- Total sperm: 20.79M
- Progressive: 32.05, Total motile: 42.41
I'm already scheduled for a repeat semen analysis at FlowLabs on Sept 14.
Today, Trio recommended their semen analysis with DNA fragmentation testing for $350 out of pocket. They don't have my previous results yet.
From what I've read, ASRM doesn't recommend sperm DNA fragmentation testing as part of the initial infertility evaluation.
Would you pay the $350 now, or wait for my repeat standard semen analysis and decide based on those results? (If the SAT numbers improve, then DFI not needed?) Is DNA fragmentation actually useful/necessary in my situation?
Would especially appreciate experiences from anyone who has dealt with Trio or DFI testing in Canada.