What is the best treatment for sperm malformation?

  Patient: examined on May 28, 2009, examined on November 20, 2009, no medication yet, how to have a child soon Laboratory and examination results: semen examination on May 28, 2009: sperm motility rate 46%, total sperm count 36*1000000, sperm malformation rate 92%, head malformation 32%, neck or middle malformation 40%, class A sperm 0, class B sperm 2%, class C sperm 44%, class D sperm 54%, live sperm 78%, dead sperm 22%. 44%, grade D sperm 54%, live sperm 78%, dead sperm 22%. Semen examination on 20 Nov 09: total sperm count 1554*1000000, sperm normal 18%, abnormal 82%, head malformation 25%, neck or middle malformation 39%, tail malformation 18%, grade A sperm 1.4%, grade B sperm 10.2%, grade C sperm 24.4%, grade D sperm 64%.  Doctor: From the results of your two semen analyses, you belong to weak spermatozoa, the following treatment methods can be considered: First, the female partner for related tests, such as normal, feasible husband sperm artificial insemination treatment (about 20% success rate, compared to IVF, the cost is not high).  Second, the male partner for further examination, try to find the cause of the disease, drug treatment.  Patient: Hello, Professor Long! I had an MRI for my pituitary tumor review today, and I won’t get the results until this afternoon. Do I still need to go for egg monitoring on the 17th? I went to the hospital on Friday but forgot to ask you! I’m afraid it’s coming back, but Prof. Xiong also told me to go for a review. I was going to wait until after the egg monitoring.  Patient: Hello, Professor Long! I got my MRI results this afternoon, but I’m glad they’re okay. Do I have to wait 6 months before I can have a baby? Does the MRI have any effect on pregnancy? I don’t want to wait that long, or all the tests we’ve done this month will be for nothing.  Doctor: Three months after the MRI, the treatment is feasible.  Patient: Thank you, Professor Long! My husband is already taking the medicine you prescribed. My husband is already taking the medication you prescribed and will go for a review after he finishes. I also had an ultrasound to monitor ovulation this month and I have mature follicles. I hope the result of the review is good! Thank you again!  Patient: Hello, Professor Long! After taking the medicine, my husband and I tried to conceive several times without success, what should we do next? I got my period on February 15, but I didn’t get my period until April 15. I’ve had this twice before, once after pituitary tumor surgery and once in ’08, and again this year, I got my period once every two months. What’s going on here?