According to BabyMed, men with abnormal sperm morphology should attempt natural conception before reproductive technology treatments, such as in vitro or intracytoplasmic sperm injection. The diagnosis of abnormal sperm morphology does not mean a man is infertile but does present some challenges and requires patience.
The American Society for Reproductive Medicine recommends trying timed intercourse to increase chances of conception. According to U.S. News and World Reports, this requires couples to use at-home test kits for ovulation. Such kits measure basal body temperature or predict ovulation based on hormones in urine. However, BabyMed recommends setting a definite time, such as three months, to try such options before moving to more advanced ones, such as ICSI.
Sperm morphology refers to the shape of the sperm. The University of Maryland Medical Center says that adequate fertility requires that approximately 60 percent of the sperm have normal size and shape. Normal sperm structure includes an oval head and a long tail. The American Society for Reproductive Medicine notes that if more than 4 percent of the sperm has normal morphology, the difference in success rate between timed intercourse and artificial insemination may be negligible. With a sperm morphology below this level, reproductive doctors recommend artificial insemination using ICSI.