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Forum: Trying to Conceive with Medical Assistance


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June 2nd, 2011, 12:12 PM
IndyMommyWannabe's Avatar Always Hoping & Praying
Join Date: Feb 2011
Location: Indiana
Posts: 1,749
hi there!!! I posted here last week about mine and my husband's fertility problems...we have not yet been told by his doc whether or not we will need medical assistance (his appointment is next thursday)...but I met with my new OBGYN yestesrday.

She and I discussed his first SA and she said - while she doesn't deal with male fertility - just from the initial test - it looks as if we would possibly have to go the route of IVF with ICSI.

She really didn't go into details about what ICSI is - but it's something "insimination".

Again, we aren't going to even start looking at anything til we have another SA done and talk to his urologist - but, again, I'm just extremely concerned that he has 0% morphology.

Now my husband DID say that the doc told him he has a veracose vein he is concerned about...and i've read a little bit up on that...but still don't know / understand too much.

Has anyone's husband here had to have varacose surgery?

Anyone here done IVF with "ICSI"?

He did get his blood results back yesterday and the doc told him he is on the "low side of normal" for his testosterone levels...but the good news is at least he's in the "normal" range - all be it, low.
- -
TTC since March 2010 (too darn long) - 4 years, 2 months and counting... / Severe MFI / Stage 1 Endometriosis

IVF=ONLY option

October 2012 = Fresh IVF #1 - retrieved 8, 6 fertilized. Transfer 2. Fail.March 2013 = Frozen #1 - Transfer 2 of 4 left. Fail.
February 2014 = Frozen #2 - Transfer remaining 2 - IMPLANTATION!
8 weeks, D&C - blighted ovum - Triploidy

July 2014 = Fresh IVF #2!

"Sometimes the bad things that happen in our lives put us directly on the path to the best things that will ever happen to us!"

Come visit my blog/journal to learn more about our journey - Our Adventure through Infertility
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June 2nd, 2011, 12:49 PM
KMH KMH is offline
TTCMA Cheer Captain
Join Date: Sep 2008
Location: right of center
Posts: 19,318
Hi again! As someone mentioned after your last post, if your husband does indeed have 0% morph (or close to it), IVF w/ ICSI is pretty much your only option. Here are the technical details for ICSI: ICSI (Intra Cytoplasmic Sperm Injection) sperm aspiration, and sperm freezing - Dr. Sherman Silber of The Infertility Center of St. Louis

Basically, with ICSI, the embryologist will select a healthy egg from you and a sperm from DH and inject the sperm into the egg, forcing fertilization. There are some risks involved, and I'm sure your RE will discuss those with you. Otherwise, your cycle will be identical to a cycle that doesn't use ICSI...the same meds, etc. Usually there is an additional charge for doing ICSI on top of the base IVF price; I think it was about $1000 for us.

We did split fertilization...we had 13 healthy eggs, and fertilized 5 naturally and had ICSI done with 8. Of those 8, 6 fertilized. Of those 11 embryos, one is our daughter. I don't know if it is documented in our files if she was a result of the ICSI embryos or not...I guess I can ask when we go back this summer!

My DH didn't have any identifiable sperm issues, so I'm not sure about the surgery or any of your options. There are ladies on here who have been thru this, though, so I'm sure one of them will jump in. If you think of more questions, please ask...we're here to support you!

Melissa & DH
IVF babies Claire (5), Abigail (3) and George (3)

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June 2nd, 2011, 03:00 PM
LindseyE117's Avatar Wookie's Girl
Join Date: May 2009
Location: Texas
Posts: 3,741
I see the ICSI part has been explained, so that helps a lot.

My hubby and I are doing IVF with ICSI because of his MFI. We are lucky though because our clinic is one of the few in the nation that does not charge extra for this process. They also help all the embryos hatch so that the embryos are not lost. I am not sure of the risk factors from that, but according to our doctor, it seems it actually helps.

As for the vein issue in the testicles, my husband does have a large one on his dominant testicle (larger one). The urologist we saw highly suggested against trying to fix it because he did have some sperm, although it was low. Fixing it can go many different ways:

1. It can help
2. It can make things even worse
3. It could do nothing and you would have wasted money for nothing

So basically, if he does have some sperm, unless it is bothering him, I'd leave it be. Then again, it is personal preference. What I would do if I was you is google some of these things and definately see a RE. I wouldn't wait for a referal unless you have to.

Thank you Shortcake for my beautiful siggy!
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