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  • "gemma" started this thread

Posts: 670

Reg: Feb 25th 2009

Location: Lancashire

Children: Trying very hard

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Thursday, July 23rd 2009, 8:25pm

Advice please Paul?

DH has had 3 SA's. 2 stated no sperm but the last one said 1 sperm! the doctors think he has testicular failure due to his high FSH etc. Do you think the fact that they saw even 1 sperm means its likely that they will find some in SSR? as obviously he must be producing some somewhere. We originally thought it wasnt likely but now they have found 1 it makes me believe there must be some! Am I being too optmistic here?

Any advice much appreciated
Gemma

5 cycles (3 xICSI, 2 x FET) All BFN
3 x cycles (2 x ICSI, 1 x FET) with basic immunes-All BFN
First appointment with Dr Gorgy-2nd April 2013-discussed another cycle using LIT and Humira. More tests done...awaiting results.

Posts: 2,505

Reg: May 2nd 2007

Children: A boy and a girl, both living in London

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Thursday, July 23rd 2009, 8:35pm

RE: Advice please Paul?

Hi Gemma,

You are correct that finding even one sperm suggests that there are 'islands' of testicular tissue somewhere producing sperm. Whether these can be found during SSR is the problem, as you obviously can't sample every bit of the testicular tissue. But it is a good start and makes the search worth proceding with.

Good luck,

Paul
Fertility Scientist and Andrologist
Fertility Counsellor, Holistic Therapist and Hypnotherapist
Providing Fertility Information, Assessment and Enhancement.
Natural family planning teacher.

Posts: 465

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Thursday, July 23rd 2009, 10:38pm

paul; what do u think of IVF and spermwashing how successful is ICSI X
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Posts: 2,505

Reg: May 2nd 2007

Children: A boy and a girl, both living in London

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Thursday, July 23rd 2009, 10:55pm

Hi,

In order to wash sperm there has to be a high enough number of sperm and of sufficient motility to swim up into culture medium. You can't just pick out several thousand sperm one by one, they have to swim up by themselves into medium, then you take this medium and wash the sperm several times. in fresh culture medium before using them, usually for IUI.

For IVF they also have to be able to swim up in sufficient numbers to give a preparation with enough motile sperm in it to add to the recovered eggs, but you can use a lower number of sperm for IVF than for IUI. If the sperm cannot be isolated at all in this way, then you have to use ICSI, ie where there are low numbers and/or low or absent motility.

Success rates with all of these procedures depends on many factors, such as the quality of the sperm, of the eggs, the age of the woman, and quality of the unit doing the treatment. The Patient's Guide to Treatment produce by the HFEA (Human Fertilisation and Embryology Authority) will give some indication of success rates across the IVF units.

Paul
Fertility Scientist and Andrologist
Fertility Counsellor, Holistic Therapist and Hypnotherapist
Providing Fertility Information, Assessment and Enhancement.
Natural family planning teacher.




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