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psimps

Newbie

  • "psimps" started this thread

Posts: 18

Reg: Jul 1st 2009

Location: Paisley

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1

Wednesday, July 1st 2009, 8:59pm

SA - ICSI

Hi All,

My husband recently had a SA carried out and his results showed there were less than 50K and no motility. We have to visit our fertility specialist at the RAH in August but just wondered if anyone knew the chances of ICSI being a possibility for us?

Thanks, P x

    United Kingdom

Posts: 695

Reg: Dec 22nd 2008

Location: London

Children: Beautiful twin daughters and two grown up stepdaughters

Thanks: 8 / 0

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2

Wednesday, July 1st 2009, 10:14pm

I have just had my second ICSI. I had 8 eggs so they only needed 8 sperm. They had to look very carefully to find them but as long as they find some you don't need much at all. Good luck.
Newly Wed

ICSI December 2008 - chemical pregnancy
ICSI May 2009 - BFN
FET September 2009 - BFP
Beautiful twin girls born 30 April 2010



Posts: 126

Reg: Jun 19th 2009

Location: London

Children: Hammersmith

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3

Thursday, July 2nd 2009, 8:46am

Hi there,

My DH had a sperm count even lower than yours. After the first 3 tests they said he would need to have SSR but a few months later, after our referral to Hammersmith, they did another test and found he had enough motile sperm to have ICSI without the SSR. Subsequent tests showed the same thing, which was an improvement on the initial diagnosis. We were able to freeze two samples as a backup, and then on the day of egg collection, he managed to produce another 'good' sample so we didn't have to use the frozen backup.

We have just had our first ICSI. I over responded to the meds a bit so we had 20 eggs, and a bit like newly wed says, they had to look very carefully to find enough sperm for 20 eggs but they did find it. We had 8 fertilise and I just got my BFP yesterday, so just praying at the moment that they stick around.

Has your DH only had 1 sperm test? If so, I would suggest that you need at least 2 more as the results can vary widely between tests as we have found. I'm no expert but there is a lot of information on this website.

Good luck,
Mia xxx
MammaMia
Age 31
TTC 2yrs
Severe Male Factor diagnosed July 08
1st ICSI cycle June 09 BFP - Twins!
Praying for a smooth ride from here




Posts: 2,505

Reg: May 2nd 2007

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

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4

Thursday, July 2nd 2009, 8:48am

RE: SA - ICSI

Hi,

And welcome to FZ.

His semen analysis is obviously not good news. Has he had more than one test? It is not a good idea to base all your discussions on just one specimen as lots of things can go wrong with an individual specimen and give a completely erroneous picture of his sperm output. Before embarking on high technology fertility treatments he should have had at least three specimens tested over a 4-5 month period, and have been fully investigated with scans and hormone assays in order to determine the reasons for his sperm production problem.

If this result does represent a full and on-going picture of his sperm production then a pregnancy from intercourse is highly unlikely and probably impossible. However ICSI is very possible. IVF/ICSI is not a good route to have to take to have your family as it is emotionally and physically invasive, expensive and still not guranteed to work. However it is available and would be appropriate to your situation.

So get the full facts and then decide where you want to go from there.

Good luck,

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

psimps

Newbie

  • "psimps" started this thread

Posts: 18

Reg: Jul 1st 2009

Location: Paisley

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5

Thursday, July 2nd 2009, 9:49am

Thanks so much for all your answers. My husband has only had one SA, we were advised that with such poor results it was unlikely to change with diet / etc so wasn't worth repeating. He has had hormone tests which came back all fine. We are awaiting an appointment with the urologist.

The results came as a huge shock to us as we did conceive naturally a little over 2 years ago but this resulted in an ectopic unfortunately.

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