Jump to content



Photo
- - - - -

Low Count & Motility - ICSI Sperm Quality


  • Please log in to reply
5 replies to this topic

#1 Miss_Boos

Miss_Boos
  • Global 100+
  • 272 posts
  • Gender:Female
  • Location:Kitchener, ON
  • Dx:Male Factor
  • My Clinic:Astra Fertility

Posted 14 August 2015 - 03:46 PM

Hello,

 

I have tried to find online info on this, but I could find very little, so I am assuming I am looking up the wrong thing.  

 

DH and I are going forward with first IVF with ICSI next cycle, he has low count & low motility, does this mean that of the sample he provided that even the good sperm they found in his specimen will be flawed? I know he does have some good swimmers, we tried an IUI and he produced 1.5M good swimmers (we needed 5M to do IUI).  But I am just curious as to the quality of the "good" ones? Or if some is "bad" they all are, regardless.

 

Thanks.

 


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Me - 39 - type 1 Diabetic (30 years), last A1C 6.8!

DH - 40 - Low Count, Low Motility

Parents to 3 wonderful fur-kids, Jade, Luna & Titan and one fur Angel, Miss you everyday Steelerheart.gif

Failed IUI February 2015

IVF # 1 - August 2015, Freeze all, mild OHSS

FET # 1 - Sept 27 transfer, BFN on October 6

FET # 2 - November 20 2015 with remaining embryo, BFN, starting Ivf #2 Late August early September


#2 smurfette_w

smurfette_w
  • Cyclebase
  • 2,457 posts
  • Gender:Female
  • Dx:Male Factor

Posted 14 August 2015 - 05:31 PM

My DH also has very poor numbers and quality, worse than your DH.  When they do the sampling, they only take a small sample of your DH's sample, but when they do ICSI, they will look in the entire sample for some good quality sperm.  As long as your DH has sperm, they will be able to find some usable ones.  Just because they are slow swimmers (low motility) or don't conform to the standard "normal" shape (poor morphology) doesn't mean they are not usable.  We now have two lovely daughters from ICSI.

 

Good luck!


  • Ola1981 likes this

___________________

Me: genetic issues
DH: genetic issues, MFI

TTC since Summer 2009

See my profile for details


#3 abundant love

abundant love
  • Global 100+
  • 476 posts
  • Gender:Female
  • Location:British Columbia
  • Dx:Male Factor
  • My Clinic:VFC

Posted 14 August 2015 - 05:48 PM

Sounds like your DH has plenty for the embryologist to find some really good ones. They won't all be flawed!
<p><strong>Me</strong> - 38, one tube, slightly low OR <strong>DH</strong> - 35- severe MFI (usually 0 sperm) TTC #1 since 2008</p><p> </p><p>3 ICSI's with DH, 2 IUI's with DS = <strong>ALL BFN  </strong></p><p> </p><p><strong>3rd DIUI </strong> Sep 2014</p><p>Clomid + Letrozole + Pregnyl trigger, 2 follies on left, 7mm lining at trigger, 19 mil post wash <strong>BFP!!!</strong></p><p> </p><p> </p><p> 

#4 Miss_Boos

Miss_Boos
  • Global 100+
  • 272 posts
  • Gender:Female
  • Location:Kitchener, ON
  • Dx:Male Factor
  • My Clinic:Astra Fertility

Posted 14 August 2015 - 06:00 PM

Thanks!

 

My concern was that even the 'good' ones they find could be flawed on a cellular level.. and they just don't show it like the ones you can physically see... If that makes sense... someone had said 'if ones bad, they're all bad, no matter what appearance they have'.  


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Me - 39 - type 1 Diabetic (30 years), last A1C 6.8!

DH - 40 - Low Count, Low Motility

Parents to 3 wonderful fur-kids, Jade, Luna & Titan and one fur Angel, Miss you everyday Steelerheart.gif

Failed IUI February 2015

IVF # 1 - August 2015, Freeze all, mild OHSS

FET # 1 - Sept 27 transfer, BFN on October 6

FET # 2 - November 20 2015 with remaining embryo, BFN, starting Ivf #2 Late August early September


#5 smurfette_w

smurfette_w
  • Cyclebase
  • 2,457 posts
  • Gender:Female
  • Dx:Male Factor

Posted 14 August 2015 - 08:59 PM

It could be.  You might want to do PGS testing on the embryos as well, that's what we did on our embryos.


___________________

Me: genetic issues
DH: genetic issues, MFI

TTC since Summer 2009

See my profile for details


#6 orchid

orchid
  • Global 100+
  • 236 posts
  • Gender:Female
  • Location:Toronto, ON
  • Dx:Male Factor
  • My Clinic:Mt. Sinai

Posted 26 August 2015 - 03:13 PM

If you are doing ICSI and DH has moving sperm, the lab can pick out the best looking ones.

Appearance (good or bad) does not 100% indicate the DNA is good.  

Although appearance is helpful, my RE tells me there isn't a sure fail safe way of telling which sperm are genetically good or bad.

 

So much of this is luck. Getting the right egg and sperm together and providing the optimal uterus environment.

 

My DH's sample was under 1 M with poor motility and very poor morphology. We had a healthy baby boy in 2012 through IVF/ICSI.

 

Best of luck with your cycle!!


Me:40 DH:41
TTC since 2003
Male Factor - Arimidex, but limited impact, therefore fast track to IVF/ICSI
IVF #1, May 2011 - Long Protocol
April 17 - start BCP (Marvelon)
May 3 - start Suprefact
May 13 - start Puregon
May 23 - HCG
May 25 - ER!!!!!!!! 16 eggs retrieved - all ICSI
May 26 - 14 eggs injected - 13 embrios (grow embies grow!)
May 30 - ET - 1 blast and 1 embryo transfered ... saw a taddpole wiggling on u/s!
June 1 - 2 blasts frozen (grade 4BB and 3BC)
June 05 - brown spotting
June 06 - bright red bleed
June 08 - Scheduled beta - BFN - sad.png
 
FET #1, July 2011
July 11 - Cycle day 1 - Started Estrace and Baby Aspirin
July 21 - u/s to check lining
July 27 - ET of 2 blasts
Aug 5 - BFP ... beta 164
Aug 8 - beta 429
1st u/s - Sept 1 - singleton - h/b 160n/t scan - Sept 30
1st OB appt - Oct 5a/s - Nov 23 - it's a BOY!!EDD - April 14, 2012
Karl Frederick was born on April 1st at 4:32 pm weighing 8 lbs 14 oz.

TTC #2 ... hope this works!
 
IVF #2 - Sept 2014 
Long Protocol - Suprefact, Gonal F 300
23 eggs retrieved, 14 fertilized, 1 3AB transferred, 1 3BC frozen
Oct 14 - brown spotting
Oct 15 - bright red bleed ... this is looking like my other fresh cycle!!
Oct 20 - BFP ... beta 67 ... OMG!!
Oct 23 - beta 182
Oct 27 - beta 1320
Nov 14 - HB around 72 and measuring at 6wk3dys, rather than 7wks4dys ... will probably m/c
Dec 2 - no HB and measuring 7wk4dys, miscarried the next day sad.png
 
FET #2, May 2015
Transferred 3BC ... BFN sad.png

IVF #3 - July/Aug 2015

Long Protocol - Suprefact, Gonal F 350

July 27 - start BCP

Aug 5 - start Suprefact

Aug 14 - start Gonal F

Aug 25 - retrieval of 16 oocytes

Aug 26 - 15 ICSIed, 8 fertilized

Aug 30 - 3 frosties (4AB, 2AC, 3AC) - freeze all cycle by choice

 
FET #3, Sept 2015

Transferred 4AB ... BFN ... sad.png devastated.

 

FET #4, Oct 2015

Transferred 2AC and 3AC ... very low BFP (7) ... second beta 0

 

IVF #4 - May 2016

Long Protocol - Suprefact, Gonal F 350, Luveris

May 11 - retrieval of 17 oocytes, 12 ICSId, 12fertilized

May 17 - nothing to transfer or freeze sad.png

 

Time for 2nd opinions