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Phimosis and infertility??


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#1 RaRoss

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Posted 26 July 2016 - 03:44 PM

DH has been diagnosed with phimosis by a urologist also had a vericocele repaired in 2014. Urologist told us phimosis was nothing to be concerned about but I have read several articles online saying men who had treatment for phimosis had higher sperm count/morphology/motility etc

 

Does anyone else's DH have phimosis? What treatments are offered? I'm totally oblivious to the whole male factor infertility, so any help would be greatly appreciated!



#2 AAP

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Posted 18 September 2016 - 01:59 AM

Hi yes my DH had phimosis and we had a host of issues. He also suffered from epididymitis as s result of the phimosis which is similar to vericocele.

I'll say I'm not a fan of foreskin to begin with and I knew that it was not hygienic with the phimosis. Between the infections and premature ejaculation issues I convinced DH to see a doctor who referred him to a urologist. My goal of hopes were that DH would be circumcised. But the urologist opted to perform a frenectomy which released the foreskin so that it could be peeled back for cleaning.. Hopefully improving hygeine and ending the epididymitis which was recurring. It has helped with the hygeine and we now can pull the foreskin back during intercourse which our fertility specialist recommended to ensure that the prime swimmers can do their job instead of getting trapped in the foreskin. Takes a bit of work to make sure it stays retracted and like I said I'm not a fan of foreskins by any stretch of the imagination.

If your DH can ask for or is offered a circumcision to treat the phimosis I would recommend going that route. It's more hygienic with less chance of infection and circumcised men have been shown to have better sexual function, which I agree with.

#3 RaRoss

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Posted 23 September 2016 - 12:40 PM

AAP- Thankfully! Someone in the same boat as I am! I had never in my life heard of phimosis until all of this I didn't even realize it was a thing.. We see the urologist on September 29th for consultation so hopefully that will put us in the right direction. I have no preference about foreskin or not I just hate that it is potentially affecting my husbands fertility! He has been using some sort of cream for the last 3-4 weeks to try and thin the skin along with manual stretching in hopes that the issue would resolve itself. My husband is not fond of the idea of a circumcision but if I have to go through all the process of IVF because of his low count he can surely do that for me? We'll see how the urologist appointment goes next week I guess..



#4 AAP

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Posted 23 September 2016 - 04:00 PM

For Sure! I think your urologist might offer a similar "solution" ... I didn't mention it above but the Phimosis with DH isn't exactly gone from having the frenectomy ... to me it just allows for better cleaning with the option to retract the foreskin during sex, but the issue is it doesn't stay retracted.... so basically in that "final moment" when DH is going to ejaculate we have to make sure the foreskin is pulled back so that nothing is getting trapped... ie the prime swimmers, but I'm not sure this is effective. Precum has a lot of prime swimmers too so we are only addressing 50% of the problem, where 100% of the problem would have been solved with a circumcision. I just feel like the urologist sided with hubby because hubby didn't like the idea of surgery down there... but its just a circumcision afterall. So now this is like 8 months later, and still trying, and now our doctor thinks the phimosis may have reduced the "ducting" ie urethra... which limits the volume ... and recommends that we hold the foreskin back as far as possible at the final moment.... well this is impossible without "it" slipping out. Honestly if we could go back from what we have done in the last 8 months, I would have just made sure DH was getting circumcised, because all of this non sense with the foreskin makes no sense. I have no prior experience with foreskin, and I can tell you I have no use for it either. Circumcised is all I have ever known. I also haven't seen many posts about phimosis or any articles but our doctor told us that when its male factor its her first consideration, along with urethral strictures... which there is also not much info on.

 

Good luck I'm interested to hear what solution is recommended.