Hello... my DH and I just found out from his advanced semen analysis that he has less than 50 motile sperm per drop and was referred to ICSI and to "treat it like a TESE".... I'm completely beside myself and frankly still in shock.
My DH had testicular torsion on his left side as a kid and has a minor varicocele on his right (they say not severe enough to do anything). His 'testosterone' levels were normal but his 'free testosterone' was below normal (what you want to check for fertility) and his LH levels are above normal. He's tired all the time and man, moody as all get out.
We are going for a 2nd urologist opinion this week as we felt the 1st opinion just wanted to send us to ICSI right away without maybe addressing my DH's overall health issue.
Any info about ICSI or TESE would be very appreciated or any questions about this we should be asking during this urologist appt would be so very helpful.
Is it even worth asking about meds like Clomid to see about increasing his sperm count??
See full journey details on my profile:
Trying to conceive since 2013 (male factor); Me: 39 yrs old; DH: 37 yrs old; low testosterone; very low sperm count; on Clomid for testosterone
~ 2014 ~ IVF Cycle #1:
- Antagonist protocol
- Retrieval: 22 eggs retrieved; 8 injected (ICSI); 6 fertilized; 4 embryos divided - 2 embryos are 4 cell grade 1, 1 embryo is 5 cell grade 2, and 1 embryo is 8 cell grade 2
FET #1 - medicated cycle (2014)
- transferred two day-3s: one 10 cell grade 1 and one 12 cell grade 2; Beta: BFN; approved to do a natural FET next time
FET #2 - Non-medicated cycle (2014)
- added Teva-Doxycycline 100mg (antibiotic) started one day before procedure: 1 tab 2xdaily until finished)
- transferred two day-3 embies (1 is 10 cell grade 2 and 1 is 12 cell grade 2); took 1 tab of Apo-Diazepam (valium) 5mg 45mins before FET
- HPT = Welcomed our little in summer of 2015
~ 2016/17 ~ IVF Cycle #2: Project Sibling
Oct. 29: Retrieval - 23 eggs retrieved; will be a freeze all cycle
Nov. 2: Dostinex 0.5mg every other day for a total of 8 days has started to alleviate OHSS
Nov. 4: Day 6 report: 5 embryos on ice... yay! 4 day-5s (4AA and 3 are 4BC quality) and 1 day-6 (5BC quality)
FET #1 - Non-medicated cycle (2017)
Feb. 6: start Teva-Doxycycline antibiotic100mg one day before procedure
Feb. 7: scheduled transfer at 11:45am; 1 tab of Apo-Diazepam (valium) 5mg taken 45mins before transfer; transfer of one 4AA blast
Feb.20: BETA - BFN; approved to go right into another natural FET with no cycle in between
FET #2 - Non-medicated cycle (2017)
Feb.24: CD3 - u/s and b/w= nothing said about lining; E2 19, LH 4.4 IU/L, FSH 6.6 IU/L, Prolactin 8.1 Ng/mL, TSH 2.22 IU/L, Progesterone 1.6 nmol/L, Glucose 4.1 - I requested (norm is 3.6-7.7); back on CD15; acupuncture 2x weekly until fet to try and bring on LH surge sooner than CD17.
Mar.6: OPK positive in the evening so looks like I will be going into the clinic tomorrow
Mar.7: CD14 - u/s and b/w= 11mm triple lining; E2 712, LH 32 IU/L
Mar.8: CD15 - b/w= confirmed LH surge was yesterday; E2 343, LH 8.12 IU/L; start Endometrin 3x/daily
Mar.11: start Doxycycline antibiotic 100mg (8 pills total) one day before procedure: 1 tab 2xdaily until finished
Mar.12: scheduled transfer at 10am of one 4BA blast; 1 tab of Apo-Diazepam (valium) 5mg taken 45mins before transfer
Mar.23: HPT =
Mar.25: Beta #1= 788 hcg, Progesterone 107 nmol/L; RE happy with results so skipping beta #2 and going right to u/s
Apr.4: had light bleeding last night so went to clinic where they did an u/s; too early to really see much but did see a gestational sac; u/s moved from Apr.8th to 15th
Apr.18: First u/s scheduled (at 8 wks).... omg there are twins!!! One had a heartbeat of 140 and the other only 80 so being referred to the head OB of internal fetal medicine as it looks like I may have a vanishing twin which RE said 50% of twins go down to one before the 2nd trimester.