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  1. #621
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    @Malak: is it super high or borderline? As I said, you just never know. DrG liked to use inhibin b level as a success rate indicator but not anymore (I heard that from the other gal). There are a lot of studies about using FSH as indicator but it seems inconclusive. Hope u r the lucky one.

    It doesn't sound like a needle aspiration to take the sample. Take some time to think it through then if it is TESE. Bertie mentioned all the method on the thread a while back to you. U can also check out the Cornell urology website by Schlegel. A lot of information. Did u have a copy of the BTs? All genetics normal?

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    Malak  (11-10-2014)

  3. #622
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    I am not sure I am pretty sure it is not border line because he said that is alot higher than what it should be. He rang up QFG for the results while we were there so do not have the results as he had to wait for them to send them through.

    I have been doing some reading and read that wheat grass helps lower the FSH levels, so I am going to get some of that for DH and see if that works.

  4. #623
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    Hi all,

    My first post is to thank everyone who has posted her as it has been a platora of information that has helped DH & me.

    DH was diagnoised with Azoospermia last month. He has high FSH levels. I am going in for egg retreival tomorrow & DH also has his Open boipsy tomorrow.

    Had a low dosage of Gonal F(112.5 for 5 days & increased to 150 for the last 3 days. Think we are expecting only 6 or so eggs as i only had 4 follaciles from a scan on Friday showing over 14mm.

    I will keep you all posted. Wish us luck.

    Me(33) & DH(34)(azoospermia)
    We are in Melbourne & going through MIVF
    First cycle: Oct 2014

  5. #624
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    Welcome

    Wow that is fast!

    We can't get in for the biopsy until 27th November and then it is not guaranteed as they can only confirm with the day hospital 4 days before so could be later. They aren't testing me until afterwards incase nothing is found in the biopsy.

    DH has high FSH as well. When DH has his biopsy done they will freeze sperm that they find.

    Do you have any information on high FSH? I do not know much about it. I have read that wheatgrass can lower it...

    Good luck and please keep us posted.

    Sent from my GT-I9505 using The Bub Hub mobile app

  6. #625
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    Femmefatal..... I did just reply to you on another thread, but I'll say it here too, good-luck tomorrow - both for your EPU and for your DH's biopsy. When you say "open biopsy" that sounds actually like an mTESE (micro-TESE) - is that correct? Did your DH have a fine needle aspiration and/or a needle biopsy previously, and did they find any sperm then?

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    Femmefatal  (13-10-2014)

  8. #626
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    Hi ladies,

    Just checking back in here after a little break away from BubHub. Sometimes I feel energised, sometimes I just want to forget it all. You know how it is.

    I am two weeks away from starting my first IVF cycle. Started acupuncture last week and had my second one today. My DH and I are dosing up on the vitamins and the protein - all a bit in vain I think for him, but it keeps us focused.

    Welcome @FemmeFatale how lucky to some extent that you have been diagnosed and straight into IVF cycle within a month! That is unbelievably fast. We have been on this journey for almost a year, and only now just getting to the time when something will happen for me. Good luck - so hope you have a wonderful result.

    @Malak - I think your DH sounds like he is going to first have a fine needle aspiration which is called a TESA procedure which is what my DH first had when all his results came back "normal" including FSH. They truly thought is must be a blockage but after three needle aspirations on the day under local and they then put him under in the same session to take a biopsy, but after testing it for hours later it all came back with nothing.

    Like @bbhope said, it meant we have had to wait six months for the next procedure. We actually waited longer because at the same time we have undergone the discussion and counselling and blood tests around donor sperm as we have been given a 1% chance of success with the mTESE. We also needed time to process this and get used to the idea of a donor family. Which we are with peace now.

    So our mTESE procedure will happen on and around the 11/11 hopefully to time in with the egg retrieval.

    I have been advised by my Dr in Melbourne that he will be over-stimulating me to give us the most amount of eggs to attempt to get as many high quality eggs on the off chance that we get sperm from my DH. In the event we don't get his sperm, they will use our donor sperm to fertilise my eggs.

    Adding to this complexity is that my DH has chosen a surgeon that is separate to my fertility specialist from Cornell who studied with Schlegal. The issue is that it will all happen at two different hospitals and they are attempting to line it up, but if my eggs come earlier, it could mean having to freeze my eggs or they might lose their quality. So timing will be crucial. Certainly makes it all a bit daunting.

    They then said they would want me to wait until the next month before attempting to implant the embryo (be it DH or donor), so it's just going to be a bit of time before we know what the verdict is.

    BBhope - how are you? Hope you are starting to feel better about donor. Do you have any more embies? As you said we just want to get on with parenting now - whichever way that comes to us.

    Hope you ladies are all well. Take care.

    x

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    Malak  (13-10-2014),MGC Bertie  (14-10-2014)

  10. #627
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    @Jenniwithanl that is great news everything is happening next month. I hope your first round is a successful one .

    The dr talked about making a small cut which makes me think it is a TESE? All these different ones confuse me.

    One question though. Is it normal for them not to be able to confirm the day of the procedure? When I rang today they gave us the earliest date but said that it might not be then because they can only confirm with the day hospital 4 days before so if no spots it will change. I don't know if that is normal but I must say with the price you pay I am disappointed that they can't give you a definite and also the dr told us a couple of weeks but his secretary gives us an appointment for 6 weeks away. *sigh*

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    JenniwithanI  (13-10-2014)

  12. #628
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    Default TESE vs TESA vs mTESE

    @Malak oh right - I think now if I remember, my DH went in for a TESA Sperm aspiration where they attempted to aspirate sperm with a needle from the testicle or from the vas deferens (a structure right next to the testicle that also contains sperm). My DH was given some drugs under local anesthesia to numb the area. Then a small needle is inserted and sperm is aspirated from either the epididymis or the testicle. There should be no severe pain. The procedure generally takes about 30 minutes.

    BUT because they attempted in three spots without success, we had agreed in advance that in the event they found nothing (and remember we didn't expect that to happen because we were told he was "normal" and it had to be a blockage), he would be put under a general. That is what then happened and he was put to sleep and an incision was made and a biopsy of tubules taken, which would be the TESE procedure.

    I found these definitions if it helps:

    "The different sperm aspiration and extraction procedures have long names and also short names (acronyms):
    •TESA - Testicular Sperm Aspiration (can be done in the office)
    • TESE - Testicular Sperm Extraction (involves a small incision and snipping off some tissue from inside the testicle - often done in a hospital or free-standing surgicenter)"

    If TESE is required (instead of TESA) the cost will depend on the setting where it is done and the urologists fees. However, TESE would generally be required only in cases where the testicle has very low sperm production which is why it was such a shock for us.

    Now we are about to move to the more invasive of the three:
    • mTESE - micro Testicular Sperm Extraction (involves as my DH surgeon says: "slicing and dicing" the testies on either one or both sides and using a high-powered microscope, the surgeon attempts to find the "plump" tubules and sperm.

    We have been waiting for months for ours because of the surgeon my DH has chosen and because our verdict is so dire we wanted to have a back-up with a donor before we attempted all of this.

    It sounds like an incision is a TESE not yet mTESE, but I would probably decide if you want to go the full mTESE if he's going under anyway, as you will need to wait six months between procedure to give the testies a chance to recover.
    x

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  14. #629
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    @Jenniwithanl that makes sense now.

    I think he will go TESE and see what happens. Main reason being that DH will be starting a new job soon and really he can't take a week or more off to recover from a M-TESE. With the TESE he will only need a couple of days off work - he will work 4 days so should fit in nicely.

    I do have my fingers crossed that they find something and that is all we have to have done. The Urologist seems pretty confident but then I guess they all do.

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    MGC Bertie  (14-10-2014)

  16. #630
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    14 eggs all mature. Hubby gone in for biopsy & will be out after 3 hours. We will know at 5pm today if there is sperm.


    Me 33 DH 34 azoospermia
    Cycle 1: oct 2014

    Melbourne ivf


 

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