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  1. #1
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    Default Help! Azoospermia, failed ICSI & not wanting to use doner!

    Hi everyone,
    would really like to hear your advice on what to do!

    DH and I started FT almost 1 and half years ago after self testing. We always new there was something going on after not being on contraception for 9 years without any signs of pregnancy.

    It took us a year to start treatment as we live away from the city and was difficult coming to the city for appts. DH has been diagnosed with azoospermia. He had a on going illness when he was growing up and the meds given were also given with the advice this could impact his fertility when he was ready for a family (which we had informed our specialist about). He has had a surgical collection, and still had very low numbers and motility with scar tissue present.

    We started our 1st ICSI cycle after being reassured by our FS. I had 11 eggs collected and only 6 fertilised. Buy day 3 we only had 1. This embryo had severe fragmentation and as I was over stimulated it was a freeze all. On the next follow up appt my doc advised to try another FSC as we only had the 1 embryo. We continued as per the docs req. I had 10 follicles collected on round 2 but only 1 embryo made it to day 3. I was then again over stimulated and had to do a freeze all. After the downtime of a couple of months, we transferred each embryos in different monthly cycles with both BFN. I started the 3rd FSC a couple of months later but had the same result of only 8 eggs collected and only 1 severely fragmented embryo making it to day 3. I was not OS this time and managed to have a FT. This was also a BFN.

    I have only just had the follow up doc appt with FS after our 3rd round. My husband was absent and the FS was surprised by our results and immediately started to speak about perhaps using a doner.

    We are under 30 and as we have had terrible results after only a few months of actually trying I was shocked that my FS would advise this. My DH has been sent for more hormone tests and the FS wishes to see the both of us again to chat about how to proceed. DH and I aren't prepared to look at doners yet.

    Is there anyone else that has been in this position?! I feel it is far too early to think about doners especially after the originally issue has never been dealt with or advised.

    I'm feeling pretty let down and worried that we may never have our own biological child. Any advice would be great!

    Do you think changing FS would be a good idea?!

  2. #2
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    Default Help! Azoospermia, failed ICSI & not wanting to use doner!

    Hi, I have a 2yo DS who is a donor sperm baby, and I'm currently pregnant with twin girls who are from donor eggs AND sperm (all anonymous donors). It sounds like, given your young age, your fert rates and embryo quality are a result of very poor sperm. TBH, in a situation like yours, not a huge amount can be done about sperm quality. Some guys can improve theirs a bit with vitamin supplements and lifestyle changes, but where there is an actual medical issue at play, it's really hard to reverse. My DH used to produce very poor quality and numbers in his 20s, but by the time we started IVF when he was 33, there was nothing there at all. Neither of our two FSs or the urologist we saw could tell us why, it was just one of those random bad luck things. So donor was our only option. I think your FS is just concerned about you guys throwing lots of money and pinning hope on cycle after cycle when the truth is your results are probably not going to improve. Sorry to be frank.

    By all means seek a second (or third, or fourth!) opinion if you are not ready to consider donor yet. It's understandable. But don't dismiss donor outright. My DH is besotted with his little man, and we are both so excited about meeting our donor embryo twins too. DNA means bugger all to parenthood. xx

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    gingermillie  (11-08-2016)

  4. #3
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    Default Help! Azoospermia, failed ICSI & not wanting to use doner!

    I don't know too much about it, but have you considered PCISI? It's supposed to be better at standard ICSI, as they can select mature sperm, not just the best looking. (We had terrible fertilisation rates with ICSI.)

    That said, a second opinion is always valuable. There are some fantastic FS out there - look for the ones with entire threads dedicated to them.

    If you're not ready for donor sperm, get a second opinion. Then at least you can say you exhausted all options.

    Good luck!

    Edit: I think it called ICSI HA at some places.
    Last edited by ilex; 11-08-2016 at 09:59.

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    Real housewife  (11-08-2016)

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    Thanks for your advice, I had never heard of PICSI before. But after reading about it, I would like to find out more and availability at the clinics around me.

    Thanks again!

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    ilex  (11-08-2016)

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    Good luck! I hope you get the results you're after. X


 

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