Trouble TTC

Finally got my hands on a copy of H's SA results

And my nurse was sugar coating things for me.  She told me that they didn't do the Kruger morphology, but they did and it was 100% abnormal.  It also states that he has "severe oligo-asteno-teratozoospermia".  We're still waiting on his blood work to come back, we expect it to be in sometime this week so we have the big picture to bring to the MFI urologist, but things are not looking pretty.  Looks like we are on the bench for awhile.  

****SIGGY WARNING****


 Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

TTC since May 2012

HSG- all clear

March 2014 - RE appt. 
April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




Re: Finally got my hands on a copy of H's SA results

  • I'm sorry, we are currently awaiting H's SA results, big hugs to you!
  • I'm sorry :(  I hate when people try to sugarcoat things.  Just tell me how it is, no matter how bad it may hurt!

    DH: 34  
    Aug 2013 - SA: Counts & Motility = great, Morph = 1%; RE didn't seem too concerned

    Me: 26
    Jan. 2014 - Blood work ordered by obgyn:  Prolactin = high & AMH = low (0.73)
    Feb. 6, 2014 - Repeat blood work ordered by obgyn:  Prolactin = normal & AMH = low (0.9)
    Feb.  20, 2014 - First appointment with RE
    Feb. 24, 2014 - HSG scheduled;  DX:  one tube definitely open & one tube could be blocked
    Mar. 7, 2014 - CD 21 Blood work for Progesterone; DX:  Progesterone level at 5.2; shows I ovulated but was low
    Mar. 28, 2014 - Laparoscopy; DX:  Tubes open.  Found some endometriosis and had that removed.
     
    History:
    Started TTC:  June 2012
    June 2012 - March 2013:  When it Happens/it happens method = BFN
    March 2013:  Started using Fertility Friend
    Cycles 1 - 15 with Fertility Friend = BFN
    Cycle 16 - Benched due to Laparoscopy
    Cycle 17 - Natural Cycle = BFN
    Cycle 18 - Natural Cycle = BFN
    Cycle 19 - Natural Cycle = BFN
     

    Current Cycle:
    Cycle 20 = Natural Cycle


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  • I'm sorry! I also don't like when they sugarcoat things, or when they're just not direct. We're all adults and I clearly know there's something going on, so just tell me what it is.


    ****Loss in Sig****
    3T Sig Challenge: New Year's Resolutions

    image
    "Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less."

    Marie Curie

    Married 2010, together since 2006. TTC for #1 since March 2012, actively charting since November 2013
    March 2014 - HSG left tube blocked, right tube partially blocked bilaterial partial obstruction; onward to the RE in April
    May 1, 2014 - Lap surgery and chromopertubation; Dr removed a bit of endo, but everything looks healthy & tubes are clear!
    May 2014- First medicated cycle, 2.5mg femara+TI; BFN
    June 2014- 2.5mg femara + hCG + IUI
    on 6/18= BFP on 6/28!; C/P on 7/3
    July 2014- 2.5mg femara + IUI #2 on 7/18. Starting progesterone 7/23, bfn
    August 2014- 2.5mg femara + hCG + IUI # 3 on 8/15. BFN
    Tx break
    IVF #1 -
    12/1 - TOT & SIS- RE found a polyp
    12/15 - Hysterscopic surgery to remove the polyp; additional polyps found and removed

    12/29- Good baseline u/s, 12 antral follies
    12/30- Started stimming
    1/10 - ER: 17 retrieved, 14 fertilized!
      My Ovulation Chart - No data,  just meds
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  • KT416KT416 member
    I'm really sorry. Sending big hugs your way and to your DH too.

    Me: 29, DH: 30

    Married: April, 2011; TTC: July, 2012

    Dx: MFI; June '14 IVF w/ ICSI: 11R, 8M, 5F... 1 5dt, beta #1: 213, beta #2: 621, beta #3: 8545!



    BabyFruit Ticker
  • has he been checked for a variococele vein? i think you will feel better after seeing a mfi uro. i felt miserable after seeing the re and being pressured to do ivf with icsi.. the uro had alternative to try first
    Husband: MFI Counts 1-11mil, Mot 32%-50% Morph 2-4%
    Me: slightly underactive thyroid
    Married March 2013 TTC since wedding.. 
    Jan 2014 Non medicated IUI-failed 
    April 2014 Started Clomid cancelled IUI due to a low sample
    May 2014 Variococele repair surgery
    (PM me any surgery success stories!)
  • cymber217 said:
    has he been checked for a variococele vein? i think you will feel better after seeing a mfi uro. i felt miserable after seeing the re and being pressured to do ivf with icsi.. the uro had alternative to try first
    We know that he has a large varicocele in his scrotum. We're just waiting for blood to come back with karotyping and hormones so that we can present the whole picture to the MFI Urologist.  It just sucks that we were planning on cycling in July and now that is off the table. 

    I'm also pissed that my nurse didn't give me the whole picture and I had to jump through hoops to get a copy of the test in my hands.  I'm a nurse, I speak medical and I know how to read a report, don't talk to me like I'm a 12 year old, and don't call me sweetie.  

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
    May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
    12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




  • Oh no! I'm so sorry, honey. I hope it's fixable and this will just be a bump in the road.
    Love 2010 | Marriage 2011 | TTC #1 since 2012
    PCOS | Anovulatory | Metformin + Letrozole
  • I know it would be unbelievable difficult to switch gears, but can you switch clinics? I don't know if you like the other nurses/doctors there, but IF (and medicine in general) is not a place to sugarcoat things. Any IF diagnosis is going to have a major impact on what protocol, medicine, or method you choose, and to invest all that time/money when they are not being upfront with you might make it harder to deal with later on.

    Sorry you have to deal with this!
    TTC since June 2011
    DH: perfect SA
    Me: 30, moderate endo, unexplained infertility
    IUI or IVF in December



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  • xc1148 said:

    I know it would be unbelievable difficult to switch gears, but can you switch clinics? I don't know if you like the other nurses/doctors there, but IF (and medicine in general) is not a place to sugarcoat things. Any IF diagnosis is going to have a major impact on what protocol, medicine, or method you choose, and to invest all that time/money when they are not being upfront with you might make it harder to deal with later on.

    Sorry you have to deal with this!

    This is exactly what I would do and I second this advice.
    Warning No formatter is installed for the format bbhtml
  • kushie77 said:
     I'm a nurse, I speak medical and I know how to read a report, don't talk to me like I'm a 12 year old, and don't call me sweetie.  
    This is my biggest pet peeve.  Talk to me like I'm your equal, not someone who doesn't know anything.  I'm sorry about DH's SA results.  I hope they can come up with a good plan for you.


    image

    image     image

    Me (34): MTHFR, PCOS, Endo, left salpingectomy due to hydrosalpinx, 
    hypothyroidism, low AMH (0.26)/normal FSH/average AFC of 12

    Him (33): No known issues

    November 2013-March 2014: Natural cycles
    April 2014: Clomid 100mg and Ovidrel trigger -- BFN
    May 2014: Clomid 100mg and Ovidrel trigger -- BFN
    July 2014:  IVF class -- Check!
    Holy crap.  Unmedicated BFP 7.22.14.  EDD 4.01.15.
    Best April Fool's Day ever!
    Now on Lovenox, prenatals, Vitamin D,
    Folic Acid, and Synthroid.
    Please be our take home baby.

  • I'm sorry about the SA . Cod luck with the urologist!



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

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    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

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  • I'm sorry, that sucks. Even if a patient doesn't have a medical background, we are still absolutely entitled to the entire truth in our medical record. Don't dumb it down or sugarcoat it over the phone. Grr. Prayers that the rest of your testing goes quickly and that the uro can come up with some kind of plan.
    2.5 years TTC with MFI, 3 failed IUIs 
    IVF w/ICSI October 2014: 17R, 13M, 12F 4 Frosties
    ET of two blasts 11/2/14 BFP!!! It's TWINS! EDD 7/21/15

    imageimage
    Lilypie Pregnancy tickers
  • What an annoyance being kept in the dark on these issues.  I'm sure there is a good plan for you out there. Good luck!

    ME:      36, on BC since 1996,  irregular periods.   HUBS:      37, healthy

    2001—meet.  2005—marry.  2006—Furbaby is born. 

    On BC till end of 2009.  2010 NTNP.   

    New Year’s Eve 2010—BFP?! January 13, 2011—early loss, HCG peaked at 324, no D&C needed.

    +++++

    Feb 2011-Nov 2012—NTNP 

    Dec 2012 --present (TTC 20 months) Not even a hint of a BFP

    Me:  BW, U/S, HSG, HSN normal.  AMH 2.33.  Hubs: SA normal 

    +++++

    April 2014--IUI #1 Clomid 100 4-8 Follistim 150 9-14, 5 mature follies at trigger, Peak E2 5/5 1100, BFN 

    May 2014 ---IUI#2 Clomid 100 3-7 Follistim 150 8-13, 3 mature follies at trigger, Peak E2 6/6 547, BFN

    June 2014--IUI#3 Follistim 150/225 3-15, 3-5 mature follies at trigger, Peak E2 7/11 1450, BFN

    July 2014--IUI#4 Follistim 225 2-12, 3 mature follies at trigger, Peak E2 8/12 841, BFN

    Breaking till after Christmas, then IVF...taking 4000 mgs daily Inositol and Melatonin 3mg


  • I'm sorry about your SA results. Kudos to you for being your own advocate and insisting on the details of your chart.

    I saw in your siggy that you had already planned IVF/ICSI but that's on hold for now, so I guess ICSI alone isn't the answer? I hope the uro finds a good, quick fix so you can get off the bench.
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • @bunnyberry

    We were planning on ICSI but he had 100% abnormal sperm on his last SA.  We need to have something to work with first which is why we are benched. 

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
    May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
    12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




  • That's so frustrating, I'm so sorry! :( I saw a PP had asked about trying ICSI, but I thought it looked from your siggy like that wasn't an option with this SA.


    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
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