Trying to Get Pregnant
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Dealing with Male Infertility-week of 9/25/17

This group is for those of us dealing with male factor issues. Anything from azoopsermia (zero sperm count) to oligospermia (low sperm count) and all the motility and morphology in between. Whether you are recently diagnosed and trying to make sense of it all or you have been dealing with it for years, this can be a place for everyone to share experiences, vent, ask questions etc. I personally have found IF forums more helpful than my doctors have been this far, so MFI ladies (or men! Men are welcome too!): let's come together to discuss all the issues we face such as: how to support your partner during this journey, how you are coping yourself (or not), if you are considering/using donor sperm or adoption, if you have started IUI or IVF w/ ICSI etc. etc.

Trying this out as a weekly thread..

Diagnosis (if you have one):

How long have you been on this journey?

Where are you right now in your treatment?

Any Questions?? 

GTKY: Share a positive moment you've experienced with YH on this IF journey

32 years old (both H and I)
Dating 7/2008
Married 7/2014
H Type I Diabetic
TTC 1/2016
12/2016 mental break from TTC-NTNP
1/10/2017 initial appt with RE (all BW results WNL)
1/17/2017 SA DX Virtual Azoo (3 sperm 0%morph 0%motility)
1/18/2017 STP tubes clear
2/1/2017 initial appt with Urologist
2/15/2017 DX H Robertsonian Translocation
H is on clomid and Theralogix Supplements
6/26/17 repeat SA: 47 sperm 0% morph 13% motility
7/26/17 IVF Consult, repeat SA (4 sperm)
8/21/17 Starting IVF cycle with Donor Sperm backup
9/1/17 ER ICSI PGS: only 2 donor embryos made it to freeze
9/13/17 Started cycle for IUI with donor and clomid
9/27/17 IUI canceled for overstim
October Plan IUI with donor and low dose clomid

Re: Dealing with Male Infertility-week of 9/25/17

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    Thanks for getting this started, @JuneRoseRuby

    Diagnosis (if you have one): Azoo, AZFc microdeletion

    How long have you been on this journey? June 2016

    Where are you right now in your treatment? Our donor arrives this week! He gets in late on Thursday, so Friday we have non-stop appointments from 8AM-2:00PM. DH and I both took the day off work. The plan is to get his physical done at 8:00, grab some breakfast, and then head to the fertility clinic. From there, our donor will do his FDA-required bloodwork and make the first donation. (I really, really hope it goes smoothly, since we only get two shots at this!) Once that's done, we have to go get our power of attorney paperwork done and the day will end with my baseline ultrasound and the first of my injections. I think we will probably order out that night. Ha ha!

    Any Questions?? Not at this moment. I'm hoping I've organized everything well.

    GTKY: Share a positive moment you've experienced with YH on this IF journey. We've really be able to have some good talks along the way. It was really devastating when the TESE found nothing, but we took the time to just be with one another and be in love. My husband always tells everyone we are one year into our seven-year honeymoon phase. He is the sweetest.

    @JuneRoseRuby Are you getting bloodwork through your clinic with the IUIs? I think you can do OPKs, but generally the bloodwork will give the best accuracy.
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    @AlohaKumu I am doing Bw and US, but I haven't had any since I started the clomid. I am heading back in on Wednesday CD 15, and I usually O around CD 18, so I didn't plan on it, but I was a little worried since I was last in on CD2
    32 years old (both H and I)
    Dating 7/2008
    Married 7/2014
    H Type I Diabetic
    TTC 1/2016
    12/2016 mental break from TTC-NTNP
    1/10/2017 initial appt with RE (all BW results WNL)
    1/17/2017 SA DX Virtual Azoo (3 sperm 0%morph 0%motility)
    1/18/2017 STP tubes clear
    2/1/2017 initial appt with Urologist
    2/15/2017 DX H Robertsonian Translocation
    H is on clomid and Theralogix Supplements
    6/26/17 repeat SA: 47 sperm 0% morph 13% motility
    7/26/17 IVF Consult, repeat SA (4 sperm)
    8/21/17 Starting IVF cycle with Donor Sperm backup
    9/1/17 ER ICSI PGS: only 2 donor embryos made it to freeze
    9/13/17 Started cycle for IUI with donor and clomid
    9/27/17 IUI canceled for overstim
    October Plan IUI with donor and low dose clomid

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    @JuneRoseRuby If it were me, for my own peace of mind, I would use them. It's good that you'll be in there several days before your expected O, but if your cycle is different this month, at least you'll be able to discuss that with your doc with the bloodwork to back it up.
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    @MrsMiller8588 Our donor is out of state and he can only be here for the weekend, so he is making donations on Friday and Monday. If either of those donations gets messed up, it could mess up the IVF w/ICSI next month.
    Early on in our process, DH also missed one of his appointments. It was really frustrating and he felt bad. It wouldn't hurt to ask for orders for a repeat, but they might say that they'll just go with the numbers they already have for now.
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    @AlohaKumu oh that makes sense! FX everything goes smoothly! I will email my nurse and see what she recommends. Also, this may be a dumb question but did your donor do a screening SA to make sure all of his counts were good? Did you ask him to do any extra vitamins or anything prior to him coming out for the donations? 
    Me: 31 DH: 34 :heart: Married: April 2016
    TTC December 2016
    BFP 2/28/17 // CP 3/1/17
    MFI Diagnosis: Aug 2017
    BFP 11/1/17 // DS born 6/18
    TTC January 2019
    BFP 3/21/19 // D&C (MMC) 5/8/19
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    @MrsMiller8588 He has not done a screening yet. However, he is young and very healthy. While I know this isn't a guarantee that he will have normal sperm, since we are doing IVF with ICSI, even if he has some issues, they should be able to work with what he has.
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    Welcome, @klj0228. I’m sorry you find yourself here. It’s always a shock when you first get the diagnosis and have to figure out where to go from here. We have a wide range of experience in the thread, so feel free to vent or ask questions as you navigate through this processes. 
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    @klj0228 I'm so sorry that you had to join this club, but everyone here is so supportive and great. I know for me and my DH we are both still in a little bit of denial. DH has an appointment on Oct 27th with a urologist. My Dr is waiting for that to determine what our next steps will be. Until that point we are living on hope expecting that after that appointment we will start pursuing IVF. 

    Feel free to vent here as we all know how hard it is and the emotions we go through. We "get it"! You will have hard days, and there will be days that are easier. 
    Me: 31 DH: 34 :heart: Married: April 2016
    TTC December 2016
    BFP 2/28/17 // CP 3/1/17
    MFI Diagnosis: Aug 2017
    BFP 11/1/17 // DS born 6/18
    TTC January 2019
    BFP 3/21/19 // D&C (MMC) 5/8/19
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    klj0228  TRT was exactly what landed me here as well! I'm so sorry for your situation, but honestly excited that there's someone else here that had TRT in common! I have yet to find anyone else that can relate to this. Did they do a SA? How long was he on TRT? This has been a horrible process for my DH and I and I so very much hope that your journey goes much smoother.
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    @KristoKekerooni I seriously wish I had an Awwwww button! Those texts are what save them sometimes, I swear.  I have everything crossed for your IVF journey. 
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    Right, @ELeighMay ??? I swear. I get so angry with him and then BOOm. **swoon**
    TTC #1 since September 2014
    Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
    Check out my Infertility blog 
    Check out my Infertility Instagram

    Loss History (TW):
    BFP: 3 May 2015, loss confirmed 4 June 2015
    BFP: 15 August 2015, loss confirmed 23 August 2015
    BFP: 16 November 2015, loss confirmed 22 November 2015
    BFP: 18 July 2016, loss confirmed same day
    BFP: 04 March 2018, loss confirmed 23 March 2018
    BFP: 12 June 2018, TWINS; D&C 06 July 2018
    TTC History (TW):
    3 losses in 2015
    Met with OBGYN in January 2016
    Me: all clear, H: OAT
    November 2016: HSG = All Clear!
    January 2017: H tested again,  High DNA fragmentation and stainability
    February 2017: Clomid + TI + Progesterone = BFN
    March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
    Varicocele Embolization- 5 May 17
    December 2017 SA: Zero improvement after embolization
    January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
    Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
    FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
    May 2018: SHG/SIS = all clear "beautiful uterus"
    FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
    BFP: 12 June 2018, EDD 20 February 2019
    Ultrasound, 25 June 2018: There are two
    Lost Baby A 02 July 2018
    Baby B not growing, D&C 06 July 2018
    Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
    Next Up:
    TTC Naturally, possibly IUIs for remainder of 2018. 
    ER#2 ~Jan 2019
            

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    @KristoKekerooni That is some awesome husbanding right there! I know it hasn't been an easy journey for the two of you, but moments like this really show how his heart is still in it. That's so beautiful.
    Me: 35 DH: 28
    TTC since June 2016

    Azoospermia diagnosis (zero count) Dec 2016

    AZFc chromosome microdeletion discovery March 2017
    Unsuccessful TESE for DH in August 2017
    October 2017 IVF with donor sperm
    29R, 24M, 16F, 2d5, 4d6 (6 embryos total)
    Only 3 could have PGS. 2/3 normal. 5 embies frozen
    12/15/17 FET #1 (1 embryo)--CP
    2/7/17 FET #2 (2 embryos)--BFN
    Chronic endometritis diagnosis May 2018
    ERA Sept 2018--borderline receptive--12 more hours of progesterone
    Abnormal SIS Oct 2018
    Repeat hysteroscopy Nov 1. Treated recurring endometritis.
    12/4/18 FET #3 (2 embryos)--BFN
    Our journey has come to an end.
    ~*~*~Nevertheless, she persisted~*~*~
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    @KristoKekerooni So sweet!

    Me: 38 DH:39
    TTC #2 - August 2016
    MFI
    IUI #1-3 BFN 

    Heart Mom - DS 3/15/13
    BFP 4/21/18 MMC 6/11/18
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    Why does a BFN cause such soul crushing disappointment even when you KNOW that's what you're going to get? I had to go to the clinic for a non-OB related issue and when they did my blood draw they automatically included my quant. The doc knew about my TTC and loss journey and was so reluctant to give me the results. It was almost as if he was expecting me to implode upon hearing the results. I took it fine, it was totally expected, but I got back to my car and it was all I could do not to fall apart. I guess I wish they'd have told me they were running it as part of the panel first so I had time to prepare myself. He said that he forgot that it was automatically included in what he ordered...whatever.
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    @KristoKekerooni That text  *heart-eyes emoji*
    his appointment will be his initial consult with a urologist since his count came back low (5 mil was the number I was given over the phone). 

    @JuneRoseRuby Boo! So sorry for the cancelled cycle. That seriously sucks  :/ I vote next cycle if they try to cancel you - steal the frozen sample and do it at home. I'm glad that your H is moving forward even if he hasn't given up hope. I second @KristoKekerooni above that you are handling everything thrown your way with such grace. It's inspiring. 

    @ELeighMay Sorry for your BFN  :/ I'm in my TWW currently and full of unfounded hope so I will be right there with you in a week or so. 
    Me: 31 DH: 34 :heart: Married: April 2016
    TTC December 2016
    BFP 2/28/17 // CP 3/1/17
    MFI Diagnosis: Aug 2017
    BFP 11/1/17 // DS born 6/18
    TTC January 2019
    BFP 3/21/19 // D&C (MMC) 5/8/19
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    MrsMiller8588  Thanks, I'm only 9dpo, but I feel like if the quant came back negative (even if technically it's still early) I'm likely not in it this cycle. I honestly haven't had any symptoms to lead me to believe that I would have any other result, but it hasn't kept me from the BSC symptom spotting. I just hate knowing that when AF arrives knowing FULL WELL I'm not pg I'm still going to be bummed all over again. This process sucks.

    @JuneRoseRuby I'm so sorry for your cancelled cycle. Will they do it next cycle instead?
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    @JuneRoseRuby We must have posted at the same time, I missed your update. Well shit, girl. I'm so bummed for you. I can totally empathize though. At this point, every damn day longer is like torture. I know what you feel when you say you just want to be KTFU regardless. It sucks. It's so, so hard to be so out of touch and unable to change a damn thing. It's horrendous. 

    You should be damn proud of yourself with how strong you've been and the amazing things you've accomplished, even if a baby isn't on that list yet. You are a rockstar!
    TTC #1 since September 2014
    Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
    Check out my Infertility blog 
    Check out my Infertility Instagram

    Loss History (TW):
    BFP: 3 May 2015, loss confirmed 4 June 2015
    BFP: 15 August 2015, loss confirmed 23 August 2015
    BFP: 16 November 2015, loss confirmed 22 November 2015
    BFP: 18 July 2016, loss confirmed same day
    BFP: 04 March 2018, loss confirmed 23 March 2018
    BFP: 12 June 2018, TWINS; D&C 06 July 2018
    TTC History (TW):
    3 losses in 2015
    Met with OBGYN in January 2016
    Me: all clear, H: OAT
    November 2016: HSG = All Clear!
    January 2017: H tested again,  High DNA fragmentation and stainability
    February 2017: Clomid + TI + Progesterone = BFN
    March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
    Varicocele Embolization- 5 May 17
    December 2017 SA: Zero improvement after embolization
    January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
    Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
    FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
    May 2018: SHG/SIS = all clear "beautiful uterus"
    FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
    BFP: 12 June 2018, EDD 20 February 2019
    Ultrasound, 25 June 2018: There are two
    Lost Baby A 02 July 2018
    Baby B not growing, D&C 06 July 2018
    Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
    Next Up:
    TTC Naturally, possibly IUIs for remainder of 2018. 
    ER#2 ~Jan 2019
            

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    Thanks for the love girls. 

    @AlohaKumu yes, we just love each other and know we are doing this for our family and we go into it on the same page.  I really was thinking about the physical part of the IUI with donor last night though and it was weirding me out.  Of course I am still going to do it, but I was like ugh, another man's sperm in me. I can't have sex with MH for like 2 days around the IUI, bc that seems weird. Just a weird jizz party mingling around up there... ugh. And then I went in this weird headspace where it felt like cheating, and I realize that's insane, but I had to roll over and wake up MH and double check "you're still good with donor right?" H:"yes, go to sleep now". Me: "K, Just checking"

    @ELeighMay Plan for next cycle is lower dose of clomid.  They started with me the standard go to.  She also said possibly going with letrozol instead since it generally stimulates less than clomid. Then moving forward with IUI with donor. 
    32 years old (both H and I)
    Dating 7/2008
    Married 7/2014
    H Type I Diabetic
    TTC 1/2016
    12/2016 mental break from TTC-NTNP
    1/10/2017 initial appt with RE (all BW results WNL)
    1/17/2017 SA DX Virtual Azoo (3 sperm 0%morph 0%motility)
    1/18/2017 STP tubes clear
    2/1/2017 initial appt with Urologist
    2/15/2017 DX H Robertsonian Translocation
    H is on clomid and Theralogix Supplements
    6/26/17 repeat SA: 47 sperm 0% morph 13% motility
    7/26/17 IVF Consult, repeat SA (4 sperm)
    8/21/17 Starting IVF cycle with Donor Sperm backup
    9/1/17 ER ICSI PGS: only 2 donor embryos made it to freeze
    9/13/17 Started cycle for IUI with donor and clomid
    9/27/17 IUI canceled for overstim
    October Plan IUI with donor and low dose clomid

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    JuneRoseRuby "Just a weird jizz party mingling around up there" *DYING Just think, when you're at the us appointment with your DH for your sticky bean it'll never even cross your mind.
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    @ELeighMay I am so sorry you had to hear the BFN, again. We can all probably relate, you know the results before you are told them or see them, but you still want to be that one in a million chance. Heck I took a test this evening because af hasn't reared her ugly head yet...bfn of course! We had a SA done and he is at 3 mil. H was on TRT for 2 years. It just sucks to have something that is so helpful for his moods, sleep and day to day life to be something that is hurting our chances of a family. It's nice to see I'm not the only one here that it started with TRT. I wish someone had told us before he started it though.

    @JuneRoseRuby I'm sorry for the rough cycle, next month will be better! It's awesome to see the messages from H and to be going through it all as a team. I have to admit though, I busted out laughing when I read "weird jizz party mingling around up there". 

    @KristoKekerooni those men sure can make us swoon when it really counts! Love the messages he sent. You have every right to be excited about the IVF, it may not be a guarantee, but it is a possibility and that is something to be happy about. It wouldn't be an option if there was zero chance it would work.
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    klj0228 That's exactly it. I want that second lightening strike I guess.
    My DH was on TRT for just over a year. His first SA was 1mil with 4% Morph. The doc said the TRT basically is the same as a male contraceptive, all but sterilizing men. He wasn't sure if his counts would ever return from the damage it did to his system. The hard part was finding out that he shouldn't have been treated with the dosages he was given. His T was at 1500 at one point and he easily could've had a heart attack and died. That would be higher than the level that professional body builders would put themselves at to get insanely huge, and come to find out he didn't need them in the first place. His T was only slightly low and they could've treated him in another way. Did your DH go through withdrawal coming off of it? Mine was like watching an addict go through the throws of withdrawal, it was seriously horrible. We had asked the doctor that treated him, repeatedly, if it would effect our ability TC and he said flat out "no". The "hormones are just supplementing what he already has", which is total BS! No one told us once he received it artificially his system would stop producing it. Once we saw the specialist he explained how it actually works and I was so sick to my stomach I almost puked in his office. It's scary how few doctors actually seem to understand how TRT works in a man's system. Did they put your DH on Clomid or anything to help boost his levels? Mine just started Clomid and I'm anxious for his next SA to see if it's working. 
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    Hey ladies, I was just checking to see how everyone was doing this week. No one started a new thread so I thought I'd pop in here. 
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