Infertility

XP: DH's update from urologist

Hi ladies, I did a quick into last week and had some updates since them (which I hope some of you can answer!)

So DH went to the uro on Friday and as he described it, there was alot of touching, squeezing and fondling of the boys, lol.  DH told him we were seeing a RE on Tuesday (I was able to r/s from Mar 7 to tomorrow!) so the uro wrote him a script for another S/A (probably to be performed at RE clinic) as well as an u/s, which DH has tonight.  Uro thinks he may have a varicocele in the left testicle which could be causing the low motility and morphology.

It seems like our choices are to get the surgery and wait 3-6 months to see if his #s improve or go ahead with IVF w/ICSI.  I know I'm jumping ahead prior to seeing the RE but I don't want to waste time doing pointless rounds of IUIs esp. since IVF is covered.

2 questions for you guys:

1) My insurance has an IF criterion that we must be TTC 12 months or more if we're under 35...how will they even know (it hasn't been quite that long yet in actuality)?  We have a MFI dx so I'm hoping that can override that...

2) Anyone else's DH have varicocele surgery?  What were your options and did it help your DH"s #s?

We'll have more answers hopefully tomorrow from he RE as well as the results fro DH"s u/s.

Anniversary Unexplained IF || TTC #1 since July 2011 || IUI#1 = BFN || IUI#2 = BFN || IUI#3 = Cx, overstimulated || IUI#3.1 = Converted to IVF || IVF#1 = BFN || IVF#2 = Cancelled due to low E2 || Changed RE, IVF#2.1 March 2013

Re: XP: DH's update from urologist

  • My DH has bilateral varicoceles and we decided against the surgery.  Mostly we decided this because the surgery only seems to help like 50% of the time and he still has sufficient #'s (even after washing) for IUI.  So we tried one IUI, then decided to move to IVF because our insurance covered it and it gave us better odds of success.  In the end, it's a good thing that we did because as it turns out I have/had several issues that are more than likely causing our problems and we wouldn't have known about them without going to IVF.  I'd definitely wait and see what the RE says tomorrow.  Have you had any diagnostics done?  HSG?  Day 3 bloodwork? 
    ~TTC#1 since 05/10~
    Me (38), DH (43)
    DX: MFI & DOR (FSH=9.9, 7.2, 11.6, 12.3; AMH=.19, .27, .007)
    06/11 IUI#1 (clomid unmonitored)=BFN
    09/11 IVF#1 (long lurpon) converted to IUI#2 due to poor response=BFN
    11/11 IVF#1.2 (MDLF) 5R/5M/4F w/ICSI 3dt of 3=BFN
    1/12 hysteroscopy to remove polyps
    3/12 IVF #2 (MDLF) 7R/5M/5F w/ICSI 3dt of 3=BFP!!! Beta #1 (14dpo)=113, Beta #2 (16 dpo)=385, Beta #3 (23 dpo)=3267, Beta #4 (30 dpo)=15,494 
    first u/s (6 wks, 3 days) reveals possible cervical pregnancy
    confirmed cervical pregnancy with fetal HB (7 wks, 2 days)
    5 days in the hospital to end pregnancy (8 wks, 3 days) and monitor bleeding + MTX injects
    6/1/12 hCG finally at zero!!
    6/21/12 hysteroscopy #2=all clear!
    8/12 IVF#3 (EPP/MDLF) 4R/4F w/ICSI, 3dt of 4=chem pg
    10/12 IVF#4 (MDLF) 10R/9M/7F w/ICSI, 5dt of 2, Beta#1 (14dpo)=193, Beta #2 (16dpo)=741, Beta #3 (19dpo)=3949, Beta #4 (5w5d)=35,000+, Beta #5 (6w5d)=91,000+
    04/13 Hospital bed rest at 24wks due to severe cervical shortening and dilation
    05/13 Home bed rest for remainder of pregnancy
    06/26/13 Baby Boy "O" born via unplanned c-section (failure to progress ironically!) after my water broke 
    ON HIS DUE DATE!!!!
    Lilypie Breastfeeding tickers
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  • Thanks for sharing your experience; we're leaning towards IVF as well because of those similar stories.

     I've had CD3 b/w and a TV u/s done with normal results.  I have a HSG on Thursday so hopefully that also looks good and I should be pretty set on my end, as far as basic diagnostic testing goes.

    Anniversary Unexplained IF || TTC #1 since July 2011 || IUI#1 = BFN || IUI#2 = BFN || IUI#3 = Cx, overstimulated || IUI#3.1 = Converted to IVF || IVF#1 = BFN || IVF#2 = Cancelled due to low E2 || Changed RE, IVF#2.1 March 2013
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