SA Results in, Morph ?

Jezebell26

Just got a call from my RE herself, which has NEVER happened in the 6 months we have been there. Needless to say I almost fell off my chair when she asked if I had a minute to chat. She got the SA results back and didn't give me numbers but said the concentration and motility were good but the morph was low. She said they like to see 5% as normal and we are at 3%. What exactly does this mean? She said we will make a note of it considering we have needed ICSI in the past and leave it up to the embryologists the day of. Ive reached the point where we are doing IVF regardless so it doesn't matter if there are sperm issues. They can make the determination then. We just feel that we aren't qualified to make the ICSI determination, considering that the sample will be different in June then it was last week.

Thoughts?

katib77

I think considering Morph is the least important, and your number is 3...and not say zero....that your RE's advice is great!  Let the embryologist decide day of.

OR you could do what one of our girls did (I can't remember who it was) that let them do ICSI with a few eggs and not with a few others (depending on how many mature eggs they retrieve) and see how they do.   

hootie123

I was always told the same thing - based on our SAs we would need ICSI.  But it depending on the sample the day of they would decide whether to do all ICSI or split them.  We ended up doing ICSI for all of our IVFs.    Leaving it up to the embryologist is the best decision - they are the experts.

maggie2324

I would just ICSI all of them to be safe. ICSI has better fert rates than conventional anyway, so if there is any question, use ICSI. Worst case scenario is that you try conventional and 0% fertilize. Rescue ICSI afterword rarely works. To me, that's not a risk worth taking.

You could leave it up to the embryologist too, but most likely he will ICSI all of them unless my some miracle, the morph suddenly jumps a few %. For us, our morph was always very consistent over several months.

Jezebell26

Thanks for the advice girls. This really hasnt been a problem in the past and we never had fert problems before. Some needed ICSI and some didn't. We will probably need it but she said they are very conservative. I am sure given my past they will make the best decision. Im trying not to stress over it too much but am glad most of you agree!

THANKS!

limpetfan

****ticker warning****

 

 

I hope you don't mind me answering!

At my clinic, the cutoff for ICSI vs. conventional IVF is < or = to 4% morph.  We didn't even know DH had morph issues until our first IVF cycle, when they told us they did ICSI on all the eggs because his morph was only 3%.  They didn't give us an option at all - this was just the way the embryology lab operates, less than 4% = ICSI.  Personally, I didn't mind, because we had 100% fertilization that cycle.  All our other cycles were ICSI after that, and we had near 100% fertilization those cycles as well.  I guess I feel like the bottom line is to do whatever is going to give the best results - and if your RE thinks ICSI will give the best results, I'd do it.  

racheyt0227

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Jezebell26

limpetfan:

****ticker warning****

 

 

I hope you don't mind me answering!

At my clinic, the cutoff for ICSI vs. conventional IVF is < or = to 4% morph.  We didn't even know DH had morph issues until our first IVF cycle, when they told us they did ICSI on all the eggs because his morph was only 3%.  They didn't give us an option at all - this was just the way the embryology lab operates, less than 4% = ICSI.  Personally, I didn't mind, because we had 100% fertilization that cycle.  All our other cycles were ICSI after that, and we had near 100% fertilization those cycles as well.  I guess I feel like the bottom line is to do whatever is going to give the best results - and if your RE thinks ICSI will give the best results, I'd do it.  

Of course I do not mind!!!!!!!! So glad to hear from you!

Our first attempt it seems like they fertilized naturally and out of the 18 retrieved, 10 fertilized. It seems they needed ICSI on one or two but I dont even know if those were the ones we transferred. The second time we needed ICSI on all and had the exact same results! 18 retrieved and 10 fertilized! So at this point we are just seeing what happens. I think what you said is pretty much true and that on the day of if the morph is still at 3% they will probably just ICSI them. I told her i'd rather that so we can get them all to fertilize and have more to work with, i mean after all this! lol So we shall see. Thanks again hun, how are you feeling?

Jezebell26

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

limpetfan

Jezebell26:

limpetfan:

****ticker warning****

 

 

I hope you don't mind me answering!

At my clinic, the cutoff for ICSI vs. conventional IVF is < or = to 4% morph.  We didn't even know DH had morph issues until our first IVF cycle, when they told us they did ICSI on all the eggs because his morph was only 3%.  They didn't give us an option at all - this was just the way the embryology lab operates, less than 4% = ICSI.  Personally, I didn't mind, because we had 100% fertilization that cycle.  All our other cycles were ICSI after that, and we had near 100% fertilization those cycles as well.  I guess I feel like the bottom line is to do whatever is going to give the best results - and if your RE thinks ICSI will give the best results, I'd do it.  

Of course I do not mind!!!!!!!! So glad to hear from you!

Our first attempt it seems like they fertilized naturally and out of the 18 retrieved, 10 fertilized. It seems they needed ICSI on one or two but I dont even know if those were the ones we transferred. The second time we needed ICSI on all and had the exact same results! 18 retrieved and 10 fertilized! So at this point we are just seeing what happens. I think what you said is pretty much true and that on the day of if the morph is still at 3% they will probably just ICSI them. I told her i'd rather that so we can get them all to fertilize and have more to work with, i mean after all this! lol So we shall see. Thanks again hun, how are you feeling?

Anything that will make the cycle different is good, right?

I'm feeling OK.  Morning sickness is making a comeback since this weekend, but really, I can't complain! 

racheyt0227

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Jezebell26

limpetfan:

Jezebell26:

limpetfan:

****ticker warning****

 

 

I hope you don't mind me answering!

At my clinic, the cutoff for ICSI vs. conventional IVF is < or = to 4% morph.  We didn't even know DH had morph issues until our first IVF cycle, when they told us they did ICSI on all the eggs because his morph was only 3%.  They didn't give us an option at all - this was just the way the embryology lab operates, less than 4% = ICSI.  Personally, I didn't mind, because we had 100% fertilization that cycle.  All our other cycles were ICSI after that, and we had near 100% fertilization those cycles as well.  I guess I feel like the bottom line is to do whatever is going to give the best results - and if your RE thinks ICSI will give the best results, I'd do it.  

Of course I do not mind!!!!!!!! So glad to hear from you!

Our first attempt it seems like they fertilized naturally and out of the 18 retrieved, 10 fertilized. It seems they needed ICSI on one or two but I dont even know if those were the ones we transferred. The second time we needed ICSI on all and had the exact same results! 18 retrieved and 10 fertilized! So at this point we are just seeing what happens. I think what you said is pretty much true and that on the day of if the morph is still at 3% they will probably just ICSI them. I told her i'd rather that so we can get them all to fertilize and have more to work with, i mean after all this! lol So we shall see. Thanks again hun, how are you feeling?

Anything that will make the cycle different is good, right?

I'm feeling OK.  Morning sickness is making a comeback since this weekend, but really, I can't complain! 

So glad to hear things are great for you

Jezebell26

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

racheyt0227

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

 

I go to RMA, so one of those "factories" They have one of the best success rates though, so that is what we went with. I really like my Dr. I came from a much smaller practice with 3 Drs & really liked that, but they missed giving me some important info (like extremely low Morph) & they were more expensive than RMA to do the IVF. We did our 1st & only iu with them (5th total) to let them see for themselves how we stim (beta on Thur) & then onto IVF. 

Jezebell26

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

 

I go to RMA, so one of those "factories" They have one of the best success rates though, so that is what we went with. I really like my Dr. I came from a much smaller practice with 3 Drs & really liked that, but they missed giving me some important info (like extremely low Morph) & they were more expensive than RMA to do the IVF. We did our 1st & only iu with them (5th total) to let them see for themselves how we stim (beta on Thur) & then onto IVF. 

Definitely the same situation! We came from a small practice of one doctor and he left a few details out. He referred us to RMA but i found IRMS and went with them instead. I also looked at their success rates and they are excellent so Im hoping to fall on that side of the statistics for once!  So when are we having a GTG??????

racheyt0227

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

 

I go to RMA, so one of those "factories" They have one of the best success rates though, so that is what we went with. I really like my Dr. I came from a much smaller practice with 3 Drs & really liked that, but they missed giving me some important info (like extremely low Morph) & they were more expensive than RMA to do the IVF. We did our 1st & only iu with them (5th total) to let them see for themselves how we stim (beta on Thur) & then onto IVF. 

Definitely the same situation! We came from a small practice of one doctor and he left a few details out. He referred us to RMA but i found IRMS and went with them instead. I also looked at their success rates and they are excellent so Im hoping to fall on that side of the statistics for once!  So when are we having a GTG??????

 

Whenever you want! What part are you from?

Jezebell26

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

 

I go to RMA, so one of those "factories" They have one of the best success rates though, so that is what we went with. I really like my Dr. I came from a much smaller practice with 3 Drs & really liked that, but they missed giving me some important info (like extremely low Morph) & they were more expensive than RMA to do the IVF. We did our 1st & only iu with them (5th total) to let them see for themselves how we stim (beta on Thur) & then onto IVF. 

Definitely the same situation! We came from a small practice of one doctor and he left a few details out. He referred us to RMA but i found IRMS and went with them instead. I also looked at their success rates and they are excellent so Im hoping to fall on that side of the statistics for once!  So when are we having a GTG??????

 

Whenever you want! What part are you from?

YEY! I would love a Jersey GTG! I think the whole state is reasonable enough to meet anywhere. I am in the north, Hudson County. What about you? I think there are a few others from Jersey as well. We should try and plan something! I would love to meet you!!!!!

racheyt0227

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

Jezebell26:

racheyt0227:

GL to you! We are going to do ICSI no matter what. We are at 1% strict morph. His other numbers are fantastic, but Drs said to not leave it up to chance. We are going to do our IVF in June as well!

Congrats on your weight loss, first off! It sounds like we are in a similar boat! I hope we get to be cycle buddies! 

 

 

Me too! We go in May 2nd for our calendar, etc. We actually almost met with your RE, but ended up liking our 2nd opinion & stayed with them

Thats so awesome! Who did you end up with? I was so opposed to the bigger practices because they are like "baby factories" but get the best results. It took me a long time to get comfortable with the way they do things and Im still gettting used to it. At this point we are like whatever gets us a baby! LOL Let me know what your calendar is like! So excited to have a cycle buddy!

 

I go to RMA, so one of those "factories" They have one of the best success rates though, so that is what we went with. I really like my Dr. I came from a much smaller practice with 3 Drs & really liked that, but they missed giving me some important info (like extremely low Morph) & they were more expensive than RMA to do the IVF. We did our 1st & only iu with them (5th total) to let them see for themselves how we stim (beta on Thur) & then onto IVF. 

Definitely the same situation! We came from a small practice of one doctor and he left a few details out. He referred us to RMA but i found IRMS and went with them instead. I also looked at their success rates and they are excellent so Im hoping to fall on that side of the statistics for once!  So when are we having a GTG??????

 

Whenever you want! What part are you from?

YEY! I would love a Jersey GTG! I think the whole state is reasonable enough to meet anywhere. I am in the north, Hudson County. What about you? I think there are a few others from Jersey as well. We should try and plan something! I would love to meet you!!!!!

 

Yay! I'm in NNJ also. I'm in Passaic, near Wyckoff/Wayne.There are a few NJ girls. I do a facebook group with a few NNJ girls.

Blueyed228

We dont get to make that decision at our clinic.  Its up the the embryologist.  My RE told me its something they do only if they have to and its something that can only be determined while in the lab.

That being said, we only have slight morph issues so its probably not something they are expecting to do.  If we had different MFI issues, maybe we would get a say in the matter.