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If your DH has seen a urologist

monimu13monimu13 member
in Trouble TTC
Our appt is next week and I'm wondering what to expect.  I'm going to bring his SA results.  Anything we should ask specifically?  What kind of testing do they usually do? TIA!
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 Anniversary
TTC since July 2011
BFP #1: 2/15/12-Ectopic/Mtx at 6 wks
BFP #2: 10/12/12-m/c at 5 wks. 
BFP #3: 8/27/13
Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
+ HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!

imagehttp://oi44.tinypic.com/10dwifm.jpg
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Re: If your DH has seen a urologist

  • jfb29jfb29 member
    My DH and I did things a little backwards (he went to urologist before I went to RE) but your DH should be prepared for a full exam.  Mine was pretty shocked and struggled with it for a week or so.  It all depends on what they find - the UA showed blood in my DH's urine, so he had to have a CAT scan and cystoscopy done as well.  Hopefully that won't be the case with yours!

    TTC #1 Since 7/2011

    Me: 30, PCOS with anovulation
    DH: 38, Low Morph & DE
    Rx: Metformin 500mg

    Cycle #1: Clomid 100mg + Ovidrel = No Response, Canceled
    Cycle #2: Clomid 150mg + Ovidrel = No Response, Canceled
    Cycle #3: Clomid 150mg + Follistim + Ovidrel = No response, Canceled

    Cycle #4: Femara 7.5mg + Gonal-f + Ovidrel + IUI = BFP!!!!

     

    ~ EDD 03.26.14 ~

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  • megs3084megs3084 member
    My DH had a physical exam & got orders for a repeat SA as well as labs to check his hormone levels. 
    "Everything will be alright in the end. So if it's not alright, it is not yet the end."
    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
    Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
    8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
    ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
    IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
    ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
    3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
    DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
    7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
    (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
    ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
    ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
    Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
    11/11: TEAM PURPLE!!!!!
    3/21/14-L&W born at 37w via csection
    Here Comes the Sun Blog
    PAIF/SAIF welcome!
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  • monimu13monimu13 member
    thanks guys!
    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks
    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!

    imagehttp://oi44.tinypic.com/10dwifm.jpg
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  • asilwhiteasilwhite member

    imageSweetC80:
    He went through medical history gave him an exam and wrote up a script for another SA and bloodwork and when the results came back we went back in for a follow up to discuss possible if necessary treatments.

    This. We have our follow-up appointment on Wednesday. GL! 

    Oct 13 April Siggy: Bunnies
    The 33 Most Important Bunny GIFs On The Internet


    image

    DS born on 9/30/13 from IVF #1.2!
      Lilypie - (xNS5)
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  • monimu13monimu13 member
    imageasilwhite:

    imageSweetC80:
    He went through medical history gave him an exam and wrote up a script for another SA and bloodwork and when the results came back we went back in for a follow up to discuss possible if necessary treatments.

    This. We have our follow-up appointment on Wednesday. GL! 

    You too! 

    CafeMom Tickers
     Anniversary
    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks
    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!

    imagehttp://oi44.tinypic.com/10dwifm.jpg
    Report Reply
  • brachatziporabrachatzipora member

    Physical exam, discussion if there are any surgical options (varicocele), changes in diet, lifestyle, vitamins, medications.  You may also want to ask about a blood test for testosterone levels.

    I hope they can give you answers. 

    Baking Blog | TTC Blog | Pinterest
    TTC #1 since October 2010 | Began Testing in January 2012
    DH SA - low motility with 0% morph; varicocele (repaired); low T (on Clomid)
    IVF w/ICSI (long Lupron w/ Repronex and Follistim) in September 2012

    imageimage
    Lilypie Pregnancy tickers

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  • shellycoshellyco member

    Good thinking to bring his SA results.  Our uroligist is in the same hospital system as our RE, so he already had the results there.  We went over medical history a bit, then MH got both a front and rear exam.  TMI alert, he wasn't expecting to get his prostate checked, so warn your hubby ahead of time that might happen.  MH was diagnosed with a varicocele upon examination and a nurse came in and set up the appt.  He didn't want a repeat SA done until the varicocele was taken care of.  No bloodwork for MH.

    GL at the appointment! 

    DD 9/2/13


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  • pantsarellapantsarella member
    imagebrachatzipora:

    Physical exam, discussion if there are any surgical options (varicocele), changes in diet, lifestyle, vitamins, medications.  You may also want to ask about a blood test for testosterone levels.

    I hope they can give you answers. 

    This. I also had DH ask about some workout supplements that he was taking. Good luck! 

    image


    Me:27, DH:28 - DX: MFI, varicocele repair Nov 2011 
    Post-Op SA: Count- 15 million, Motility- 75%, Morphology- 3% 
    IVF with ICSI - Stimming 10/4/12 - 10/13/12, Lupron Trigger
    ER 10/18/12, 12 eggs retrieved, 8 mature, 5 fertilized
    5 day transfer 10/23/12, 3 frosties
    Beta #1 11/5/12: 453, Beta #2 11/7/12: 1,013, DD born 7/19/13
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  • alpCRNAalpCRNA member
    My DH has not actually been to a urologist yet, but if his SA results are the same on the second SA he will be making an appointment.  However, I worked with the urologist in the OR one day and asked him what to expect.  He said that he will do a normal history and physical, a testicular exam (looking for varicocele, congenital absence of vas deferens, ect...), and will often order blood work for a hormone evaluation.  He said that he also likes to sit down and educate patients on the possible causes and what to expect, ect...  I hope this helps.
    Me 27 DH 29 Married since 2007, together since 2001
    Off BC since Febuary 2006 3 Clomid Cycles in 2008- symptomatic, US just showed a tilted uterus, otherwise normal, HSG normal.  DH has an ejaculatory duct obstruction and a congenital absence of the vas deferens.  This is common with cystic fibrosis carriers, but he doesn't have cystic fibrosis. IVF #1 with TESE/ICSI (Antagonist protocol) Aug 2014=BFN (poor embryo quality)   IVF #2 ICSI long lupron protocol November 2014
    imageimage
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  • NicoleRich105NicoleRich105
    imageasilwhite:

    imageSweetC80:
    He went through medical history gave him an exam and wrote up a script for another SA and bloodwork and when the results came back we went back in for a follow up to discuss possible if necessary treatments.

    This. We have our follow-up appointment on Wednesday. GL! 

    This for us also. Good luck! 

    Anniversary
    c Untitled
    My Ovulation Chart
    *TTC #1 since June 2012*
    Married since 10/5/12!
    *Me: 25**DH: 45*
    *DX: Severe MFI- Low T, Delayed Ejaculation & Azoospermia*
    *Working to improve DH's numbers on Clomid & HCG injects before we can start IVF*
    *SA 1- No sperm* 7/25/12
    *SA 2- No sperm* 10/31/12
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  • katekat8721katekat8721 member

    Yup, bring the SA results and questions you have for him. He will check out hubby physically to look for varicoceles. If the SA came back abnormal then he will ask questions like if he ever had surgery or an injury down there before. He may want to perform a blood test to check hormone levels too.

     At our appt, we found hubby had a medium varicocele so we discussed surgery. He already had two SAs and his hormone levels tested, so we talked about those results and asked what his opinion was regarding treatment (he thinks IUIs will work). We also got a script for clomid and more b/w and more SAs in the future to see if its working for him.

    Overall it'll be you three chatting in the exam room and at some point your hubby will drop his drawers for an examination, then put them back on and keep chatting :) One of the least scary meetings with the doctors I think! Good luck to you guys :) 


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  • pianofanaticpianofanatic member

    My DH had never had a prostate exam before so the urologist did that for him as well as the regular check.  I think the prostate exam was more disturbing for my DH than anything.  ha!

     

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