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Varicocele Surgery or Straight to IVF?

kaneann24kaneann24 member
in Success after IF
Hi ladies, my DH has a varicocele and two urologist said his low sperm count is probably do to the varicocele.  Both urologist suggested surgery but said that there is only a 70% chance that his counts will improve after the surgery and it could take 6 to 9 months to see a change.  One urologist said that if the sperm count does not increase, the surgery will at least help him produce healthier sperm.   My RE said that we can forget about the surgery and move straight to IVF.  Our insurance covers some IF treatments including my DH's surgery but not IVF.   One part of me says to have the surgery and see if we can conceive naturally or at least with IUI.  The other part of me says go for the IVF because who knows if the surgery will even work.  Have any of you ladies faced this situation and if so what did you do. 
TTC since Jan. 2012. DX =low AMH level. 1st SA=within normal range. SA for 1st IUI = low count Jan. 2013: 150 mg clomid + IUI = BFN
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Re: Varicocele Surgery or Straight to IVF?

  • kmkaull2kmkaull2 member
    We did 2 rounds of ivf with crappy embryos that died after day 3. It then became obvious that the problem was not the quantity of sperm, but the quality. My dh's sperm morphology was very poor due to the varicocele. We decided to have the surgery in Ap
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  • SaraevhSaraevh member

    It was interesting reading about what the urologists told you because my husband sought out three different opinions regarding this and all of them said the surgery often doesn't improve anything.  But obviously it works for some, so it might be w

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  • candrew05candrew05 member

    I think varicoceles are very controversial whether they are the reason for infertility.  But I sort of feel like if there is even a chance it could help then it's worth fixing.  However, I think you should look into having a emobilization ins

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  • wiscgirl95wiscgirl95 member

    I think varicoceles are pointed out as the reason for low counts when there is nothing else. Just my opinion.  My husband had the surgery and his numbers improved, but only a little bit (went from 0 to 1% morph, 25% to 40% motility

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  • CaityA83CaityA83 member

    DH and I went through this a few years ago.  We weren't give the "surgery or IVF" option, but we found his varicocele early on in our infertility testing (before we moved onto the RE).  We opted to go ahead and go with the surgery and we star

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