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MFI - Your DH abstains for how long pre-IUI collection?

MrsLolaSkyMrsLolaSky member
edited August 2014 in Trouble TTC
We'll hopefully do an IUI next week (depending on my u/s results)--but I thought I'd get my question out early in case anyone has some advice.

MFI ladies: we're wondering how long your RE office tells your husbands to abstain in preparation for the IUI collection. 

I've heard that the ideal time may be different for guys with MFI (especially MFI of the trifecta variety: low count-low motility-and-low morph)--and possibly shorter (i.e., one day) because quality often degrades the longer you wait. But, I know the counts increase the longer you wait. For the IUI, the samples are washed--so maybe the higher count is overall better because the low quality sperm will be taken out anyway? It seems stupid to worry about a day, but unfortunately a day can make a difference with numbers like ours. Anyone thought this through? 

Source study for shorter abstinence for MFI guys: https://www.ncbi.nlm.nih.gov/pubmed/15950636

News article from 2005 about the study that's giving me pause ---


Sperm quality increases when men go without sex ... For a day
Reuters23 June 2005National Post

For men with low sperm counts, sexual abstinence -- but only for a day -- increases semen quality. More prolonged sexual abstinence may actually reduce sperm numbers, a new study indicates. "After only two days of abstinence, sperm from patients with male factor infertility initiate a process of quality degradation," Dr. Eliahu Levitas of Soroka University Medical Center in Beer-Sheva, Israel, and colleagues report in the journal Fertility and Sterility. The findings are important for men trying to father children through in-vitro fertilization, or even through the natural method. The researchers conducted the current study to determine the effect of abstinence on sperm quality. Among the samples classified as being low sperm counts, peak sperm concentration and peak sperm motility occurred after one day of abstinence. The percentage of normal sperm also peaked at one to two days of abstinence for low-count men.Samples with normal sperm counts showed a slight decline in sperm concentration during two days of abstinence, followed by a gradual increase to a peak on days six and seven.




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Re: MFI - Your DH abstains for how long pre-IUI collection?

  • KcheeseKcheese member
    Our RE has us BD night of our Trigger.  So if we Trigger on Monday we BD Monday, nothing Tuesday & then IUI on Wednesday.

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    Me: (30) HSG/Bloodwork/Ultrasound: All looks good

    DH: (30): MFI

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  • MrsLolaSkyMrsLolaSky member
    Thanks for letting me know, @Kcheese! That sounds like 36 hours--which might be a good compromise for us, too!


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  • kushie77kushie77 member
    Our RE always states with H's issues 3 days exactly.  

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
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  • BKBABY3BKBABY3 member
    Kcheese said:
    Our RE has us BD night of our Trigger.  So if we Trigger on Monday we BD Monday, nothing Tuesday & then IUI on Wednesday.
    Ditto. Also BD that night after IUI.
    Me:
    Dx, PCOS
    Began TTC Mar 12 both @ age 33.
    HSG and SA Dec 12: All good.

    9 completed medicated cycles so far (*BFP and loss mentioned*):
    Clomid 50mg, TI, BFN.
    Clomid 50mg, HCG trigger, TI, BFN.
    ~Break~
    Clomid 50mg, HCG trigger, IUI#1, BFP. M/C @ 7 weeks.
    ~Break~
    Clomid 50mg, IUI#2, BFN
    Clomid 100mg, IUI #3, BFN
    Clomid 100mg, HCG trigger, IUI #4, BFN
    Started Metformin
    Clomid 150mg, HCG trigger, IUI #5, BFN
    Clomid 150mg, HCG trigger, IUI #6, BFN
    Letrozole 7.5mg, HCG trigger, IUI #7, TWW...
    ~Break~

    Gathering info for IVF...
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  • MrsLolaSkyMrsLolaSky member
    Thanks for all the responses! My office had said 1-3 days before the IUI, and it sounds like that's the range I'm seeing from you guys, too. Don't we wish things were more scientific? I guess they just aren't sure, especially with the balancing of the count and the morph! 

    Good luck to all you ladies with whatever you are pursuing now! :)


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  • HollowvicHollowvic member
    My RE told me to abstain for 2 days, definitely not more than 3. The exact words she used was that they want a "fresh" sample. My last IUI she told me to have sex on Friday night, then abstain on Sat. And Sunday, the IUI was Monday morning! Good luck!!!


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  • TLooney17TLooney17 member
    We abstain 3 days, and then we have sex the night of the iui.

    imageimage

    TTC #1 January 2009
    January 2010 SA results: Count 16 million, Motility 40%, Morphology 2%
    January 2010- Surprise BFP! DS born 10/1/2010 :)
    January 2013 TTC #2
    September 2013 Repeat SA: Count= 1.7 million, Motility= 24%, Morphology= 2%
    November 6th 1st Appointment with RE: diagnosed with severe MFI
    Testing to try to determine a cause & possible treatment for MFI
    CD 3 blood work for me. RE does not want to repeat my HSG/lap at this point,
    but may want to before moving forward with any fertility treatments.
    After seeing the uro, DH is currently taking lots of supplements and clomid to try to boost his count. We will have a repeat SA in February to see if it works.
    Follow up SA numbers are: Count= 4 million, Motility= 40%, Morphology= 1%
    Uro wants us to have another follow up SA 5/9 to see if we see further improvement than we are back to the RE to make a game plan.

    SA 5/9/2014 Count: 12 Million, Motility: 60%, and Morphology 2%. We will be doing iui #1 in late June

    IUI #1 6/28 clomid + ovidrel, post wash count 3 million total sperm= BFN

    IUI # 2 7/21 clomid+ ovidrel. post wash count 900,000 total sperm= BFN

    IVF planned for early November- cancelled due to cyst

    December IVF #1- 22 eggs, 20 mature,16 fertilized

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  • kristyn831kristyn831 member
    edited August 2014
    The first IUI was 4 days.  We did that just because of timing and the nurse never specified.  This IUI we had sex the day of the trigger, so 2 days of abstinence.  My RE said they usually recommend having sex the day of the trigger.  

    With 4 days, he had 6mil total and 400,000 post-wash.  With 2 days, he had 21mil and <100,000 post-wash so I have no idea what's going on there.

    They also said BD after the IUI but with our post-wash numbers this time, neither of us was in the mood.  Good luck with everything!

    Edited for: I forgot a bunch of info because I'm tired.




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    Me: 33, DH: 35
    Married 10/13, TTC since 7/13
    Dx: MFI
    IUI #1 7/14: BFN
    IUI #2 8/14: BFN
    IVF #1 11/14: 20R17M15F
    Transferred 1 three day embryo! 7 frosties!
    BFP!  EDD 7/27/15



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  • BunnyBerryBunnyBerry member
    From everything I've read and our own experience with repeat SAs, there's no simple rule about waiting and its effect on sperm counts/quality. I think a rule of thumb is that a few days' wait helps counts, but doing it soon after increases % motile. But I think every guy has their own threshold as to how many days helps it build up, and then when it starts losing quality.

    For us, TI is pretty much not going to get us pregnant, so we just do it every 3 days to keep him fresh and healthy, then EOD after the first follicle check until IUI, so we have either a 1 or a 2 day wait (since we don't trigger, we can't time it perfectly). The one time we tried an IUI (changed to ICI, that's another story), we got lucky and it was 2 days after sex so I think that helped counts. We just followed the nurse's schedule.

    One think I learned from temping and charting for 5 years - I had to stop sweating the days and even hours we had sex. As long as it's regular, and you don't do it constantly before the IUI, a day more or less of abstinence isn't going to ruin everything, I think. But that's just my opinion. :)
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    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
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    Married - July 2008 | Started TTC - Jan 2009 | RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
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