Infertility

Trying To Conceive Our Second

Hello, I'm in the process of planning for my second child, and I'm currently 34 years old. I've undergone several tests, and here are the results: AMH - 1.22, FSH - 6, PROLACTIN - 10.6, TSH - 1.8, HSG - Normal uterine cavity, and normal patent bilateral fallopian tubes. My last menstrual period began on 28/8/23, and today marks the 14th day of my cycle. My husband is 35 years old, and his semen analysis revealed that he has only 10% actively motile sperm, a condition known as asthenozoospermia.
I'd like to avoid another round of intensive medical treatments, as my previous experience was challenging due to my own reproductive health issues, including hormonal imbalances, which made it difficult for us to conceive even with medication. I'm curious if anyone else has experienced a similar situation and what steps you took to address sperm-related issues. Any suggestions or advice would be greatly appreciated.

Re: Trying To Conceive Our Second

  • I'm also working on child #2. However, older than you (45). I started using the egg fertility diet-modified and a slew of supplements. Numbers keep looking better but still lack a good quality embryo to transfer. My dr keeps pushing the idea of using a donor egg, but that defeats the desire to have part of me passed on in my children. I've decided this will be my last round of retrievals and am hoping for blessings after so many failed attempts with 2 different clinics. I really wish the drs were more involved and caring vs so numbers focused- hello, I'm a real person. I also started accupuncture and saw increased numbers at retrieval. Husband is also on a fertility supplement- but his numbers were ok.
    #praying for a miracle
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  • It's important to consult with a fertility specialist or reproductive endocrinologist for personalized advice based on your specific situation. Here are some steps you could consider:

    1. Lifestyle Changes:

      • Both you and your husband should focus on maintaining a healthy lifestyle. This includes a balanced diet, regular exercise, avoiding excessive alcohol and tobacco, and managing stress. All of these factors can impact fertility.
    2. Nutritional Supplements:

      • Some studies suggest that certain nutritional supplements, such as Coenzyme Q10 (CoQ10) and L-carnitine, may help improve sperm motility. Consult a healthcare provider before adding supplements to your regimen.
    3. Diet and Nutrition:

      • Ensure that both you and your husband are getting adequate nutrients, including antioxidants, which can support reproductive health. A diet rich in fruits, vegetables, whole grains, and lean proteins can be beneficial.
    4. Timing and Frequency of Intercourse:

      • Make sure you are having intercourse during your fertile window, which typically occurs around the time of ovulation (around the 14th day of your cycle). Using ovulation predictor kits can help pinpoint this time.
      • Don't overdo it; too frequent ejaculation can sometimes lower sperm count. Aim for regular, timed intercourse.
    5. Sperm-Friendly Lubricants:

      • Some lubricants can be harmful to sperm. Consider using fertility-friendly lubricants or try to avoid lubricants altogether.
    6. Reproductive Treatments:

      • If natural conception remains difficult, you might explore fertility treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF). In cases of asthenozoospermia, IUI can sometimes be a helpful option, as it places sperm directly into the uterus closer to the egg.
      • Intracytoplasmic sperm injection (ICSI) is a specialized form of IVF where a single sperm is directly injected into an egg. It can be used to overcome severe sperm motility issues.
    7. Consultation with a Fertility Specialist:

      • Given your specific circumstances and previous reproductive health challenges, it's advisable to consult with a fertility specialist. They can provide a thorough assessment and recommend the most appropriate treatment options for you and your husband.

    Remember that infertility can be emotionally challenging, and it's essential to communicate openly with your partner and seek support when needed. Seek guidance from a healthcare professional who specializes in reproductive medicine to develop a personalized plan that addresses your specific needs and goals.

  • Considering your husband's asthenozoospermia, consult with a fertility specialist to explore options like intrauterine insemination (IUI) or IVF with intracytoplasmic sperm injection (ICSI). Lifestyle changes, a balanced diet, and supplements may improve sperm health. Seek emotional support and consider alternative therapies. Collaborate with your healthcare team to tailor a plan aligning with your preferences and previous challenges.
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