Actually my husband has the same problem as 森蝶's husband. My husband's sperm morphology is <1%. My 婦科(ivf/iui) doctor said he does not need to do operations, but my chinese medicine dr. said she has a patient like this and that man did the operation and his wife was naturally bingo. Of course, my husband's urogology dr. recommended him to do such operation. So in this situation (morphology <1%), what is your suggestion ? Really appreciate your valuable viewpoint. Thanks.
Hi Bubblebb,
Very limited information from your post.
I assume this was your first ever ivf cycle. From your ovarian response and hormonal profile, there was nothing unusual. The unclear part is that after 5 eggs were collected, did all of them get fertilized? What did your doctor mean by "all of them stopped growing" -- Did the fertilized egg(s) have no cell division at all, or did they stop growing after achieving a certain cell stage?
Dear 森蝶,
For me, I won't look at morphology alone. Since both of your doctors let you do IUI, I assume your husband's sperm concentration and motility are good. If so, ivf/icsi is not as difficult as you think. However, if concentration and/or motility are suboptimal, then together with a poor morphology, things get a little harder.
Another note is that the surgery for varicocele may improve concentration and motility, but its help on morphology may be minimal.
Dear zxzx,
Similar to my last post to 森蝶, morphology alone may not be everything; you will also need to see the sperm concentration and motility.
Then you may also need to consider the cost of operation on your husband, versus the cost of ivf. I think time-to-pregnancy is also a concern here. Suppose your husband's sperm is good in count and motility, then doing the surgery may help so that you may achieve a pregnancy within a year or less. However, if count and motility are already suboptimal, you may want to go straight to ivf/icsi.
Thanks. My husband's sperm count, concentration and motility are all ok (pass) except for morphology (<1). And, the cost of his operation is covered by insurance. But in your previous post, you said the operation help on concentration and motibility but not help too much on morphology. So I'm still struggle whether to do operation or not, although we don't need to pay. We just want to minimize the chance of having operation - whether be his or mine (iui/ivf), if possible. I agree with you that time-to-pregnancy is a concern, as I'm nearly 40. So I can't wait for too long on natural bingo. So I'm thinking to do iui (cheaper and less risky and less hormones injections). Is iui worth to try if my husband not doing operation and his sperm morphology (<1) ? Or, should I go straight to IVF?
Have you checked things on your side? If everything is normal, then simply try a few cycles of iui.
Assuming you don\'t have blocked tubes, irregular cycles, endometriosis, raised D3fsh, and still fail the few cycles of iui, consider IVF to save time.
Dear Bubblebb,
I am not sure what the lab actually saw so that your doctor said the embryos stopped growing. Since you only had 5 eggs to begin with, not much conclusion could be drawn. While it was a pain having to learn from this failure, based on this experience, your next cycle will likely be better. Your doctor will hopefully give you a higher dosage for stimulation so that more eggs can be collected. With more eggs, the lab has more material to work on and hopefully you will have a higher proportion of fertilized eggs and some will develop into reasonable embryos.
From your side, not much you will need to do. Good rest, healthy eating and some exercises. If you or your hubby smoke or drink a heavy amount of alcohol, try to limit or quit these health harming habits. If you are overweight, try to reduce some lbs.
I will be doing a frozen egg transfer this cycle. Starting yesterday, day 4 of my period, I'm taking Premarin 0.625mg (one tablet 3 times daily) and ASA 100mg (one tablet daily). Doctor asked me to do an ultrasound on Day 12 and afterwards will start me on Ultrogestan tablets. Could I please get your expert advice on the following questions?
1. I understand ASA is to thin the blood and provide better circulation to the endometrium lining and Ultrogestan is 黃體素 is 安胎藥. But, whats the purpose of taking premarin in regards to FET cycle?
2. Usually, my period runs for 7 days. But after starting Premarin and ASA yesterday, my period has come to a stop today (day 5). Is that normal?
3. If my endometrium lining isn't completely shed off (due to period stopping early this cycle), would this affect embroyo implantation and growth?
1. Similar purpose, estrogen is to better the endometrium.
2. Yes, normal.
3. Not affected, because the shedding occurs in the day(s) with heavy flow. And the shedding is not a \'scraping\' event and the lining will never be completely \'wiped clean\', so there is no worry.
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