Dmama, good luck with your iui. We don't have that option unfortunately ICSI could be our only hope and like you we have to pay for it as his insurance has a 44 year old cut off for infertility treatments. I with we had known before we just spent all that money on procedures to unblock my tubes. I had asked him to get his SA months ago but of course he never thought he had a problem. He got a girlfriend pregnant in college and she had an eptopic.
We had been doing hot yoga once a month for the last 6 months at least. Well, that's over now I told him his not allowed. I do think that had something to do with it being 100% of them. I really hope! We are doing another SA in a couple of months to see but I just read sperm takes months to mature. I just want to avoid IVF costs and heartbreak. This is a tough journey. Tell me about your IVF experience. I don't know anyone around me who has done it. My RE told me his not concerned with the morphology I think that's something they can work around, maybe they can find the best looking guy and use him
BBliss...I just lost a long post...
But to be honest, I don't expect my IUI to work. But since we are out of pocket, I want to know how I will respond to the meds this time with a cheaper cycle because we don't expect to get a lot of eggs this time. My lab values were way worse than before, so we don't have high hopes that either IUI or IVF will work, so we figure why spend all that money, especially when the drugs alone are 5k or more. Being out of pocket is tough and we are still paying off a bit of the second cycle, but I can't really complain because I have a beautiful baby now and that is priceless....
As for the IVF and ICSI...the RE says that at this age, some women have toughened shells covering the eggs and the sperm have a hard time getting in..so they advise ICSI for all over 40s. So I just went for it. And we went directly to IVF because of my age. The first cycle didn't work and I didn't get any frosties, so that is why we did cycle two, which worked, but still didn't get me any frosties... so here we are. If your RE is not worried about the SA then I would trust him. They only need one and I guess they feel with ICSI they can get it....
I understand your concerns about IVF and the costs...it is really hard to get that money and then hand it over for a low possibility...I would not play those odds in any game of poker or anything...but I really wanted a chance for my own child, so I needed to do what had to be done so I could have no regrets either way....so now, we just have an extra bill for a few more months/year HA HA!!!!! But there is no regret at all...
If I were going for my first child now at 45+, I would probably go straight to IVF and then go from there. It doesn't seem like you have too much choice considering the sperm issue, unless it gets better, but as you wait for that to get better, your eggs are continuing to decline in quality. So I would not wait too long...if you do ICSI, his spermies don't have to get too much better is what the RE seems to be saying....
There are some people that get preggo on their own after 45, so I say that it isn't over till it is over, but with some of the issues you mentioned to us here, it might be a bit tougher than the usual toughness so to speak, and so I hope that sooner than later, the way forward will become clear....
I don't know if any of this is helpful.