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Dealing with azoospermia?
- Thread starter Deb111
- Start date
Hi friends! I have been away for a several days...I was just gearing up for DH biopsy yesterday. The procedure went well and he is recovering great! Ok so, the Urologist went into one testicle and did not find any sperm. The embryologist took some tissue back to the lab to examine it under a much stronger microscope. We re not expecting her to find much from it...I think we have just kind of accepted what we have been given. Kinda anyways haha. Ok so I have a few questions I would like your thoughts on please!
Do you think they should have looked in the other testicle? Does this sound the same as Mtese? I am just so confused!! We are going to have the bloodtest for Klinefelters done, so that atleast we will have an exact reason and since the levels of his hormones seem to lead me to believe thats what it is. If not, I guess we will maybe see a different doctor, but we will cross that bridge when we get there!
I see there is a congratulations in order!! Yay!! I am so glad to see many of you moving forward and getting on with the process!
You all give me hope and help remind me that it is all worth it!
Do you think they should have looked in the other testicle? Does this sound the same as Mtese? I am just so confused!! We are going to have the bloodtest for Klinefelters done, so that atleast we will have an exact reason and since the levels of his hormones seem to lead me to believe thats what it is. If not, I guess we will maybe see a different doctor, but we will cross that bridge when we get there!
I see there is a congratulations in order!! Yay!! I am so glad to see many of you moving forward and getting on with the process!
You all give me hope and help remind me that it is all worth it!
cosita
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Hi esuzanne, I'm not really sure what they should do about going to another testicle but my understanding is that if they don't find it in one, they may well find it in the other. So yeah, I guess they should have gone. In our case, they found some sperm (which turns out to be immature so we don't know if its any good until we do ICSI) so they didn't go to the other testicle. I know they can go to the other one without making another incision, they make some kind of tunnel on the inside, are you sure they didn't do that?
After the summer we are going to get a second opinion in another clinic even if it means travelling, it can't hurt. I know it seems like they have come such a long way in all this research and they have, in a short space of time but they still have a long way to go into 'why' this happens to our husbands. We have no reason why, genetic tests are fine, so that is why we are going to go to a bigger busier clinic hoping they might have had some more cases like our own.
It feels like clutching at straws sometimes but why not, its a big part of our lives.
To everyone else, love the positive vibes and talk of 2ww!!
After the summer we are going to get a second opinion in another clinic even if it means travelling, it can't hurt. I know it seems like they have come such a long way in all this research and they have, in a short space of time but they still have a long way to go into 'why' this happens to our husbands. We have no reason why, genetic tests are fine, so that is why we are going to go to a bigger busier clinic hoping they might have had some more cases like our own.
It feels like clutching at straws sometimes but why not, its a big part of our lives.
To everyone else, love the positive vibes and talk of 2ww!!
Thanks!! I am not sure if they did the tunnel thing or not but I will definitely find out! I am right there with you, we are willing to do whatever we have to, to be sure that there isnt a chance. We just wouldnt feel right if we didnt know! I mean no matter what, I will always hope for a little miracle when we least expect it, but hey 20 years ago they would have just told all of us--sorry youve hit then end of the road here. If our genetic tests come back negative, then without a doubt we will go somewhere else. We don't get our hopes up really, if they found anything it would just be a huge surprise. But there is always hope!Hi esuzanne, I'm not really sure what they should do about going to another testicle but my understanding is that if they don't find it in one, they may well find it in the other. So yeah, I guess they should have gone. In our case, they found some sperm (which turns out to be immature so we don't know if its any good until we do ICSI) so they didn't go to the other testicle. I know they can go to the other one without making another incision, they make some kind of tunnel on the inside, are you sure they didn't do that?
After the summer we are going to get a second opinion in another clinic even if it means travelling, it can't hurt. I know it seems like they have come such a long way in all this research and they have, in a short space of time but they still have a long way to go into 'why' this happens to our husbands. We have no reason why, genetic tests are fine, so that is why we are going to go to a bigger busier clinic hoping they might have had some more cases like our own.
It feels like clutching at straws sometimes but why not, its a big part of our lives.
To everyone else, love the positive vibes and talk of 2ww!!
Good luck on the second opinion!!
Sar187
TTC with Azoospermia
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DG-Sorry to see the SA was 0 again, but as all the other ladies have said, that doesn't mean they won't find something with the biopsy. I know someone said frozen Testicular sperm doesn't do as well with IVF/ICSI, but depending on how large the sperm samples are they get it can actually help. They had 7 vials of sperm from DH (I have no idea how many sperm per vial) our first cycle they used 13 fresh sperm for my 13 eggs and had 2 embryos left by day 3 that didn't take. cycle 2 they used 13 frozen/thawed sperm(from 1 vial) and we had 3 embryos left by day 3 and one took. From research I did and questions i asked even with testicular sperm if the sample is large enough there is actually very little difference between fresh and frozen, because the thawing process can actually help weed out the weaker sperm. The issue with frozen is with small samples because there is a higher chance not enough sperm will make it...i hope that makes sense.
MJ-Huge congratulations! I can't wait to hear a wonderful beta number from you!
Rae-I had a friend of the family who is a nurse give me my trigger shot for both cycles. cycle 1 I didn't feel at all cycle 2 pinched a little and I had a sore spot for a couple days afterwards. I had progesterone suppositories as well in the form of endometrin, I had to do them 3 times a day. They gave me the choice and I didn't want to deal with more injections. The worst thing about the suppositories is the constant discharge.
I know I saw someone asking about the progesterone injections and while I haven't personally done them, I can give a few hints from what I have gathered from others and what my nurse told me in case I was put on them. Most PIO has to be refrigerated so make sure to set it out for about a half hour ahead of time to get it to room temperature or you can sit with the bottle in the crook of your arm or armpit to help warm it faster. Icing beforehand and heating afterwards is supposed to help because the icing numbs the area and heating helps to disburse the oil, and prevent painful lumps, I have seen a lot of women say hot showers/massaging the area afterward can help too. My nurse also recommended if I did the shot to alternate sides each day so one side would have time to heal a little in between injections.
esuzanne-when they did the TESE on my DH they went in with the plan to take from the left side, but said if they didn't feel the tissue there was going to contain sperm they would try the right side. not sure if that helps any.
Those of you still in the 2ww or about to be starting cycles best of luck!
AFM-We had our 1st appointment with our midwife last week and officially got approved to do a home birth! The appointment was great and DH and I both felt it was much less rushed than our appointments with the OB. She also checked the babies position and as I was thinking it is currently head down(it really likes to kick me in the ribs lately). Our next appointment will be next Friday.
MJ-Huge congratulations! I can't wait to hear a wonderful beta number from you!
Rae-I had a friend of the family who is a nurse give me my trigger shot for both cycles. cycle 1 I didn't feel at all cycle 2 pinched a little and I had a sore spot for a couple days afterwards. I had progesterone suppositories as well in the form of endometrin, I had to do them 3 times a day. They gave me the choice and I didn't want to deal with more injections. The worst thing about the suppositories is the constant discharge.
I know I saw someone asking about the progesterone injections and while I haven't personally done them, I can give a few hints from what I have gathered from others and what my nurse told me in case I was put on them. Most PIO has to be refrigerated so make sure to set it out for about a half hour ahead of time to get it to room temperature or you can sit with the bottle in the crook of your arm or armpit to help warm it faster. Icing beforehand and heating afterwards is supposed to help because the icing numbs the area and heating helps to disburse the oil, and prevent painful lumps, I have seen a lot of women say hot showers/massaging the area afterward can help too. My nurse also recommended if I did the shot to alternate sides each day so one side would have time to heal a little in between injections.
esuzanne-when they did the TESE on my DH they went in with the plan to take from the left side, but said if they didn't feel the tissue there was going to contain sperm they would try the right side. not sure if that helps any.
Those of you still in the 2ww or about to be starting cycles best of luck!
AFM-We had our 1st appointment with our midwife last week and officially got approved to do a home birth! The appointment was great and DH and I both felt it was much less rushed than our appointments with the OB. She also checked the babies position and as I was thinking it is currently head down(it really likes to kick me in the ribs lately). Our next appointment will be next Friday.
Deb111
Totally smitten!
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Gosh - where to start with so much going on!
MrsC - great news you're getting started - good luck hun
Cosita - I agree, this is such a big deal, you have to do whatever you can to rule out your chances and know you gave it everything. Then if you have to move, you know you are doing so in the knowledge that you've exhausted other opportunities
esuzanne - with my hubby, the NHS did a random biopsy - a few samples from each testicle. The results came back that they had found 3 - and all of them were on the same side. Whilst that didn't rule out that there were some on the other side (as the biopsy only takes TINY samples) it was enough for Mr Rasay to make the decision to go in on that side only for the mTESE. He said due to hubby's low testosterone, he didnt want to go in both sides as the less testicular tissue there is, the less testosterone it can produce and he didn't want to compromise that any more than it already was. Hope that helps and sorry the biopsy didn't give you better news xx
MrsC - great news you're getting started - good luck hun
Cosita - I agree, this is such a big deal, you have to do whatever you can to rule out your chances and know you gave it everything. Then if you have to move, you know you are doing so in the knowledge that you've exhausted other opportunities
esuzanne - with my hubby, the NHS did a random biopsy - a few samples from each testicle. The results came back that they had found 3 - and all of them were on the same side. Whilst that didn't rule out that there were some on the other side (as the biopsy only takes TINY samples) it was enough for Mr Rasay to make the decision to go in on that side only for the mTESE. He said due to hubby's low testosterone, he didnt want to go in both sides as the less testicular tissue there is, the less testosterone it can produce and he didn't want to compromise that any more than it already was. Hope that helps and sorry the biopsy didn't give you better news xx
raelynn
Pregnant with #2!
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Sar - Thanks! My nurse said some people don't even feel the trigger too so it is nice to hear that it is not too bad. I'm so glad my sis is doing it because I can't even bring myself to put hardly any pressure on the sub q injections, there is no way I could jab that giant trigger needle in. Yikes! You must be so excited about setting up your birth plan. So glad things are going well for you!
I had a little freak out today because I didn't think I was progressing the way I should. All my follicles are still under 10mm so my clinic doesn't even bother measuring them at that point. I thought they should be bigger by now but I have calmed myself down and realize if it wasn't working they would have changed my meds around and would not be telling me every appointment that things are still going great. I had 17 follicles counted today and my e2 was 433. I go in again on Saturday. I left a message with my nurse to see if they have an idea if I'll be sticking with my original trigger date of Tuesday since I only have enough ganirelix to last until Monday and we still haven't ordered my trigger meds. I seem to worry about every step of this process.
I had a little freak out today because I didn't think I was progressing the way I should. All my follicles are still under 10mm so my clinic doesn't even bother measuring them at that point. I thought they should be bigger by now but I have calmed myself down and realize if it wasn't working they would have changed my meds around and would not be telling me every appointment that things are still going great. I had 17 follicles counted today and my e2 was 433. I go in again on Saturday. I left a message with my nurse to see if they have an idea if I'll be sticking with my original trigger date of Tuesday since I only have enough ganirelix to last until Monday and we still haven't ordered my trigger meds. I seem to worry about every step of this process.
luckdragon
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hi girls hope your all ok, just wanted to drop in and let you all know my scan went fine 
one happy moving little bean seen, and heartbeat seen as well
xxxxx
one happy moving little bean seen, and heartbeat seen as well xxxxx
congrats!!!!
BrandyRelax
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Hi All,
I'm new - I thought I'd do a brief intro about where I am in the journey...
We started TTC in November 2011, and in April 2012 got a referral to the fertility clinic and she ordered a bloodtest for me and a SA for my hubby.
About 2 weeks ago we got the news from our Family doctor that my hubby's SA came back with ZERO sperm. We went to the fertility clinic last week, and the doctor at the fertility clinic obviously didn't have any more information, so we're in the stage of preliminary testing - so blood tests and a second SA for the hubby and bloodwork, pap, and HSG test.
So we're in the waiting phase - well - I hear there's lots of waiting throughout any process related to fertility issues, so it's probably normal.
Glad to see so much success with Azoo, and hopefully I'll be a success story too!
Brandy
I'm new - I thought I'd do a brief intro about where I am in the journey...
We started TTC in November 2011, and in April 2012 got a referral to the fertility clinic and she ordered a bloodtest for me and a SA for my hubby.
About 2 weeks ago we got the news from our Family doctor that my hubby's SA came back with ZERO sperm. We went to the fertility clinic last week, and the doctor at the fertility clinic obviously didn't have any more information, so we're in the stage of preliminary testing - so blood tests and a second SA for the hubby and bloodwork, pap, and HSG test.
So we're in the waiting phase - well - I hear there's lots of waiting throughout any process related to fertility issues, so it's probably normal.
Glad to see so much success with Azoo, and hopefully I'll be a success story too!
Brandy
wibble wobble
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Hi Brandy welcome to the thread so sorry you have found yourself in this situation though
just wanted to pop on quick to send everyone virtual ((((hugs))))
I had a scan yesterday my follies aren't quite big enough for collection yet so an extra 3 days of stimming and a re scan Monday.... got 25 follies all together the biggest is 14mm so a bit of growing left to do egg collection should be wednesday hopefully
just wanted to pop on quick to send everyone virtual ((((hugs))))
I had a scan yesterday my follies aren't quite big enough for collection yet so an extra 3 days of stimming and a re scan Monday.... got 25 follies all together the biggest is 14mm so a bit of growing left to do egg collection should be wednesday hopefully
sorry to see a new member join the boat but you def have come to the right place, brandy!
CanadianMaple
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Hi Brandy! I'm glad you found your way over here. You'll get lots of support in here and it's a fast moving thread! If you have any questions about testing, what certain things mean and what to expect, please ask away.
Girls, I've been lurking but have nothing to report. Things have been really tough here. DH and I are letting the stress get to us and I need to get us into counseling. It sounds like he isn't even sure if he is open to using a donor now, he feels like I am pressuring him. I'm feeling like everything is shattering all around me.
Girls, I've been lurking but have nothing to report. Things have been really tough here. DH and I are letting the stress get to us and I need to get us into counseling. It sounds like he isn't even sure if he is open to using a donor now, he feels like I am pressuring him. I'm feeling like everything is shattering all around me.
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