Dealing with azoospermia?

[AuCa]

Hi everyone. Does anybody know how much time does this whole treatment till the last stage take place in uk I mean approximately the rough estimate ? Like our first appointment with urologist ill be on april 19th so idk whether in first appointment we ill come to know something or not ? Or does the accompanying appointments takes long time as well ?

I don't live in the UK and haven't gone through it all yet, but I don't think there is a definitive answer to this Tulip11. What do you mean with "the last stage" - having IVF?
It will totally depend on 1) what the exact diagnosis is (eg obstructive vs non-obstructive, genetic or not, will they recover sperm from TESE or not etc), 2) what your financial situation is, 3) what the wait time for your clinic/specialist is, and so on.

 

[tulip11]

I meant by last stage ( means he final solution in form of ivf or something else ) yes you are right but you know since we knew this now I just want to know what would be the final solution if there would be any hope I cant wait anymore .

 

[Jojo27]

Hi tulip, where in the uk are you based?
Has your DH had all tests? X

 

[tulip11]

Hi tulip, where in the uk are you based?
Has your DH had all tests? X

Hi I am from bradford.
Yes 2 SA n blood tests his all blood tests came back normal.

 

[Deb111]

Tulip - are you going nhs? We ended up going privately, but to give you an idea - we had our first nhs appt in feb one year having had NO tests done prior to this - not even blood tests. Hubby had surgical sperm retrieval in the oct of same year. They could have done it 2 months sooner but we wanted 3 months if vitamins etc so delayed it. There was no wait fir ivf if we had used our nhs cycle but clinics differ greatly in their waiting lists. Hope that helps x x

 

[MrsG30]

Hi Girls

2nd FS done- only had to do SA in the clinic and now on a wait for bloodwork results and 2nd Sa results.
We asked the receptionist how long the wait and she said "if we had the results you would know about it" Then i asked about how we would be get the results fro today- and she replied "at your next appointent" i replied "and when is that" and she simply said "when we make it for you"
We left in a right fettle.
Im going to ring on Friday and hopefully get someone ore friendly.


More waiting

Hope all your ladies are doing ok xxx

 

[tulip11]

Deb111 yes NHS.

 

[Jimmysrabbit]

Hi everyone. Does anybody know how much time does this whole treatment till the last stage take place in uk I mean approximately the rough estimate ? Like our first appointment with urologist ill be on april 19th so idk whether in first appointment we ill come to know something or not ? Or does the accompanying appointments takes long time as well ?

We are in South Wales - treatment times are very long here. SA were done in Feb last year, referred to IVF Wales for consultation in May...long wait for appointment which we finally had in January this year. Blood tests taken and appointment made for Urologist which we had a month after 1st consult. Blood work showed DH is a CF carrier (all other levels fine). Examination on same day shows missing Vas Def. Referred for surgical sperm retrieval - we have been advised there is a 3-4 month wait for this...we will then go private as the wait for IVF in wales is 2 YEARS!!!!

 

[MrsG30]

Tulip - are you going nhs? We ended up going privately, but to give you an idea - we had our first nhs appt in feb one year having had NO tests done prior to this - not even blood tests. Hubby had surgical sperm retrieval in the oct of same year. They could have done it 2 months sooner but we wanted 3 months if vitamins etc so delayed it. There was no wait fir ivf if we had used our nhs cycle but clinics differ greatly in their waiting lists. Hope that helps x x

Debs-
Can i ask? why did you not go with NHS if no wait? hope thats not cheeky xx

 

[MrsG30]

Hi everyone. Does anybody know how much time does this whole treatment till the last stage take place in uk I mean approximately the rough estimate ? Like our first appointment with urologist ill be on april 19th so idk whether in first appointment we ill come to know something or not ? Or does the accompanying appointments takes long time as well ?

We are in South Wales - treatment times are very long here. SA were done in Feb last year, referred to IVF Wales for consultation in May...long wait for appointment which we finally had in January this year. Blood tests taken and appointment made for Urologist which we had a month after 1st consult. Blood work showed DH is a CF carrier (all other levels fine). Examination on same day shows missing Vas Def. Referred for surgical sperm retrieval - we have been advised there is a 3-4 month wait for this...we will then go private as the wait for IVF in wales is 2 YEARS!!!!

Thanks for that- that helped me too.

I had my bloods and scans done in Jan. DH had Sa in Jan, then 2nd SA and bloodwork early March. we have been told the referral to the Urologist should be about 4-6 weeks but any op from that appointment could be 6-9 months!!!!! Tere is however no wait for IVF/ICSI here so I guess thats a good thing.

What i am going to ask is if I can get the process started for our donor? as were using a known donor (obviously this is back-up) but i dont want the donor process to be started after the urologist has dont his bit as thats just another wait, i just worried as we dont defiantly know if need a donor that they wont let us start the process yet.
Hope that makes sense and im not rambling xxx

 

[Deb111]

MrsG - that receptionist needs a slap!!

Of course i dont mind you asking about our decision on the nhs. Basically when hubby had the ssr on the nhs they found just 3 sperm and even though they were motile and healthy they said it was too few to freeze. They said our only options were donor or adopt. Our clinic wouldnt persue any further.

When we saw private urologist he said we had 2 choices if we still wanted to go nhs. He could do the mTESE on the nhs but the clinic we would use only did ER on wed and sat's so not ideal when your eggs dont want to be ready on a wed or sat! The other option was a different clinic where they used their own surgeons and the mTESE would be done by a gynae?! WTF???

We needed to know we had tried everything we could and we felt in expert hands with our private urologist

 

[keziah23]

Today was the one month followup from DH's TESE and biopsy.
Biopsy showed sperm are completely normal! Dr. said she didn't believe it when she got the lab report so she got the slides and looked herself! This could mean that there is a blockage. Its good news,it means that he is producing sperm, and that the sperm we have frozen from the TESE are good! So she recommended "have sex as much as possible and we'll see what happens in 3 months". LOL. Hubby loved that advice! If we are not pregnant by then she will do an ultrasound to see if she can find a blockage.

 

[AuCa]

Those are great news Keziah!

I'm kind of confused why she wouldn't do an ultrasound right away? Has nobody ever checked to see if your DH has a blockage? The sequence just seems kind of odd to me. We need to do an ultrasound to check for blockage before doing anything else....

 

[keziah23]

They did a scrotal ultrasound at our first visit, this would be a "transrectal" ultrasound. Not sure why the wait. They scheduled the appt for 3 months from today, and I think its supposed to be 3 months from surgery so I am going to reschedule.

 

[AuCa]

Thanks! That makes sense now. Our specialist told DH that he should have both, but (understandably) he's not so eager to get the transrectal one (I guess that one is to check if there is a prostate issue). We haven't scheduled those yet....

 

[Stinas]

keziah23 - Great news!

 

[Jimmysrabbit]

Great New Keziah - woo hoo!!!

 

[Faali]

Hi, hope you don't mind me joining the group, my Hubby and I got the azoospermia diagnosis last month.
His all tests came back normal and the ultrasound showed no obstruction.
I would like to know of any success stories of NOA with normal hormones?!
I just want to thank you all for sharing so much information here. All the best to everyone
xx

 

[BrandyRelax]

Hi All - just wanted to pop in to share the results of DH's mTESE on Tuesday.

We're getting some conflicting answers, but here's the jist of it.

On Tuesday, the Surgeon found tails sticking out of the tissue (so he couldn't see the heads to see if they were good). He said he found about 10 of them.

The results from the lab went to the fertility specialist doctor saying there were 3 sperm frozen (no indication of abnormalities, but they weren't moving, so he can't say if they're alive or not). The results went to the surgeon and said that they found sperm but they are abnormal - but I don't know what that means.

The current plan is to do another mTESE in July, with a fresh IVF cycle, and if they don't find better sperm, they can use the frozen stuff.

The FS feels we should still make a decision on donor back-up regardless. Given they ony have 3 sperm, I'm likely to have many more eggs, he just wants to make sure we know upfront whether we'll do IVF with DS or not, if there are extra eggs.

I'm an a-type personality, so I'm trying to figure out the donor sperm decision, but am having trouble figuring out where I sit on it... mostly because there aren't clear criteria for when it's right, and when it's not. My biggest struggle is if we used DS, I wouldn't want to tell the child, because it might create issues with him/her feeling close to my hubby, or being attached to the family.

Any suggestions of things I can check out, or things I can read to help with the decision?

 

[keziah23]

Brandy- 3 individual sperm or 3 vials? Did the lab do a freeze/thaw test to see if they would survive? Was a biopsy also done? Sorry I don't have any advice on the donor, we have not had to go there yet. Good luck!

Faali- Welcome, sorry you have to be here. My husband's hormones are normal, he had a biopsy and TESE and they found sperm and biopsy showed normal sperm. We are in "wait and see" pattern for 2 more months.