Dealing with azoospermia?

[gem10]

Hi Canadianmaple,

Your story gave me goosebumps. I am so sorry for your loss. I give you so much credit for pushing forward with the FET and pray that God brings you your miracle baby. Fingers and toes crossed, and I will keep you in my prayers!

 

[rdleela]

Canadianmaple!!! I missed you, girl! So happy to hear from you! I can't imagine how hard things must have been for you, and I'm so excited to hear you are going ahead with a FET! You just made me cry! I hope you stay in touch and I'm wishing you ALL the very best! Xoxo

 

[bubumaci]

Canadianmaple
I can't imagine what you must have been through / are going through - I am desperately sorry for your loss! I think it is wonderful that you are going ahead with your FET and I will keep fingers and toes crossed for you!!! You have a very loving angel looking down on you!!!

 

[snd80]

OMG CM!!!! We've missed you!!! I'm so sorry for everything that has happened but am really excited you are pressing on!!!! Chris is watching over you and I KNOW he's gonna make sure you have ya'lls dream baby!!!! and please keep us updated!!!!!

, , and more !!!!!

 

[tulip11]

Update :
Just got back from my husband scrotal prostate testies internal detail ultrasound. They found no obstruction everything is normal. He had testies ultrasound before as well according to that testies size is normal but today in ultrasound they found that left testie is sslightly smaller than normal while right is of Normal size.. as I mentioned earlier hubby fsh is 13.2 . Everything is normal apart from higher fsh and slightly smaller left testicle. I am completely hopeless now I was thinking if there could be any obstruction find out that would be much great but now almost everything is normal then what could be the reason?

 

[deafgal01]

No idea, tulip. You got more info on your man's things than I did.

 

[Rainbow123]

Unfortunately Tulip it seems that sometimes azoospermia has no explanation. My DH is the same as yours - no visible obstruction, slightly elevated FSH and smaller than usual testicles. Sadly, despite having complete investigations into it, we just had to live with the fact that we won't ever know what caused it. What are your next steps?

Hopeful - With regards to DS, a lot of professionals recommend you to be as open as possible with the child about where they came from. This way, they grow up never knowing any different, and will know you've always been honest with them, so there shouldn't be issues regarding rejection. We've told our immediate families, so that when they are old enough to talk about these sorts of things, our families can respond in a positive way, and will hopefully reinforce just how wonderful and special they are.
It's not the easiest decision to make, but once we made it it all gradually just fell into place in my head and it feels normal to me now, too!
X

 

[Rainbow123]

Btw, for my part I think it is important to try and think positively. Happy hormones are the best medicine in my book! I think azoospermia is such a shitty situation to be in, that even having a 15-25% chance each cycle (as you have with DIUI) it is a massive increase in chances compared to 0%, so I personally consider that a good chance, however that is only my opinion!
Coming on this thread and having such positive support really helped me through my darkest days. Thank you so much to all you lovely ladies who helped me get to where I am today without having a nervous breakdown!
XXX

 

[Rainbow123]

Good luck with your FET Canadianmaple! XXX

 

[tulip11]

Unfortunately Tulip it seems that sometimes azoospermia has no explanation. My DH is the same as yours - no visible obstruction, slightly elevated FSH and smaller than usual testicles. Sadly, despite having complete investigations into it, we just had to live with the fact that we won't ever know what caused it. What are your next steps?

Hopeful - With regards to DS, a lot of professionals recommend you to be as open as possible with the child about where they came from. This way, they grow up never knowing any different, and will know you've always been honest with them, so there shouldn't be issues regarding rejection. We've told our immediate families, so that when they are old enough to talk about these sorts of things, our families can respond in a positive way, and will hopefully reinforce just how wonderful and special they are.
It's not the easiest decision to make, but once we made it it all gradually just fell into place in my head and it feels normal to me now, too!
X

thanks. They told us that after this they will refer us to fertility unit . I am completely down.

 

[Rainbow123]

Oh Tulip, I'm sorry you are feeling so down. I hope you don't have to wait too long until your fertility unit appointment comes through. Did they give you any idea about how long it would be?
XXX

 

[babadespls]

Update :
Just got back from my husband scrotal prostate testies internal detail ultrasound. They found no obstruction everything is normal. He had testies ultrasound before as well according to that testies size is normal but today in ultrasound they found that left testie is sslightly smaller than normal while right is of Normal size.. as I mentioned earlier hubby fsh is 13.2 . Everything is normal apart from higher fsh and slightly smaller left testicle. I am completely hopeless now I was thinking if there could be any obstruction find out that would be much great but now almost everything is normal then what could be the reason?

Hi Tulip,

My husband has the same as yours, elevated FSH (20.8) slightly smaller testies, everything else is normal. As far as I understand if there is an obstruction FSH wouldn't be elevated, as it gets elevated because there is little or no sperm production Its so frustrating and I too am feeling flat, but I have read about successful sperm retrievals even with elevated FSH levels, so I'm holding onto that!

When I'm down I read this ladies success story and it keeps me a little more positive for a while.

https://www.ivfworld.com/topic.php?id=117982

 

[tulip11]

Oh Tulip, I'm sorry you are feeling so down. I hope you don't have to wait too long until your fertility unit appointment comes through. Did they give you any idea about how long it would be?
XXX

Nope they didn't tell us anything . but yes our current dr once said that once you are done up with all tests then we will send you both to fertility clinic in Sheffield but i am thinking that when there is no sperm in sample till now so how they could send us both for fertility treatment ? thanks for your support this means alot to me . congratulations I saw your sticker have H&H 9 months.

 

[tulip11]

Update :
Just got back from my husband scrotal prostate testies internal detail ultrasound. They found no obstruction everything is normal. He had testies ultrasound before as well according to that testies size is normal but today in ultrasound they found that left testie is sslightly smaller than normal while right is of Normal size.. as I mentioned earlier hubby fsh is 13.2 . Everything is normal apart from higher fsh and slightly smaller left testicle. I am completely hopeless now I was thinking if there could be any obstruction find out that would be much great but now almost everything is normal then what could be the reason?

Hi Tulip,

My husband has the same as yours, elevated FSH (20.8) slightly smaller testies, everything else is normal. As far as I understand if there is an obstruction FSH wouldn't be elevated, as it gets elevated because there is little or no sperm production Its so frustrating and I too am feeling flat, but I have read about successful sperm retrievals even with elevated FSH levels, so I'm holding onto that!

When I'm down I read this ladies success story and it keeps me a little more positive for a while.

https://www.ivfworld.com/topic.php?id=117982

Hi
We both are in similar boats. its extremly hard journey for all of us.. hope to get some fruit at end. wish you lots of best wishes and success. thanks.

 

[Rainbow123]

When you go to the fertility clinic they will probably talk to you about a sperm retrieval for your DH, and hopefully be able to give you an idea about success rates for finding sperm. They will want to check you over too, using blood tests and a test to check your tubes function normally. This will help them to make the best suggestions for your treatment. I hope it doesn't take too long for your appointment letter to come through. It's rubbish when you live your life each day just wishing to see that little brown envelope waiting on the mat when you get home from work. XXXXXX

 

[tulip11]

When you go to the fertility clinic they will probably talk to you about a sperm retrieval for your DH, and hopefully be able to give you an idea about success rates for finding sperm. They will want to check you over too, using blood tests and a test to check your tubes function normally. This will help them to make the best suggestions for your treatment. I hope it doesn't take too long for your appointment letter to come through. It's rubbish when you live your life each day just wishing to see that little brown envelope waiting on the mat when you get home from work. XXXXXX

yes thats exactly what i think hun. yes so true and specially when everyone around you gets pregnant so easily and even though whenever i go out for shopping those lil new born clothes makes me cry and yeah waiting for next appointment is quite hard as well .

 

[Miraclbaby]

Update :
Just got back from my husband scrotal prostate testies internal detail ultrasound. They found no obstruction everything is normal. He had testies ultrasound before as well according to that testies size is normal but today in ultrasound they found that left testie is sslightly smaller than normal while right is of Normal size.. as I mentioned earlier hubby fsh is 13.2 . Everything is normal apart from higher fsh and slightly smaller left testicle. I am completely hopeless now I was thinking if there could be any obstruction find out that would be much great but now almost everything is normal then what could be the reason?

I m Sorry for you tulip A smaller left testis can be a side effect of varicocele on the left side. But you just came from ultrasound and they would see it. My husband had it he got it removed. The size of his testis changed. BUT still no sperm. Just waiting for our mTESE now...Sometimes there is no explanation...but hopefully a fertility can explain more to you.

 

[tulip11]

Hi

I have a question which couples needs IVF and which couples needs ICSI or IUI? I have a lot of confusion regarding this .

 

[rdleela]

ICSI with IVF is needed with a really low sperm count, or in azoospermia cases with only a few sperm. It's because they literally inject one sperm into one egg to create an embryo in a petri dish.

With IVF without ICSI, the man has a high sperm count, and they "wash" the sperm and put a ton of sperm in each petri dish with the egg, and let the sperm naturally penetrate the egg and fertilize.

IUI is only good for a high sperm count, because they "wash" the sperm, and inject the sperm into the women with the hopes of the sperm finding the egg in the fallopian tubes. So this can be done with donor sperm because donor sperm usually has a high sperm count.

 

[bubumaci]

ICSI will also be used (as opposed to IVF) where the motility of the sperm is poor - i.e. can't swim to and penetrate to the ovum by itself.

Another situation in which IUI may be used, is when the sperm of the man is healthy (and plentiful) and the woman's ovulation is controlled (maybe usually, the woman has issues with ovulation and the follicle growth and ovulation are supported medically). Also, many clinics will try IUI before moving forward with IVF where there is no explanation for pregnancy not occurring naturally - just to give the sperm a better "chance" - when that doesn't work (and there are no indications that ICSI is necessary because of male fertility issues), then they will move on to IVF ...