BabyBplease
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hello ladies I'm brand new to this site but after finding this forum decided to join. my BF is azoo and we just found out his FSH is 17.6 which def sucks! We are considering ditching the biopsy and going straight for a Micro-TESE which seems to have the best chance of sperm retrieval for this diagnosis and he's also awaiting the results of the Karytotyping / genetics tests which is supposedly the step before a biopsy.
I've basically read every study/ test/ medical paper ect I can find since I'm not working a lot these days. As for FNA sperm mapping the reason doctors like the renowned Dr Schlegel at Cornell advise against it is that it can cause potential testicular trauma and it's a diagnosis procedure which then means after you would still have to go thru the expensive Micro-Tese anyways. Schlegel studies of late have found that even a biopsy and serum FSH levels can not provide a definitive diagnosis of whether there will sperm found during the Micro-tese. So even if there is no sperm on a biopsy even with worst case Sertoli Only Syndrome there is still about a 20-30% chance of finding it with this surgery.
Mapping helps them in determining when doing said surgery where the best chance of finding these sperm would be if they did the surgery. So while it can be great in healing them find it and diagnosing it does not extract them and you risk damaging the few sperm there by puncturing the tests over muktiple areas with a fine needle. I'm not a dr by any means and just starting out of this journey so if anyone has more experience and a better understanding please correct me if I'm wrong!
The thing with all these is you have to have both the money to get them done as well as find a doctor who has had experience and success in doing so and that is where it sucks more than ever to be in this dreaded 1%.
I'm very happy to find online support and forums such as these and hope everyone is finding success our at least peace on their infertility journey it sure sucks!
It's overwhelming to go thru the 644 pages of this thread but I'm hoping to find some success stories to keep me going.
I've basically read every study/ test/ medical paper ect I can find since I'm not working a lot these days. As for FNA sperm mapping the reason doctors like the renowned Dr Schlegel at Cornell advise against it is that it can cause potential testicular trauma and it's a diagnosis procedure which then means after you would still have to go thru the expensive Micro-Tese anyways. Schlegel studies of late have found that even a biopsy and serum FSH levels can not provide a definitive diagnosis of whether there will sperm found during the Micro-tese. So even if there is no sperm on a biopsy even with worst case Sertoli Only Syndrome there is still about a 20-30% chance of finding it with this surgery.
Mapping helps them in determining when doing said surgery where the best chance of finding these sperm would be if they did the surgery. So while it can be great in healing them find it and diagnosing it does not extract them and you risk damaging the few sperm there by puncturing the tests over muktiple areas with a fine needle. I'm not a dr by any means and just starting out of this journey so if anyone has more experience and a better understanding please correct me if I'm wrong!
The thing with all these is you have to have both the money to get them done as well as find a doctor who has had experience and success in doing so and that is where it sucks more than ever to be in this dreaded 1%.
I'm very happy to find online support and forums such as these and hope everyone is finding success our at least peace on their infertility journey it sure sucks!
It's overwhelming to go thru the 644 pages of this thread but I'm hoping to find some success stories to keep me going.
I'm so sorry Gem, Thoughts are with you!
I still come on here every now and then to see what's happening even though my journey is basically over, after we found out about DH's Sertoli Only Syndrome, its been so hard, we had a huge argument about donor sperm and he wont consider it so now we never talk about it but its constantly on my mind.
DH has also been so stubborn and wont go to counselling with me through our RE's Office.
He says he wont give up on having a biological baby, and so now Im researching sperm mapping, have any of you had it done or heard of it?
Why is it so controversial?