Well, I saw the RE this morning, Dr. O. It seems that all my tests turned out fine (except of course for the fact that I’m still not ovulating), but Mike’s 2nd semen analysis results were the same as before – his sperm count is still around 1 million. He’s been referred to the urologist for further testing and to see if maybe it is something that can be fixed. It’s possible he’s just developed a blockage that can be unblocked. Hopefully he’ll get in to see the urologist soon so we can possibly get some answers.
Soooo…they’ve put us on the list for IVF. Dr. O called in the IVF specialist, Dr. L, who told me that our chances of spontaneously conceiving even if I were ovulating are extremely low. Men generally have about a sperm count of 50 million per ejaculation, so 1 million is considered severe male infertility. A couple has approximately a 25% chance of conceiving each cycle if everything is functioning correctly, so I can’t even imagine what percentage we fall into (I’m guessing somewhere between 1-5%, if that). So they’re of course not going to put me on Clomid if there is such a small chance of me getting pregnant. We can’t even go the IUI route because of the low sperm count.
Even though there is still a chance that something can be done about Mike’s low sperm count, Dr. L said that it can take about 2 to 6 months to get in on an IVF cycle, so he put us on the list now. If we do end up doing IVF, he said we’ll have to do a procedure called intracytoplasmic sperm injection (ICSI). Usually with IVF, they extract the egg(s), put the sperm and egg in a dish and let them do their thing to fertilize. Because of the low sperm count, they have to use the ICSI procedure, where they use a needle to inject one sperm directly into the egg. Dr. L said that at my age, there is probably about a 50% success rate. Luckily, because I’m in the military, it will “only” cost us about $5000 per cycle, about $5-$7 thousand less than what it usually costs. Being in the military, all I have to pay for is the lab work, not the doctor’s visit.
I’m still a little in shock that it’s gone this far. I didn’t expect to have this many problems when we first started trying to get pregnant. But of course who does, right? I think I read that about 10-15% of couples who experience infertility problems both have issues, and we just happen to fall within that. It’s shitty. I don’t really know how to explain it in any other way.
So, if anyone has any information on IVF, please feel free to comment and fill me in. I read a lot of infertility sites, but if you have any that are especially good, please point me in the right direction. I’ve only been half-heartedly reading the blogs about IVF because I never expected to have to go that route, but now I guess I have to start doing some research into what to expect.