Doctor insights on:
Semen analysis: All male fertility evaluation starts with a semen analysis, and usually ends there. Men needing further evaluation may include consultation with a urologist, scrotal ultrasound, testicular biopsy, and the list goes on. For costs you need to inquire locally because they vary; in our area semen analysis is usually in the $100-$200 range. ...Read more
Intrauterine insemination (iui) is where fresh or frozen partner or donor sperm is prepared or 'washed' to increase the sperm quality then gently injected through your cervix after a speculum exam, like a pap smear exam. It should be painless or cause mild cramping only. Iui helps with mild to moderate sperm problems. Iui preparations should have at least 2 million moving ...Read more
Huge NumberVariables: including: age, person receiving, donors, those helping & their methods, food, emotional issues & the list goes on & on. All meaningful medical rates are after the fact data; not reliable future predictions. Why? The issues are far too complex & beyond everyone's reasonable understanding. Suggest studying: http://goo.gl/ubDC9h & http://goo.gl/FSjqDn for important issues not commonly covered. ...Read more
5 failed IUI with letrozole, mild endo removed by laparoscopy, one miscarriage but conceived naturally after 2 yrs. IVF next or Iui with injectables?
No more IUI: Since you've failed 5 IUIs, it is no longer a good option for you, especially for someone with endometriosis. One reason patients with endometriosis not able to conceive naturally, is because the endometriosis will cause pelvic adhesion and tubal dysfunction. IVF is a much better option. If you are afraid of using drugs, you may choose natural cycle IVF or mild stimulation IVF. ...Read more
Any IVF Clinic: Virtually every ivf clinic performs icsi. Icsi is the most important advance after ivf for treatment. Icsi should be limited to severe male factor cases where the sperm cannot get into egg without assistance. If you need it then there is no other treatment. Male factors = 35% of ivf cases but icsi used 65% nationally. Recent study highlights risks (http://1.Usa.Gov/kzpobx). Best wishes. ...Read moreSee 1 more doctor answer
So: What is your question? As a young man, what are your plans ? and what is behind your decision ? No doctor would submit to your request unless there is a VERY VALID REASON. Seek some advice............................ ...Read more
Small scars.: Unlike general laparoscopic procedures that require four _-inch or smaller incisions and can leave visible scars at all sites of entry, the spls procedure is accomplished through a single 2 CM incision through the belly button - resulting in the potential for no visible scar. Moreover, a single incision minimizes the wound pain that may accompany additional sites of entry. ...Read more
Are injectibles with IUI more successful than Clomid (clomiphene) with iui? We are thinking about doing our first round of IUI with Clomid (clomiphene) only.
Some patient groups: In some patient populations, and for some diagnoses 'yes, ' for others success rates are pretty similar. Injectible drugs always have a significantly higher chance of multiple conception than oral drugs. ...Read more
IVF: An unusual question at your age. Surely if you are seeing an obstetrician for IVF, that doctor would be explaining that to you? If you are asking on behalf of someone else, she too must discuss this with her obstetrician. There should be little, if anything, to be concerned about. ...Read more
No but related : Ivf refers to the procedures we use the remove the eggs from your body, fertilize them in a laboratory and transfer them back into the uterus. Pgd refers to testing those embryos for genetic abnormalities before we return them back to your womb. Most ivf is done without pgd but pgd cannot be done without ivf. ...Read more
What are the factors positively influencing a successful implant of the embryo in an icsi IVF procedure?
Several: Age of female most important, ovarian reserve tests (fsh, amh, afc), stimulation factors, excess embryos for freezing, number and quality of embryos, day of transfer, chromosome screening, technique of transfer, and ejaculated vs testicular sperm. Also, icsi overused, so avoid it if possible - about 2-4% higher delivery without icsi. Icsi is just the technique to inseminate the egg. Best wishes. ...Read moreSee 1 more doctor answer
It varies!: Insemination, or iui, has success rates that will vary a lot according to such factors as the woman's age, presence of endometriosis, and quantity/quality of sperm being inseminated. Also, some women do "natural cycle" IUI (no drugs), while others use fertility drugs. The success rates average about 10% per attempt (no drugs) and up to 25-30% per cycle with meds. ...Read more