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Doctor insights on: Iui Vs Ivf Male Factor

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Icsi or IVF suitable for low sperm count and motility?

Icsi or IVF suitable for low sperm count and motility?

Yes: If you have exhausted all avenues including your mates . She may be very fertile or not if not then icsi and ivf can be a treatment but it can be very expsensive. ...Read more

Dr. Deborah Smith
298 doctors shared insights

Intrauterine Insemination (Definition)

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


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Azoospermia with 40 million count & 25% motility. Plng to for ivf with donor eggs. Which is the best? Is ivf or icsi? Which has highest success rate

Azoospermia with 40 million count & 25% motility. Plng to for ivf with donor eggs. Which is the best? Is ivf or icsi? Which has highest success rate

Low sperm count: Low sperm count is actually oligospermia. Azoospermia means NO sperm. With that said IVF's most complex and expensive option is ICSI but it does have a high success rate. ...Read more

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Mild Azoospermia with 40 million/ml prgress-A grade, 25% motility & 12% morphology Plng to for ivf with donor eggs. Which is the best? Is ivf or icsi?

Mild Azoospermia with 40 million/ml prgress-A grade, 25% motility & 12% morphology Plng to for ivf with donor eggs. Which is the best? Is ivf or icsi?

Unclear...: Your reported findings of semen analysis is reasonable; azoospermia denotes no sperm in semen at all. Have you & sex partner been evaluated for contributing factors for infertility yet? Generally speaking, some 50% of infertility result from female factors, some 30% from male factors, and 20% from both sides. So, ask treating doctors more before considering IVF or ICSI. ...Read more

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I'm 32 with no problems, male factor is 2% morph trying to conceive for 14 months. Had our 2nd IUI with 50 Clomid (clomiphene) neg. What's next step? Iui or ivf?

I'm 32 with no problems, male factor is 2% morph trying to conceive for 14 months. Had our 2nd IUI with 50 Clomid (clomiphene) neg. What's next step? Iui or ivf?

Depends: There are many different factors that goes into account when deciding about the best fertility treatment and it can't and should not be answered by simply advising yes or no ivf. I would suggest however to look into the possible underlying causes for the low morphology and try to improve it (if at all possible )before your next fertility treatment . Good luck! ...Read more

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What is success of IVF with amh .45, fsh 7.8, LH 5.6, and 7-9 follicles total at age 28?

What is success of IVF with amh .45, 
fsh 7.8, LH 5.6, and 7-9 follicles total at age 28?

Pregnancy: It is difficult to put a number for what your success may be. These tests also are not predictive of pregnancy rather your response to fertility treatment medications during ivf. Your chances may not be as high as someone your same age with normal ovarian reserve. However, your age places you at a high chance in general. Good luck. ...Read more

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Will stop smoking improve sperm quality for 36yo male with noa due to y chromosome azfc microdeletion? Plan for 2nd icsi.

Will stop smoking improve sperm quality for 36yo male with noa due to y chromosome azfc microdeletion? Plan for 2nd icsi.

Not my table: This is a highly complex question, and should be best posed to both the geneticists and the reproductive endocrinologists who are likely already involved in your care. However, in general, cigarette smoke impairs sperm motiity and function, and stopping improves it. Whether it makes a difference with your genetic abnormality, I have no clue. ...Read more

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Husband, 36yo, has noa, y chrom microdeletion. Mesa result = 5sperm per hpf. For icsi, should use fresh or frozen? Prev icsi failed. Mesa-et = 30days

Husband, 36yo, has noa, y chrom microdeletion. Mesa result = 5sperm per hpf. For icsi, should use fresh or frozen? Prev icsi failed. Mesa-et = 30days

See below: Your husband's condition is unfortunately difficult, and while you may be fortunate, icsi in your case has a rather high risk of being unsuccessful. Have you considered donor sperm or adoption? Good luck. ...Read more

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Statistically, how successful is IVF with the male partner being a Cystic Fibrosis carrier? Testicular biopsy shows active spermatogenesis.

Statistically, how successful is IVF with the male partner being a Cystic Fibrosis carrier? Testicular biopsy shows active spermatogenesis.

Your question: You will probably have intracytoplasmic sperm injection or ICSI and this technique has a pregnancy rate of about 40%. The child has a risk of having CF of about 0.5%. ...Read more

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3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

Cervical cryo?: In the same cycle as an fet? That would not be acceptable in the United States is all i can say. Or are you asking about another form of cryo? ...Read more

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40yrs.Old, pcos, 1st IVF cycle w/genetic testing. Four day 5 embryos - all chromosomally abnormal. Worth another try? 39 eggs were retrieved, 19 fert.

40yrs.Old, pcos, 1st IVF cycle w/genetic testing. Four day 5 embryos - all chromosomally abnormal. Worth another try? 39 eggs were retrieved, 19 fert.

Talk to the prenatal: Genetic counselor at the fertility clinic. Age-related odds are greater than 50% that each of your embryos has aneuploidy, an abnormal number of chromosomes, many of which either won't implant or wion't be carried to term. Age-related risk of having a child with autistic spectrum disorder is also high. Discuss options with your tac doctor to make an informed decision. It's a personal choice. ...Read more

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Frozen sperm. Fresh eggs. Both proven donors. Nulligravid 42 yo woman. Odds of conception after et with 3?

Frozen sperm. Fresh eggs. Both proven donors. Nulligravid 42 yo woman. Odds of conception after et with 3?

Very good: The odds are excellent as long as all other aspects of your workup have been negative. Pregnancy rate with 2 embryos can give a 70% chance. Replacing 3 embryos in this situation would not be suggested as long as the egg donor was 21-28. Most donors are not accepted over 30. The risk of triplets is quite high and would cause significant obstetrical issues such as prematurity, decreased fetal size.. ...Read more

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Does acupuncture help with success in IUI procedure? I am a PCOS patient no male factor.

Does acupuncture help with success in IUI procedure? I am a PCOS patient no male factor.

I do not practice: fertility acupuncture. However acupuncture is reported to be helpful with intra-uterine insemination. ...Read more

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What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?

Inflammation: Endometriosis is an inflammatory disease. Ivf avoids the problems with fertilization and egg transport, but there absolutely still could possibly still be issues with egg quality and with implantation. ...Read more

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My husban sperm count 60% motility 99 .Is it okey for intra utrine insemination ?

My husban sperm count 60% motility 99 .Is it okey for intra utrine insemination ?

Yes: Generally with iui, after the sperm sample is washed (where you separate sperm from semen), you should have at least 5 million total motile normal sperm to inseminate into the uterus (iui). Statistics show that less than that result in much lower pregnancy rates. Good luck. ...Read more

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Can patient undergo ovulation induction using gonal f (follitropin alfa) while using HRT mainly femoston 2/10 mg?

Can patient undergo ovulation induction using gonal f (follitropin alfa) while using HRT mainly femoston 2/10 mg?

Doesn't make sense: In most cases this would not make much sense, although it could depend on 'why' and 'how' the hrt was being used. Estrogens such as in hrt are sometimes used in stimulation protocols with gonadotropins (such as gonal f, (follitropin alfa) ) an oral progestin would be an unlikely element of most protocols. ...Read more

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What is the percentage of success for a boy using IUI for gender selection. It is done on ovulation day. Sperm motility is 94 percent & prg. Occured?

What is the percentage of success for a boy using  IUI for gender selection. It is done on ovulation day. Sperm motility is 94 percent  & prg. Occured?

50-50 if pregnant: Without ivf with preimplantation genetic testing or microsort (that i believe is no longer available) sex selection procedures are generally ineffective in choosing the gender of your child. ...Read more

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How many eggs can be retrieved (average) on 150ml gonal f (follitropin alfa) per day for mid ovarian reserve woman age 32 with endometriosis?

How many eggs can be retrieved (average) on 150ml gonal f (follitropin alfa) per day for mid ovarian reserve woman age 32 with endometriosis?

Very difficult to : Say exactly. Not knowing anything about your history makes this difficult but in general we start with 225 total units of gonadotropins and in a 32 year old with endometriosis the range is wide: 0-15. I am not a fan of giving a precise number becuase there are so many variables involved... ...Read more

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Gm my sperm count is 4m rapid speed is 2% morphology 6%.24 sperm survival test is nil.can I go for Icsi.we had 2previous failed Icsi.

Gm my sperm count is 4m rapid speed is 2% morphology 6%.24 sperm survival test is nil.can I go for Icsi.we had 2previous failed Icsi.

Recommend more testi: Very important to get tested for DAZ genetic test that looks at the areas of the Y chromosome that is important for sperm production and fertilization. Also would get chromosome tested if previously not done so. Other test for males include the DNA defragmentation assay and evaluation of free reactive oxygen species in the Soren sample. And in the blood for male, thyroid and prolactin hormones. ...Read more

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Is IUI success higher with 3 follicles?

Yes: Since you have more chances with more numbers, the success rates increase with more follicles but so do rates of multiple pregnancies. All the best to you! ...Read more

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Dr. Andrew Seibert
3 doctors shared insights

Ivf (Definition)

In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more


Men (Definition)

Men are adult members of the male sex. The acropnym men also stands for multiple endocrine neoplasia, a hereditary condition that involves benign and malignant tumors of various glands. There are two main types, men ...Read more