Anyone need to have sperm aspiration for icsi post vasectomy

[mara61200]

Hi. I'm new to these boards. i was wondeirng if anyone has needed sperm aspiration w/ ivf/icsi. my husband had a vas. some time ago. then last jan we did a reversal. we thought it worked as the first s/a was low but there were viable sperm. after about 6 months nothing and i ma gettting older....38 now. so we saw an re. during the workup we found that he has nothing now. the re is very confident saying that they just aspirate or do some sort of biopsy to get the sperm out. anyone w/ this experience? is it the same day as the retrieval? is it painful??? thanks so much!! we are frustrated!!

thanks!! Mara

[taylorjools]

Hi Mara

dh just had TESE because of high levels of abnormal sperm after vasectomy reversal ( beware - his spermiogram was normal/very good, but electron microscopy a special test run by a sperm guru here in Germany showed less than 2% normal sperm). We had v low fertilisation 3/12 eggs with ICSI and I had an M/c so we had this investigated.

Now he had TESE and the samples are being checked again, waiting for the results (hopefully next week). They took enough for 6 ICSIs, under local anaesthetic . He wore a good Jock strap support for a week or so, and took lots of pain killers but was able to go back to work, if "carefully" the next day. It's hard for a guy to go through that, but compared to egg collection and childbirth it's a breeze. If you want to know more just ask...

Love and hugs

bigJ

[mara61200]

Thank you so much for your reply. Well the first test after the rrevesal showed low count, low motility , but the morphology was good. then next test was about 6months post and the count was virtually zero. thre was enuf there for icsi though. dr. had him do one more only b/c i haven't started cycle yet (starting suppression month when af arrives next week sometime so there is a small window of time to play with) and that one even w/ high powered micro was zero...so that is when they said that we would need to aspirate. that is my concern. that there wil lbe a small chance of fert b/c of the un-healthiness (not a word i think:) of the sperm. oh well. was this done at the same time as your retrieval? and what was the workup like in terms of how long did it take.....my re says i don't have to delay my cycle so im hoping he's right:)

thanks.....

[taylorjools]

Hi Mara

The chances with aspirate are very good if your clinic is experienced in the technique. If DH has kids already then the chances are very good I understand. We have been recommended TESE exactly because our prof hopes the sperm quality be higher than in the ejaculate. What we HAVE decided to do, and some might call this a bit over the top, is have PGD (pre-implantaion genetic diagnosis) just incase of abnormalities but this is more due to dh age (48) as well as the possibility of high level of superficially normal sperm that actually are not normal...because that was what was found in the ejaculate.

I am using donor eggs, so we have our TESE samples frozen and IF the test results are OK we will ship them from here (Germany) to our clinic (Ukraine) - dn't ask - it's dead complicated so my cycle is not affected atall. On the other hand the clinic in Ukraine want to do a fresh TESE anyway, and use the frozen ones as "back-up" if all works out. I understand this doesn't affect the cycle timing atall (It will affect dh willingness to walk around Kiev though )

It's all speculation though, until we get a result on the TESE sample (we know there were lots of sperm under normal microscopy, the prof has special techniques in his research programme to show more detail, he embeds the sperm in resin and then slices and photographs them under electron microscopy, claims he is the only one in Germany to do this)..then we don't know what's going on..

It's nice to find someone in the same boat, keep up the PMA, I am sure you'll be fine, and dh will be able to give you some lovely wigglies.

big hug

BigJ

[mara61200]

Hi!!

thanks for the info. it does sound complicated but as long as it all works is all that matters!! well we had a follow up w/ the re today. they are going to do the tese on the same day as the egg retrieval. i guess they said it is overall better quality so they might as well. but they aren't concerned w/ retrieving. sounds like you have everything worked out though. when is your cycle started?

intersting you mention pgd. we were thinking about doing it but our clinic said to do should have signed up before bc their lab can only handle a certain amt at any given time. anyway, long story short they are looking into whether we can do if we continue and start this cycle or may have to wait. we really really don'g want to wait. but i am intersting in pgd. for no particular reason, just my age primarily... i am 38 (almost 39). what do you think? i really don't want to wait and keep thinking i have to have an amnio anyway. i don't know. it's all so complicated....

anyway, thanks for your help though!!

Mara

[taylorjools]

Hi Mara

we are hoping for a November cycle, waiting to hear about the donor, and confirmation for go ahead from my side because of the thyroid problem.

About the PGD - yeh big decision, also reluctant to blow another €1000 of our baby budget, but the alternative started me in the face last time when I was pregnant (just before the m/c so of course the decision was solved) they sadi we should do amnio because of dh being 48 even though our donor was only 23. I guess that's the German approach. My sister in the UK just had 2 kids naturally, she is 40 so the first one when she was 38, the second with 39 (yeh that fast). They did Nuchal scans both times, and she and her hubby decided that was enough for them, even though the first one was quite borderline, and they ended up with 2 healthy babies. Her dh is just 29 though. I think most of the over 40 ladies have not done PGD either. My main reason for it is the high number of abnormal sperms we know dh has, and the fact that having had one m/c I am not sure I could face anything else - plus a pg with am/c lost me 4 months and at 42 I would rather have a cancelled cycle than go through those months of heartache again, although of course in this game there are no guarantees so we have to live with what God gives us to a certain extent don't we???

You need to kake your own decision sweetie, with dh together, I know how hard it is.

Love and hugs

BigJ

[LISA@BELLASALES]

MY HUSBAND HAD THE PROCEDURE DONE IN SEPTEMBER AND WE GOT 7 FROZEN VIALS LEFT OVER SO IT REALLY DEPENDS ON THE INDIVIDUAL.