Seven Months Post-Op Visit

We visited with Dr. B(alls) a while ago about Wisehubby's latest semen analysis at his seven month post-varicocele repair visit. The news was mildly more encouraging than last time. Wisehubby's numbers have bounced in most of the major categories into a normal range. Only his morphology is holding on at a big, fat goose egg.

As a reminder, morphology is the shape of the sperm and is important because it can effect the sperm's ability to penetrate reach and penetrate the egg. A man only needs his normal count to be 4% or greater to be considered fertile, so the standard is set pretty low. Unfortunately, 0% normal morphology is considered to be just about terrible; you get a "Do not pass Go; report straight to IVF with ICSI" card when those are your results.

Dr. B(alls) counseled again that we be patient, as we were seeing improvement in Wisehubby's numbers, but the wait is not too far off at this point. He is hopeful that we may be able to get Wisehubby's normal morphology up to .5% or even 1%, which could mean less painful, invasive, and expensive ART treatments. How great would it be if we could do an IUI instead of IVF with ICSI?

We're not really hopeful that things are going to get much better; we are prepared mentally, emotionally, and financially for another round of IVF.  However, the increase in the rest of his numbers does at least make us feel as though the decision to pursue the varicocele repair was the right one. As Dr. B(alls) pointed out, science does not yet know what makes the inside of one sperm more viable than another when creating an embryo. Since we were able to improve quantifiable things about Wisehubby's little swimmers, then maybe the crazy mutants are healthier now than they used to be! This could help us have a more successful batch of embryos; we might even get to freeze a few. This could also help the transferred Wisebabies implant successfully, something that did not happen with our first round of IVF.

All in all, we are in a better place now than we were in a year ago. Yes, IVF is still looming on the horizon, but we're older, wiser, and varicocele free.