Wisehubby and I had been TTC for a while and, on a hunch, discovered his severe male factor infertility--basically, he has an army of mutant sperm. I'm also mutant; I have a clotting disorder: Factor V. We were on the IVF with ICSI track, and I gave birth to a beautiful boy after IVF #2. We've tried varicocele repair, too--ugh. Our frozen embyro transfer ended in miscarriage at 9 weeks 1 day. We don't know where the quest will take us from here.

Monday, December 19, 2011

Our visit to the ball doctor, and the new plan

Our Visit to the Ball Doctor

Today we visited Wisehubby's urologist, our third Dr. B (b is for balls?), for a follow-up to months of hormone therapy and our IVF cycle. So, it has been a day filled with ball jokes, one of the only ways that Wisehubby can get past the disappointment he feels in his body. #balljoke

Surprisingly, our failed IVF was informative for Dr. B(alls). He basically said that losing so many of the embryos and having neither of the transferred embryos take means that there is likely something else wrong with Wisehubby's sperm, something that you can't see under the microscope. This poor quality is, according to his theory, what caused our early pregnancy loss and the lack of good embryos for freezing.

Dr. B(alls)'s solution is to do a surgery to close off the extra veins that are "backing up traffic"--his words, not mine--in Wisehubby's testicles. All that extra blood is super-heating and mutating his junk, so that is no good. Dr. B(alls) says that, in his experience, even if the sperm doesn't look better under the microscope afterward, the rate of pregnancy with IVF goes way up.

The recovery for this surgery takes about seven days before the pain subsides.  For optimal results, Dr. B(alls) said that we need to wait six months before trying IVF again. This, of course, bumps up against what we had talked to the male Dr. B about, which brings me to the second half of this blog.

The New Plan

After our WTF follow-up visit with the male Dr. B, we started to formulate our new plan for conceiving our Wisebabies. The male Dr. B suggested that we were unsuccessful in our IVF cycle because "there is some element of chance." He would change very little about my protocol if we were to try again. Dr. B would reduce the initial doses of stimulation drugs, and add menopur, a hormone to support stimulation, just in case. We're also double-checking that I do not have an autoimmune disorder, a precaution that required seven vials of blood.

The male Dr. B did talk with us about how to afford further treatments, since being a public school teacher is not exactly lucrative. That was very helpful.

We tentatively decided to do our second IVF cycle over our fifth wedding anniversary next June because the time seems to be right with our work schedules. This now conflicts with the proposed surgery to correct Wisehubby's rogue veins.

Luckily, Dr. B(alls) offered to squeeze Wisehubby in for surgery next week, which is the last time he'll have available to take a week off to rest post-surgery for while. That means that we'll likely be able to do our second round of IVF next July. Here's an even better scenario: Next July, we will be able to try artificial insemination because Dr. B(alls) delivered on his promise to improve Wisehubby's sperm quality.

Regardless, we've got a plan that we're comfortable with. Thank goodness we're still moving forward, because, for the last seven weeks, I've felt like I have been spinning my tires.

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