I used to be in the 12+ months TTC group here but I haven't posted in a long time. I can't remember if I ever posted on the infertility thread.
I'm 31 and my husband is 44. We've been TTC our first together for 4 years now. We've been through 2 failed adoptions and 2 failed IVFs in that time.
The diagnosis is severe male factor infertility, unknown cause. Testosterone is normal as are FSH and LH though FSH was on the lower end of normal. There are probably some genetic tests we could do, but they are so expensive we haven't done them.
I was just browsing through the threads and GrapesBunch really inspired me!! I am SO excited for you about your husband's improved S.A. and now I think we might try clomid also.
We consulted with an infertility specialist urologist two years ago. He said my husband does not have a varicocele (just from a manual exam) which I'm not entirely convinced of. As I mentioned, the hormone tests were all "normal" but FSH on the low end of normal. The urologist prescribed Clomid for my husband, but we did some reading and saw that it can actually cause a decrease in S.A. results if it's not what the person needs. We didn't want to risk that at the time because we were moving on to IUI's and IVFs.
He has motility, morphology and concentration problems. If I remember right his previous S.A's showed around a half million to work with. But both times we did the IVF's the doctor had to stay till the middle of the night to even find enough to fertilize my eggs. The first time he found 20, and the second time he found 10 that were alive and 4 more he wasn't sure about. The first time 19 fertilized, 12 went to day 3 but none to day 5. The second time all 14 fertilized, 12 went to day 3 and again none to day 5.
In addition to my husband's issues I have hashimoto's hypothyroid with reverse t3 and low progesterone. I think I'm fairly decently medicated for both of those now, though I'd like to be on a bit higher prometrium dosage since I still spot and cramp before my periods.
I do seem to ovulate on my own. This month I did OPKs and I can't tell if I O'd day 12 or 14. Which is a *lot* earlier than I used to! I used to O day 17-20 or so. So I guess my thyroid and prometrium must be helping.
I did a little research on sperm donation a couple years ago before we moved on to IVF. Someone suggested this group for guys considering using donor sperm. It's a big group of guys who are dads through using donor sperm....everyone from guys just considering it to guys with nearly grown kids. Now, I just wish they had a similar group for the women http://groups.yahoo.com/group/di_dads/
We looked into embryo donation, but we couldn't find an affordable way to do it. It's something I think I'd probably still really like to try. But our local clinics say they never have donor embryos and on the *very, very, very* rare occassions that they do, they would automatically be given to patients who had already failed multiple IVFs. The only other way I could find to get donor embryos is by "adopting" through Snowflakes or a similar place. And in that case you have to pay them a huge amount of money for the embryo "match" plus go through a homestudy. I guess we could look back into that since we will likely be completing a homestudy for adoption anyway, but it doesn't in any way seem more affordable than IVF to me. Are there other clinics where it's a lot easier? I wonder if there are any in the Pacific Northwest?
Anne I was thinking, you mentioned severe anxiety. Have you had your progesterone tested? My anxiety generally isn't severe but I do have a bit more anxiety and insomnia when I forget to take my progesterone. Then again we all have plenty of logical reasons for anxiety without any medical reason!