IVF Take Three

Well, a lot has happened since my last post on this subject. I started a draft post mid July, but let that sit so long it's woefully out of date. So here's what's going on...

We went to the consult with the new doctor. We thought it would be a straightforward deal, just getting the details down for a try with my sister in law as the carrier. The doctor presented us with some options to mull over, though, including using donor eggs since my wife is now over forty. We went home and after a bit of hand wringing my wife decided that this is our last chance to have her own child so we would go with her eggs this time. Her sister is several years younger so if she's still willing we could try again later with donor eggs or adopted embryos. (Probably the latter since we're both not entirely comfortable with a child being from one of us but not the other, but would be fine with adoption if it weren't such an ordeal.)

Anyway, the protocol is underway. My wife is in the stimulation phase and will probably be ready for the retrieval in a week or so. Meanwhile my sister in law is primed for the transfer and waiting. (She has it easy: instead of shots she gets to use vaginal suppositories.)

We also got some good news today. My sperm numbers have improved greatly. The motility is greatly improved and the morphology is at 4% normal. The best morphology I've gotten in previous collections was 1%. I've been taking coenzyme Q-10 and vitamin E supplements most nights with dinner for the past month or so, the E for a bit longer. I don't know if that's what's made the difference, but my numbers are all at or near the minimum levels to be considered "normal" and I intend to continue. We both will be increasing our exercise as well to get in better shape, given that we now have an off chance of getting pregnant on our own. (It would be really crazy if she and her sister were both pregnant with our babies at the same time.)

I do believe we'll be having more sex. We've been off it for a bit. The low sperm counts & quality have been a bit of a downer, and it's hard not to think about it when you're thinking about sex. It just gives the whole thing a feeling of futility. Now, though, that load is lifting and we're both excited about it. I'm not sure when or if I'd be having any more analyses done, though, so there's a danger of uncertainty undermining that feeling if much time goes by with no luck that way. I guess we could always request an analysis.

With the numbers improved my wife asked the doctor if we were in IUI range now, and he said yes. I don't know if we'll do that, though. I read about a study recently that indicated that in cases of unexplained infertility using IUI (artificial insemination) or Clomid (to stimulate egg production) work no better than increasing the frequency of sex. Of course, you might say our infertility would be explained by my low counts & quality, but that in itself in unexplained, as is the fact that we've had three transfers of decent numbers of decent embryos with none implanting. I guess we'll see.