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[quote=Anonymous]We've been doing IVF for several cycles.  DH has significant male factor - low on # and motility, morphology has ranged from 0-4%, and elevated % fragmentation (but not really bad).  I am over 40, but have good #s and get 10-13 eggs per retrieval.  Even still, we're aware that the number of "good" eggs is probably low.

I'm getting mixed messages about how much of a role the male factor plays.  One urologist/clinic says so long as we do ICSI (which we always do), it's not a factor.  Several other REs have brought up donor sperm (not being pushy, but fulfilling their ethical obligations to inform us of options) and cite the fact that we have lost all but a very small # of embryos between days 3 and 5.  Apparently, that can be caused by male factor?  Fertilization rates have been normal, as have the # that get to day 3.  Pretty much everything has pooped out prior to reaching blast.  We are going to another urologist for a second opinion to see if we can do anything else to help (he doesn't have structural issues or any genetic condition, or even low testosterone, so I'm not that hopeful).

I'm comfortable in my understanding of the egg issue, and I even feel reasonably comfortable that we're doing what we can to address the male factor issue, but I don't feel like I have a particularly good understanding about how much or little of a role male factor plays in IVF outcomes and would love to hear from others with relevant experience.

Thanks![/quote]

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