Reply to To wait on urologist or proceed with IVF?

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[quote=Anonymous][quote=Anonymous]We also dealt with male factor. My husband was diagnosed with two varicoles after he had the ultrasound. We were told that we could go straight to IVF or he could have the surgery to correct the varicoles in hopes that his numbers improved (it takes at least six months to see improvement). We went to IVF right away and my husband eventually had the surgery in hopes that we could conceive naturally (or at least try IUI) for the next baby. I am currently 30 weeks and it feels nice to know that when we go to try again, we have embroys waiting if the natural route doesn't work. Good luck![/quote]

This is correct. Even if you get in to the urologist in April, the treatment would be surgery or medication like Clomid, depending on the particular MFI issues, and would take months to schedule and/or see results. Do you want to wait that long? Another thing you could confirm is DNA fragmentation - if that's normal there's unlikely to be sperm issues that couldn't be fixed with ICSI or pICSI during IVF. This is really a personal choice - if you go forward and have a bad cycle, will you regret it? Or if you wait for possible surgery and that surgery doesn't help (it doesn't always), would you regret the wasted time? My hunch is that your 28 year old eggs are probably fabulous and can overcome a lot of sperm issues that older eggs couldn't. Unless the MFI issues are severe, I would probably just go ahead and do pICSI with IVF.[/quote]

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