Wednesday, January 21, 2009

Fertilization Questions

The nurse just called with Tom's sample results. He had 114 million spermies with 68.5% motility. I am super happy about the count, but what is with the motility? It's still higher than normal, so she said we have nothing to worry about. They froze two vials and will keep them for 5 years.

I am trying to decide whether we should do fertilization or ICSI. Fertilization is where they put a bunch of Toms sperm in a dish with the eggs and let it fertilize naturally. According to my paperwork, fertilization works in about 65% of cases. ICSI is where they pick one sperm per egg and inject that single sperm. The paperwork says it is about 75% effective but has an increased chance for birth defects.

When I met with my doctor, we thought fertilization was right for us. We have never had a problem with Tommy's sperm counts. Now I am second-guessing myself. Any opinions would be appreciated! I may leave it with the doctor to try the fert. first and if its not very successful to go ahead with the ICSI. This also is depending on how many eggs we have to work with. Decisions, decisions..

I also wanted to see if there are any "secrets" to having those embryos stick. I have heard of eating McDonald's in the morning. I will gladly eat that greasy food! I have also been told to eat pineapple during the waiting period. Anything else, ladies?

I neeeeeeeeeeeed this to work the first time.

14 comments:

Ashley said...

The doctor told us we had to do ICIS. I'm not sure what you should do. ICIS is 1000 more for us. Good luck with the decision!! I heard about that pineapple thing too and about drinking LOTS of water.

WantWait&Pray said...

I would leave it up to the Doctor. Most likely, ICSI wouldn't be necessary but I would let them decide. We had planned to ICSI only half of ours and ended up having to do ICSI on all because my dh's sperm couldn't and wouldn't fertilize. So, I am so happy we left it up to our Dr.

Mrs. Hammer said...

Any motility rate over 60% is great and you have a great sperm count set aside. I might lean towards fertilizing naturally if I were you. But if they have the option of seeing if it will fertilize first and use ICSI if needed then it's a good back up. There really is no way of knowing if your eggs are too hard for the sperm until they put them in the dish together sooo...

I don't know about the McDonald's thing but I do know that the core of the pineapple is the best part and don't drink any caffeine.

Tiffany said...

We too thought we didn't need ICSI, counts were always fine. IVF #1 = 9 eggs, 4 fert
IVF #2/ICSI = 6 eggs, 5 fert
IVF #3/ICSI = 13 eggs, 12 fert

We found that spending the extra $ helped a lot in our case even though the doctors thought it wasn't needed.

Dan and Gretchen said...

I would most definitely recommend ICSI, there is much higher success rate (as far as fertilizing goes).
No real tips for getting the embryos to take, other than follow the Dr.'s bed rest orders and then take it easy thereafter until you have your blood work.

ASHLEY said...

THANKS FOR STOPPING BY MY BLOG...I WISH I COULD HELP BUT I DON'T KNOW ANYTHING ABOUT WHAT YOUR HAVING TO GO THROUGH....I DO HOPE AND PRAY THOUGH THAT YOU WILL GET YOUR BABY WITH THIS FIRST TRY. GOOD LUCK!!!

Mrs. Hammer said...

Thanks for the comment and if you ever want to learn how to knit check out www.knittinghelp.com which has videos of everything basic. It's bailed me out a few times already! I really want to learn how to make baby booties - it's silly I suppose but also kinda cute :)

twondra said...

As you may remember, I had a bad experience with my IVF. They thought the ICSI may have helped, but it might not have. Personally, I'm not willing to take the risk and I will definitely be doing ICSI.

I've heard about the pineapple. I've also heard acupuncture helps.

I Believe in Miracles said...

I would say not drinking any caffeine or alcohol prior helps. I was told to lay off while on the sims and definitely afterward. Haven't heard about the pineapple, but have heard good things about acupuncture.

With regards to ICSI, I was told you had to decide at first and there wasn't a window of "wait and see". Personally, I'd let the dr decide. They know best. The birth defects haven't really been proven since ICSI is such a new procedure, but when you sign the consents they give you a percentage and it's really low. Some centers do it automatically because there is a better fert rate, while others will do a half and half and some let you decide. We ended up having it on all eggs (I personally would have liked to see if the natural would have worked) and it turns out that we only had 3 at the time of the transfer (from 14). It could depend on the # of eggs at the ER, their maturity, the sperm sample at the time of ER... so I'd say have it as a plan, but let the dr decide what he thinks is best.

Sorry for the long comment.

~~HUGS~~

Stephanie said...

I dont have any answers, but I can send my prayers. I sure hope that this works for you both!
Come on little peanut!!

The Patterson's said...

Thanks for the comment...yes, I am in IL, too. We are prepared to do 1/2 regular fertilization and 1/2 ICSI...that's if I can convince my husband that we need to freeze the first time. Good luck!

Tiffany said...

I did the Mickey D's breakfast, pineapple (which I am VERY tired of right now), and acupuncture with herbs. OHHHH and the kicker this time was a Whey protein shake each day during stims. I get my whey at TJ's.

Its A Corny Life... said...

I ICSI-d all of mine, but I was a poor responder and only had 4 eggs at each retrieval. Personally, if I had a lot of eggs to work with, I would probably go half and half, less than 10 or so, and I would definitely ICSI all of them. I would be devastated to get that far and have none fertilize on their own. Have they talked about assisted hatching too? We did assisted hatching on all of mine as well.

The Rileys said...

My husband had great numbers & motility, but his morphology was an issue so our doctor recommended ICSI and we ended up transferring two and have a wonderful son. I did not do anything special other than the recommended massage & accupuncture. After IVF we were looking at a large amount of money and are very happy that we decided to spend the extra to do ICSI...what is an extra $1k, when you have spent over $20K was our thinking. 10% better success rates may not sound like much, but they may make a difference.
Stay positive and we will be praying for positive results for you!