"Hi Seashelly, I understand your frustration oh so well. We are struggling with what to do next, and originally had set a limit of 3 tries, but now I'm leaning toward trying stimulated IVF. I've done IUI with meds twice, and one…"
Low count sperm count
We are trying to decide between NCIVF or regular IVF for our next step. The only thing identified wrong with us is a low sperm count (12 million) which doesn't seem like a low number to me, but I'm not an expert. We have done 3 IUI's without success, and our insurance doesn't cover either type of IVF so what should we do?
Replies to This Discussion
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Permalink Reply by Dr. Andrea Reh on -
Hello and welcome to Fertile Grounds. Thank you for posting your question, it is one that we encounter frequently at our practice. Deciding between Natural cycle IVF and stimulated IVF often depends upon a number of factors. Insurance coverage (or the lack thereof) often plays a large role for many patients, as Natural Cycle IVF is about 1/3 to 1/4 the cost of stimulated IVF. If you have regular menstrual cycles, then Natural Cycle IVF is certainly an option. It is often an individual decision. Your age and your "ovarian reserve", your willingness to undergo fertility injections, and your views regarding the creation of multiple embryos often guide couples towards one treatment over another.
- Dr. Reh
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Permalink Reply by BabyOrBust on -
Hello Anonymous,
Your story sounds like mine. However, I am currently 19weeks pregnant yesterday. I am having a girl. My husband not only had low sperm count but low everything. I did not have insurance to cover IVF. I went to another fertility clinic and spent about 20K and got a negative and horrible customer service. I was devastated. I went to see Dr. D. and we discuss NC-IVF. Lemme tell you, I got a positive. To this day I still cannot believe it. Dr. Reh is correct, it depends on a number of factors. I had a very regular menstrual cycle, but I was very, very, very overweight. After talking to Dr. D. for my initial consultation he gave me a book to read and after reading it, I thought NC-IVF was for me. I gave it a shot and it was the best money I ever spent (under 5K). Dr. Gordon and Dr. Reh are also awesome. See one of them and discuss your options. I hope you get pregnant and have a happy and healthy baby soon.
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Permalink Reply by John David Gordon MD on -
Congrats! So nice to hear you are doing well!
Another factor to consider is the age of the patient. Patients over 37 may want to consider stimulated IVF given the possibility of having extra embryos to freeze and use for baby #2 in a couple of years....As Dr Reh indicated you have to look at each case individually....there is no "One Size Fits All" ...at least not at Dominion!
DrG
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Anonymous replied to Seashelly's discussion After 3 failed NCIVF attempts & 1 failed modified NCIVF, what next?
John David Gordon MD's blog post was featuredDominion Fertility SART Inspection: Great Job!
Last week we had a SART/CDC site inspection. All IVF clinics in the country report to the CDC as part of the Wyden Law passed back in the 1990s. Although a few clinics choose not to report we have always been members of SART and reported to the CDC. During the inspection over 50 charts are chosen at random and carefully inspected to make sure that we are honest and accurate in reporting our results. We passed with flying colors! Kudos to all of our staff that work so hard on this part of…See More
John David Gordon MD posted a blog postDominion Fertility SART Inspection: Great Job!
Last week we had a SART/CDC site inspection. All IVF clinics in the country report to the CDC as part of the Wyden Law passed back in the 1990s. Although a few clinics choose not to report we have always been members of SART and reported to the CDC. During the inspection over 50 charts are chosen at random and carefully inspected to make sure that we are honest and accurate in reporting our results. We passed with flying colors! Kudos to all of our staff that work so hard on this part of…See More
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Writer1969 replied to Writer1969's discussion ways to improve fertility?"Thanks for sending that, Robin."
Writer1969 replied to Writer1969's discussion ways to improve fertility?"Thanks very much, Dr. Reh."
Dr. Andrea Reh replied to Writer1969's discussion ways to improve fertility?"Hello and thank you for posting your question in Fertile Grounds. I would recommend the ASRM website as a good source for ways to optimize your fertility:
http://asrm.org/FactSheetsandBooklets/ and select "Optimizing Natural…"
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