Wednesday, November 28, 2007

Inter-uterine Insemination

The day is drawing near for our impending IUI. We went ahead and did half of the dose of Clomid, and I will finish that tomorrow. I will start OPKs Friday and most likely have an ultra sound to check the follicles on Monday. If there are less than 4 developed follicles, we will go ahead with the HCG injection and have the IUI on Tues or Wed! The closer it gets, the more excited I am, but also the more nervous I get. The risk of multiples is actually higher with IUI than it is with IVF. I am so torn about my feelings of multiples. I have prayed so long and so hard for a child, I feel if God gives me three then I should be thankful because I wanted to be pregnant. However, I really want this pregnancy to enhance and enrich our current family and if Mommy got pregnant with 3 or 4 I just don't feel that would be best for our kids. I know it is a risk that you take when you are dealing with fertility treatments. At this point, I guess it is a risk that we are willing to take.

Rich did have his repeat sperm analysis and the results are below:
January sample:
Motility (how fast/straight) 50%
Morf (how normal of shape) 77%
Count 45 million

Early November sample:
Motility 31%
Morf 79%
Count 8 million

Repeat sample two weeks later:
Motility 50%
Morf 80%
Count 18.4 million

She said that they consider 20million a normal sample so the IUI is a very good thing to do for the next step. She said that for the IUI they will do a s/a before they "spin out" the bad guys and then another one on the sperm after the "spin out". I'm relieved that things look better.

So I will post with details of the IUI as it gets closer! I just can't believe that we are doing this!!!!

Here is some FAQ about IUI... http://www.fertilityplus.org/faq/iui.html

Friday, November 09, 2007

A few updates to report


Since the surgery there have been a few updates, but nothing to exciting. I did see a neurologist about me leg and I have Femoral Nerve Neuropathy. Basically that means that the nerve was damaged during the surgery. He was confident that it would continue to improve, and said that things should be back to normal in about 6 months or so. That is about what I had expected.

Rich and I went last week to have our ASA test done. Here is the technical information:
Anti-Sperm antibodies (ASA) is a test to assess the presence and level of antibodies against sperm components both in the male (direct IBT) and female (indirect IBT). These are two separate tests using two different specimens: semen from the male and blood or serum from the female. Both tests provide a reliable test to evaluate the cause and the reasons for infertility.
Clinical Significance and Test Methodology
For the male, the test is a direct immuno-bead assay that checks the presence of auto-antibodies directed to the sperm, including two Lg. classes: immunoglobulin G and immunoglobulin A. If excessive amounts of anti-bodies are bound to the surface of the sperm cell, they may mask receptors or other functionally important proteins, interfere with mobility and the sperm-egg interaction and thereby reduce the potential for successful fertilization. A positive test result may indicate of past exposure of the male reproductive system to his own immune system in the course of injury, inflammation or past vasectomy.
For the female, the test is an indirect immuno-bead assay and will measure antibodies to the sperm cells in the woman’s serum, including as above, Immunolglobulin A (or IgA) and Immunoglobulin G (or IgG). Such antibodies would interfere with the ability of the normal sperm to move up the female reproductive tract and fertilize the egg.
Our test came back negative, which is good. They did run a sperm analysis at that time and that was not so good news. Rich’s count was over 45 million in January, and last week it was 8 million. That is considered infertile. He has to go back in two weeks for a re-test. The RE still want to go ahead with the IUI in December. If do that it will be done in about 3 weeks. EEEEK!! I did ovulate on my own this month, so that was good to see. We will have to make a decision if we want to use Clomid next month to stimulate multiple follicles and produce multiple eggs. We’re not sure on that yet. Stay tuned, I will update more as information becomes available!