hi again keziah.
We are on schedule (so far) for IVF in February. Not NHS funded, although done through an NHS hospital. I'm too old for funded cycles. I had an AMH test privately a little while ago, and I've been told that my egg reserve and DH's sample make us candidates for IVF. What we will only know on the day my eggs are removed, is whether my egg QUALITY is good enough for IVF, and we may still have to go ICSI if it isn't.
My DH phoned the consultant embryologist again today (more than 20yrs experience) with even more questions. I want to share this with you because we've been told this is quite a rare problem (although, from what I've read, common if you have a vasectomy reversal).
He asked about pre-seed, and whether it would help or hinder. She looked it up online and said she thought it was fine to use it, but couldn't say whether it would improve things. She didn't think it would do any harm.
We asked how often we had to SWI. I'd read that if men with antibodies ejaculate more frequently, that the antibodies have less time to cling on to the sperm, so we were thinking maybe SWI twice on peak days... The embryologist just said regularly through the month - wasn't too sure on this one. But I have read that long periods of abstinence allow the antibodies to build up, so my DH is on instruction from me to 'sort himself out' if we're too tired to DTD.
She also told DH that antibodies could be worse in his next test, or even could be better. She said she'd seen cases where they seemed to be one-off 'episodes' as well, and the antibodies disappeared to never come back again! I read online last night of two cases in the fertilityfriends forum where exactly that happened: two couples were told they had antibodies and were devastated, only to find in subsequent tests that they'd gone away.
She thinks IUI is an option for us. Under normal circumstances, she said they would tell people there wasn't a huge difference in success rates between IUI and doing nothing for couples who have 'unexplained infertility' (there was a huge study on this - I thnk I've told you about before). But in our case, because the sperm is 'washed', she thought it was an argument for trying IUI. That, plus the fact that my DH has 50% without the antibodies, and a reasonably good count, made her think it was worth a shot. We will have to do this privately, and it'll cost us about £450. DH really wants to give it a go, so we're seriously looking into it. To him, it makes sense.
She told my DH that his antibodies were mostly on the tail, which was 'good news' because antibodies on the head can prevent the sperm penetrating the egg.
She thinks with DH's count - even with 50% antibodies - that it is still worth us trying naturally, and she thinks it could happen. But we're going IVF anyway because of our age, but will try naturally or IUI in the meanwhile.
She then told my DH that we were 'young', to which he immediately said we were not!! But she said in her mind we were, because we were educated and therefore probably taking care of ourselves, didn't have a history of heavy drinking, smoking, drugs etc - all of which makes a difference. So that was nice to hear even if I still think I am old.
I also contacted a nutritionist again today with the news ... lots of info from her too and a cocktail of stuff for DH, but I'll share that in another message if you're keen to know more about this. My thinking here is to boost his count as much as possible, and , as I seid in a previous post, we've seen seen a significant positive imporvement in his results since he started the vits in last five months.
AND, we're waiting for a call-back from a TCM guy that DH knows very well. He's superqualified and decades experience - we're going to explore TCM with him for DH if possible, and will let you know what he says. I've read that 'tai-boi' has been shown to help antisperm antibodies ... I don't know yet, need to see what our friend says before doing anything like that just yet.
One thing though - I was told by the FC to stay away from TCM during IVF because they didn't know how these interacted with the drugs... so I am!
...whew... long post.... but I am on a marathon of trying to do things to help us get through this. Will share info all the way if you're interested.
Empathetic hug back to you. x