Ivf or ICSI?

[XjustagirlX]

We have just had our call with our ivf consultant. We found out today that my DH has high dna sperm fragmentation at 33%.

So we assumed ICSI would be the best option.

We are trying to decide if ivf would actually be better as it’s more natural selection instead of picking out a good looking sperm.

Also I have issues as well being coeliac, thinish lining, high nk cells. And we have had 3 early miscarriages last year.

What do you think the best option is ivf or ICSI? Our consultant said there are pros and cons to both.

Hi @XjustagirlX
Ive just don't my first round of ivf and have a similar journey to you. I've got aggressive nk cells and had 5 losses now (sadly my ivf round ended in a chemical pregnancy).

We did ivf and 3 eggs fertilised and all 3 made it to day 5 (one top quality and 2 good quality embroys). We were told that if my dh's sample on the day wasn't great, they'd do icsi, so I was under the impression that it wasn't our decision (and we weren't asked our preference). But we haven't done dna fragmentation tests with dh - are the embryologists able to tell which ones are fragmented?

Are you on an immune protocol too? I'm was on hydroxychloroquine, prednisolone, intralipids, clexane, aspirin and utrogestan. X

ICSI won't help with dna fragmentation as fragmentation isn't something that's visible under microscope - your DH will need need to take supplements for 3-6 months to try and bring the fragmentation level down x