IMSI experiences?

[Natw22]

After 3 failed icsi cycles with poor quality day 5 blasts I'm struggling to work out what next for us. Partner has a decent number of sperm but almost 0 percent motility and morphology. 9 months of supplements/improving diet did nothing. I have read about IMSI and wondered if anyone had any experience of it? I can see it's rated red by HFEA.

@Natw22 sorry I don't know about IMSI but has your partner seen a urologist? If not that could be the next step xxx

@Janefx40 thanks, I have considered this but he has already had an ultrasound scan before we started TTC which was fine, I'm not sure what else a urologist would do? The actual sperm numbers are ok it's just the motility and morphology that are so poor so I would assume surgical extraction procedures wouldn't be of additional benefits to us.
He doesn't drink or smoke diet could be improved I guess but otherwise there's not really much to explain it.

@Natw22 so the urologist can look for other conditions as well such as infections and variocele that can affect sperm. If your partner had either of those there are antibiotics or surgical solutions. They would also do a sperm fragmentation test that looks at the DNA of the sperm. This is information that can't be assessed in other ways. Treatment can include diet and supplements yes and also probiotics.

There are other factors of course that could be at play other than sperm but a decent urologist would have a more detailed look.

We saw Mr Ramsey in London who is excellent but of course there are others both in London and beyond.

I'm so sorry things haven't worked out with your cycles. Infertility is a tough journey. Wishing you good things for the future

Xxx

@Janefx40 thanks, I hadn't considered these aspects and will look into this. Thank you for the well wishes and you xxx