@Bluehawaii29 our initial problem was also MF. Count 200 million, good motility but 1-2% morphology. But also even the good sperms we dying within 24 hours. So probably he has some DNA damage as well. He never smoked or used drugs and has a healthy weight btw.
In our first attempt we collected (on 150 IU Pergoveris for 10 days) 11 eggs, 9 were mature, 4 were fertilized. We did two 3day transfers with double embryos, both failed.
I did a super extensive coagulation test and uterine biopsy in between. Increased PAI-1 activity, MTHFR heterozygous gene and slightly elevated NK were found. So, I got Omegaven and Clexane prescribed.
In the 2nd round I did 200 IU Pergoveris for 9 days, 14 eggs collected, 10 were mature and they had good size (mostly 17-20 mm), 7 fertilized. We had to freeze 2 on the first day because German Embryo Protection Law does not allow us to put more than 5 fertilized eggs into long culture. So, we tried the long culture with only 5 fertilized eggs and got 3 blastocysts (1 expanded on the day5, one blastocyst on the day5 and another blastocyst on the day6), 1 morula and one 8 cell which didn't develop any further. I had to transfer the morula in Dec because I had moderate OHSS. If I have chosen not to transfer, I had to pay the full price because of stupid health insurance 🙄 it failed obviously... We had two add-ons (PICSI & Calcium ionophore treatment) in the second round which I believe increased the fertilization rate.
We transferred the expanded embryo this round and it didn't stick. Maybe it was genetically abnormal or maybe there is something wrong with my uterus...
To summarize, I think ICSI is a great thing overall and it is our only hope if we want to have biological children. Even though my consultant thinks that our main problem is my husband's sperm, I still think it is my uterus... We had good blastocysts in the 2nd round afterall.
I hope you will get pregnant this round and never have to go through this again. I keep everything crossed for you ❤️🤞