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Infertility

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ICSI with sperm retrieved after vasectomy

12 replies

ElRo28 · 17/03/2023 07:08

Hello

I was just wondering if there any success stories out there of people who did ICSI with a partner who has had a vasectomy but used sperm retrieval? I hear it's an option but not found any case studies.

Thanks!

OP posts:
Ecdysiast · 17/03/2023 11:57

I'd like to know about this too... watching this thread...

Hopingforno2in2023 · 04/04/2023 19:06

I am currently in the process of starting this so no help but also interested. Just hoping with all my might that it works.

Suzysuz · 06/04/2023 19:05

We did this - DH had a vasectomy over a decade ago, we were told there was little chance of success in trying for a reversal so we went through urologists for SSR and ICSI.
DH was under general, they tried retrieval through needle first which didn't get much, then next step is they take a teeny biopsy of the testes and retrieve what they can from there.
We got some success, it got frozen straight off and later sent to where I was having ivf (we had to sort the courier but there are a couple of specialists) with his samples defrosted to use with my eggs.
We were incredibly lucky given the retrieval and icsi, I had 2x day 5 blasto's. One is now 6yrs old 😊 and the other we tried FET but was unsuccessful.

Hopingforno2in2023 · 07/04/2023 08:59

Thanks for posting Suzy, so glad you got your lovely 6yo :)

Am really hopeful that it is going to work but trying not to get excited as I know it might not. Just want one more child so fingers crossed.

ElRo28 · 26/05/2023 15:42

Hi
Just thought I'd give an update of the process. We had to book in with a urologist that's associated with the fertility clinic for my partner to have sperm retrieval post vasectomy. We were told it would likely be TESE (where they cut into the testicles) but on the day it turned out he was able to have PESA (where they just use a syringe). He's not had too much discomfort, just taken it easy for a couple of days. 2 days later they were able to tell us he had a good amount of good quality sperm and able to be used for ICSI. The sperm is frozen and stored at the fertility clinic. Now we know the sperm is good I have to book my part in with the clinic.

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Hopingforno2in2023 · 26/05/2023 19:32

Great news EIR! Our clinic have decided to do the SSR on the same day as egg collection.

ElRo28 · 02/10/2023 18:13

Just a wee update. I've done my part now. I was on an antagonist protocol. They managed to collect 6 eggs. I was a bit disappointed with this however after 5 days we had 2 embryos (apparently they normally expect 1 from 6 eggs). The hormones tho didn't react that well with me and my progesterone started to rise too early so they have frozen both the embryos. A freeze all cycle. It aches quite a lot after egg collection, like your stomach is a bruise. A few days after egg collection I had a 7 day withdrawal bleed a lot like a period. 36 days later my period has started and we will be doing a natural cycle. So I will track my ovulation and when it's time they'll put a defrosted embryo and see what happens. Fingers crossed.

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ElRo28 · 08/02/2024 16:48

So. We got 2 embryos from my collection. Unfortunately neither of them took. I'm quite devastated. One thing that I wanted to share with others is about "difficult transfers". I don't feel this was properly explained to me by my clinic. Both of my transfers were "difficult". Difficult transfers lower the chance of pregnancy by quite a bit, from something like 39% to 26%.

I had IUI last year and there was no problem getting the catheter in and so I wasn't offered a mock transfer ahead of my first transfer. The first transfer took 3 attempts and 2 different catheters, a fair bit of pain and uterus contracting. When we found out that it hadn't worked I was offered a mock ahead of my second transfer and sedation. However it wasn't explained to me why I might want these. To me I thought, why would I want a mock, we have just done a transfer I know what's coming, and I can handle a bit of pain why bother sedating. What they didn't explain was that the mock helps the consultant know how to approach the transfer and the sedation will help with pain and it's the pain and your uterus contracting that will cause problems with implantation.

So I went ahead with my second transfer the usual way and same problem. This time two attempts, two catheters and they had to use a tenaculum to hold my cervix open. Painful again.

I've since been told that with a freeze all cycle that it is possible to refreeze the embryo and I wish I'd stopped the procedure and done this. There is a small chance of damage but it's small.

So I just want to say if you're going in for your first transfer ask for sedation (you're unlikely to be offered it) and ask for a mock transfer.

We are going to look at my partner getting a vasectomy reversal which perhaps is what we should have done to begin with. From reading up it seems that because of my age we will either need IVF (which we can't afford) or we have a 50% chance of it working. So no guarantee but potentially higher chances than with IVF.

OP posts:
CRS33192 · 26/08/2024 00:25

How is everything going? Did you go for vasectomy reversal?

ElRo28 · 26/08/2024 08:07

Yes my partner had his reversal in June. He was a day patient but it's a pretty intense surgery. You really do need the two weeks off work to heal. I felt very sorry for him. But he made a good recovery. And the surgery itself our surgeon was very happy with, it seemed to be quite straight forward for him to do. The surgery was in June and in September he will go for a test to see if it's actually worked. It takes a while for the numbers to rise. There is also a chance that when the tubes heal the scarring can block the sperm. So we don't know yet. I'm not pregnant so no miracles at the moment.

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ElRo28 · 17/09/2024 15:35

Update: the reversal was a success! With my partner having above average numbers which is amazing. So just need to see what happens now. I've requested a laparoscopy and am on the waiting list, I want to know if the scarring is more of an issue than thought but could be a while before that happens. Will see. I am 38 years old so hopefully there is still some hope even if iui/IVF did not work for me.

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ElRo28 · 12/02/2025 09:04

Update: Just in case anyone's following this wanted to update and say we are now pregnant, so about 6 months post operation it has worked. My tip would be to relax (annoying as that is), we were a bit regimented to begin with and it was a bit stressful, once we just enjoyed ourselves it seemed to work! I'm learning that pregnancy is constant waiting and worrying but hopefully everything will be ok. Good luck to anyone out there doing this x

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