Comments on: Topics in Subfertility http://www.fertility.ca/2008/05/topics-in-subfertility/ Just another WordPress weblog Mon, 06 Feb 2012 03:07:05 +0000 http://wordpress.org/?v=2.7.1 hourly 1 By: michelle freedman http://www.fertility.ca/2008/05/topics-in-subfertility/comment-page-1/#comment-386 michelle freedman Wed, 10 Dec 2008 22:13:42 +0000 http://fertility.ditcanada.net/?p=8#comment-386 Great website. Will be happy to refer patients to it. A question that just came into my office today... A patient with severe vaginismus wants to conceive. She is unable to have intercourse with her husband but can tolerate a small dilator for a brief amount of time. She is currently seeing a sex therapist. Please tell me the risks involved if the couple were to collect sperm in a sterile container and inject it intravaginally. The patient despite my suggestion to do so does not want to go to a fertility clinic at this time and would like to try the above method at home. What can I tell her. thanks, michelle TGH replies: Dear Michelle, Nice to hear from you, and thank you for the comments. Vaginismus is a frustrating condition that, fortunately, can respond very well to treatments. In the meantime, the couple may prefer home inseminations to intercourse. They could do the following: -The male partner should collect his sperm into a sterile container (I can forward along a full set of instructions if that would be helpful). -The couple should wait 10-30 minutes at room temperature for the seminal fluid to liquify. -The seminal fluid could then be pulled into a sterile syringe and placed into the vagina. Complications are possible with any procedure. There is a theoretical risk for non-sterility leading to infection. The woman should also be sure to leave the seminal fluid in her vaginal vault, rather than attempt to insert the sperm into her cervix. But it could be a straightforward process for many couples. Our nursing team would be happy to show them in greater detail if necessary. Best to you, Tom Hannam Great website. Will be happy to refer patients to it.

A question that just came into my office today…

A patient with severe vaginismus wants to conceive. She is unable to have intercourse with her husband but can tolerate a small dilator for a brief amount of time. She is currently seeing a sex therapist. Please tell me the risks involved if the couple were to collect sperm in a sterile container and inject it intravaginally. The patient despite my suggestion to do so does not want to go to a fertility clinic at this time and would like to try the above method at home. What can I tell her.

thanks, michelle

TGH replies:

Dear Michelle,

Nice to hear from you, and thank you for the comments.

Vaginismus is a frustrating condition that, fortunately, can respond very well to treatments.

In the meantime, the couple may prefer home inseminations to intercourse. They could do the following:

-The male partner should collect his sperm into a sterile container (I can forward along a full set of instructions if that would be helpful).
-The couple should wait 10-30 minutes at room temperature for the seminal fluid to liquify.
-The seminal fluid could then be pulled into a sterile syringe and placed into the vagina.

Complications are possible with any procedure. There is a theoretical risk for non-sterility leading to infection. The woman should also be sure to leave the seminal fluid in her vaginal vault, rather than attempt to insert the sperm into her cervix.

But it could be a straightforward process for many couples. Our nursing team would be happy to show them in greater detail if necessary.

Best to you,

Tom Hannam

]]> By: TGH http://www.fertility.ca/2008/05/topics-in-subfertility/comment-page-1/#comment-365 TGH Thu, 23 Oct 2008 04:21:21 +0000 http://fertility.ditcanada.net/?p=8#comment-365 Laurie, Morphology is one of the standard features considered when assessing sperm. The others include ejaculate volume, concentration, and motility. For more, consider visiting http://www.fertility.ca/2008/06/sperm-test-results-do-they-matter/#respond and for how to actually improve sperm quality, you could go to http://www.fertility.ca/2008/06/how-to-improve-sperm-quantity-and-quality/ Laurie,

Morphology is one of the standard features considered when assessing sperm. The others include ejaculate volume, concentration, and motility. For more, consider visiting http://www.fertility.ca/2008/06/sperm-test-results-do-they-matter/#respond and for how to actually improve sperm quality, you could go to http://www.fertility.ca/2008/06/how-to-improve-sperm-quantity-and-quality/

]]> By: Laurie http://www.fertility.ca/2008/05/topics-in-subfertility/comment-page-1/#comment-51 Laurie Wed, 01 Oct 2008 13:59:35 +0000 http://fertility.ditcanada.net/?p=8#comment-51 With a recent SA determining an extremely low quantity of normal sperm, I would like to learn more about improving the quality. My direct question would be concerning the morphology. Our results were as follows, Normal form 2%, Abnormal head 93%, Abnormal midpiece 44%, Abnormal tail 37%. We are scheduled to meet with our FS within the next month, but we would like to know if there is anything that we could do to improve the quality on our end. Would the high percentage of Abnormal head shape make it difficult for penetration in an IVF procedure? My husband takes multivitamins, excerises fairly regularily, eats well and does not smoke. We do drink on occasion, however not in excess. Any suggestions would be appreciated, we want to be as prepared as we can for our next appointment to enable us to make a decision as to what our next step will be. Thank you for your time. With a recent SA determining an extremely low quantity of normal sperm, I would like to learn more about improving the quality. My direct question would be concerning the morphology. Our results were as follows, Normal form 2%, Abnormal head 93%, Abnormal midpiece 44%, Abnormal tail 37%. We are scheduled to meet with our FS within the next month, but we would like to know if there is anything that we could do to improve the quality on our end. Would the high percentage of Abnormal head shape make it difficult for penetration in an IVF procedure? My husband takes multivitamins, excerises fairly regularily, eats well and does not smoke. We do drink on occasion, however not in excess. Any suggestions would be appreciated, we want to be as prepared as we can for our next appointment to enable us to make a decision as to what our next step will be. Thank you for your time.

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