Comments on: Donor Sperm in Canada http://www.fertility.ca/2009/05/donor-sperm-in-canada/ Just another WordPress weblog Tue, 07 Sep 2010 01:55:00 +0000 http://wordpress.org/?v=2.7.1 hourly 1 By: DM http://www.fertility.ca/2009/05/donor-sperm-in-canada/comment-page-1/#comment-658 DM Thu, 03 Sep 2009 17:01:09 +0000 http://www.fertility.ca/?p=42#comment-658 Great info on your site. My question: I am 42yrs old and have undergone 6 unsuccessful IUI's with clomid in the past 2 yrs. Each time I produce 3-5 mature follicles and 8mm lining. My 1 IVF/ICSI attempt resulted in pregnancy and MC at 9weeks (11 follicles). My ovarian reserve:10 follicles and my FSH has ranged from 7 to 14. My husband's sperm is always different for each of these cycles - he is now 48 - and a smoker (otherwise healthy) and without knowing his exact #s he has mild factor. Unfortunately his worst sample yet was for my IVF - and yet I got pregnant. Now I (we) are interested in a donor sperm and IUI. Am I pursuing something that is too much of a stretch based on my age? or is it possible to have 'good 'fertility at an advanced age? We can't afford another IVF. DM Dear DM When doing IVF/ICSI fertilization rates are so high that sperm count doesn't matter too much on the day itself, as long as some sperm were available. So you can look back on that cycle knowing that you really did maximize your chances together. Moving forwards, you are right to be worried about age. But from the information you have provided, it would seem reasonable to try up to two IUI cycles with donor sperm, and use rFSH (Gonal F or Puregon) if affordable (perhaps if you have coverage). Given your age and history, this is by no means guaranteed to work. I will be honest, the odds will be long. I wish IVF was an option for you, but it simply isn't accessible for everyone <a href="http://www.fertility.ca/2009/08/expert-panel-in-ontario-supports-ivf-funding/" rel="nofollow">right now</a>. I hope that you have access to counselling along the way, so that at each step, you are able to to work out if treatment continues to make sense for you and your husband. Best, TGH Great info on your site.
My question: I am 42yrs old and have undergone 6 unsuccessful IUI’s with clomid in the past 2 yrs. Each time I produce 3-5 mature follicles and 8mm lining. My 1 IVF/ICSI attempt resulted in pregnancy and MC at 9weeks (11 follicles). My ovarian reserve:10 follicles and my FSH has ranged from 7 to 14. My husband’s sperm is always different for each of these cycles - he is now 48 - and a smoker (otherwise healthy) and without knowing his exact #s he has mild factor. Unfortunately his worst sample yet was for my IVF - and yet I got pregnant.
Now I (we) are interested in a donor sperm and IUI. Am I pursuing something that is too much of a stretch based on my age? or is it possible to have ‘good ‘fertility at an advanced age? We can’t afford another IVF.
DM

Dear DM

When doing IVF/ICSI fertilization rates are so high that sperm count doesn’t matter too much on the day itself, as long as some sperm were available. So you can look back on that cycle knowing that you really did maximize your chances together.

Moving forwards, you are right to be worried about age.

But from the information you have provided, it would seem reasonable to try up to two IUI cycles with donor sperm, and use rFSH (Gonal F or Puregon) if affordable (perhaps if you have coverage).

Given your age and history, this is by no means guaranteed to work. I will be honest, the odds will be long. I wish IVF was an option for you, but it simply isn’t accessible for everyone right now. I hope that you have access to counselling along the way, so that at each step, you are able to to work out if treatment continues to make sense for you and your husband.

Best,

TGH

]]> By: couple counselling http://www.fertility.ca/2009/05/donor-sperm-in-canada/comment-page-1/#comment-588 couple counselling Tue, 07 Jul 2009 11:10:23 +0000 http://www.fertility.ca/?p=42#comment-588 <strong>couple counselling...</strong> I have been following up on this blog for a while and I find it very impressive. I plan to add it to my rss feeds.... couple counselling…

I have been following up on this blog for a while and I find it very impressive. I plan to add it to my rss feeds….

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