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Hi Greetings Healthcare Team I Married In 2015 My Present

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Posted on Sun, 23 Jun 2019
Question: Hi greetings healthcare team
I married in 2015 my present age 37 years and my wife age is 27 years. From the day 1 we are in plan for children. We went to different hospitals. My wife had got no issues, viz she get date in the interval of 32-35 days , egg sizes, number of eggs and tubes also in good condition. Initially in 2015 my sperm count 26 millions/ml. And All other parameters like morphology motility were normal. I did My semen analysis at different diagnostics where my count was almost same of 26 to 30 mil/ ml and other parameters also normal. I.e till 2017. But we didn't get any result. Doctor done 2 iui's but of no use. Then we went to fertility centre for advanced treatment., Because we felt pressurised. We opted for IVF in 2017 October. We got positive result that my wife get pregnant. But unfortunately pregnant aborted due to leakage of water in the month of February 2018. Baby was alive condition during abortion.
After her recovery we started our treatment in March 2019 at other famous infertility hospital and we told that we interested in normal conceiving method, because we faced lot of problems during pregnancy that daily two injections, and spotting was observed once for 10 days. admitting to hospital. It was very painful. Then doctor suggested sperm DNA fragmentation, sperm analysis and ultrasound Doppler scrotum tests
Sperm DNA test values: % DFI is 26% HDS is 11% semen count is 20mil/ ml and morphology is 1% with motility 35% in the absence of 1 day. Here doctor told that semen analysis can't be compared with other diagnostics center because variation in infrastructure. They have good facility and qualified team.
Doppler scroutem summary is
Left grade II, Right grade I VARICOCELES
HERE I AM UNABLE TO find to attach my reports.
My questions are
1. can it corrected my morphology and DNA fragmentation. As I had there will be some treatment of vericoceles of grade 2.
If it can be treated how much time and money (approximately)required because I'm already 37 years.
Is there any guaranteed improvement which leads to getting pregnancy by natural method.
Or else please suggest the best alternative method. I have lot of other reports which are normal.

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Follow up: Dr. Mahesh Koregol (0 minute later)
Hi greetings healthcare team
I married in 2015 my present age 37 years and my wife age is 27 years. From the day 1 we are in plan for children. We went to different hospitals. My wife had got no issues, viz she get date in the interval of 32-35 days , egg sizes, number of eggs and tubes also in good condition. Initially in 2015 my sperm count 26 millions/ml. And All other parameters like morphology motility were normal. I did My semen analysis at different diagnostics where my count was almost same of 26 to 30 mil/ ml and other parameters also normal. I.e till 2017. But we didn't get any result. Doctor done 2 iui's but of no use. Then we went to fertility centre for advanced treatment., Because we felt pressurised. We opted for IVF in 2017 October. We got positive result that my wife get pregnant. But unfortunately pregnant aborted due to leakage of water in the month of February 2018. Baby was alive condition during abortion.
After her recovery we started our treatment in March 2019 at other famous infertility hospital and we told that we interested in normal conceiving method, because we faced lot of problems during pregnancy that daily two injections, and spotting was observed once for 10 days. admitting to hospital. It was very painful. Then doctor suggested sperm DNA fragmentation, sperm analysis and ultrasound Doppler scrotum tests
Sperm DNA test values: % DFI is 26% HDS is 11% semen count is 20mil/ ml and morphology is 1% with motility 35% in the absence of 1 day. Here doctor told that semen analysis can't be compared with other diagnostics center because variation in infrastructure. They have good facility and qualified team.
Doppler scroutem summary is
Left grade II, Right grade I VARICOCELES
HERE I AM UNABLE TO find to attach my reports.
My questions are
1. can it corrected my morphology and DNA fragmentation. As I had there will be some treatment of vericoceles of grade 2.
If it can be treated how much time and money (approximately)required because I'm already 37 years.
Is there any guaranteed improvement which leads to getting pregnancy by natural method.
Or else please suggest the best alternative method. I have lot of other reports which are normal.

doctor
Answered by Dr. Mahesh Koregol (14 hours later)
Brief Answer:
You don’t need treatment

Detailed Answer:
Hi,

I understand your concerns.

Following is my reply:

1) Since your wife already got pregnant once this is good sign that everything is fine and you can get pregnant again.

2) DNA fragmentation of 26% and other parameters are normal. No medication is required.

3) Sperm morphology if one percent is good enough for getting pregnant. You can try naturally get pregnant.

4) Varicocele of grade 1 and 2 are normal & needs no treatment. These are not reason for infertility.

5) Overall I don’t think there is need for any treatment for you.

6) Since you are unable to conceive by IUI, you can consider ICSI treatment.

7) See fertility centre in your city for IVF/ICSI.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Mahesh Koregol (0 minute later)
Brief Answer:
You don’t need treatment

Detailed Answer:
Hi,

I understand your concerns.

Following is my reply:

1) Since your wife already got pregnant once this is good sign that everything is fine and you can get pregnant again.

2) DNA fragmentation of 26% and other parameters are normal. No medication is required.

3) Sperm morphology if one percent is good enough for getting pregnant. You can try naturally get pregnant.

4) Varicocele of grade 1 and 2 are normal & needs no treatment. These are not reason for infertility.

5) Overall I don’t think there is need for any treatment for you.

6) Since you are unable to conceive by IUI, you can consider ICSI treatment.

7) See fertility centre in your city for IVF/ICSI.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Mahesh Koregol (9 hours later)
Hello Doctor. Thank you for your suggestions. Please see my previous question that I mentioned my wife got pregnancy with advanced treatment IVF/ICSI. But it was aborted, the reason I mentioned in my previous question. The treatment not only costly but also very much painful( explained in my previous question). Now we want to correct all parameters and give 100% effort to get pregnancy with normal method. If we won't get result then only we wish to have advanced treatment like ICSI/IVF.
MY questions are
I already sent the reports of semen analysis, DFI report and ultrasound Doppler scroutem. Based on these please suggest how to proceed further
My doctor told that morphology is low and DFI I high because of vericoceles grade II.
Please suggest.
default
Follow up: Dr. Mahesh Koregol (0 minute later)
Hello Doctor. Thank you for your suggestions. Please see my previous question that I mentioned my wife got pregnancy with advanced treatment IVF/ICSI. But it was aborted, the reason I mentioned in my previous question. The treatment not only costly but also very much painful( explained in my previous question). Now we want to correct all parameters and give 100% effort to get pregnancy with normal method. If we won't get result then only we wish to have advanced treatment like ICSI/IVF.
MY questions are
I already sent the reports of semen analysis, DFI report and ultrasound Doppler scroutem. Based on these please suggest how to proceed further
My doctor told that morphology is low and DFI I high because of vericoceles grade II.
Please suggest.
doctor
Answered by Dr. Mahesh Koregol (8 hours later)
Brief Answer:
Keep trying

Detailed Answer:
Hi,
I have seen your reports. They are normal.

Your DFI and Doppler are fine. There is no need to treat varicocele as it is normal in most men and varicocele surgical repair is not associated with any benefits as per medical science. It will be unnecessary surgery.

Morphology of one percent is slightly low but enough for natural pregnancy. There are no medicines to improve it with guarantee.

All your reports seem to be fairly normal and there is no way we can change them. You can keep trying naturally by doing regular follicular scan from your doctor and knowing best days to try.

Don’t undergo any surgery like varicocele repair.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Mahesh Koregol (0 minute later)
Brief Answer:
Keep trying

Detailed Answer:
Hi,
I have seen your reports. They are normal.

Your DFI and Doppler are fine. There is no need to treat varicocele as it is normal in most men and varicocele surgical repair is not associated with any benefits as per medical science. It will be unnecessary surgery.

Morphology of one percent is slightly low but enough for natural pregnancy. There are no medicines to improve it with guarantee.

All your reports seem to be fairly normal and there is no way we can change them. You can keep trying naturally by doing regular follicular scan from your doctor and knowing best days to try.

Don’t undergo any surgery like varicocele repair.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Mahesh Koregol (2 days later)
Thank you for ur suggestion, I discussed the same thing with my doctor about VARICOCELES grade 2 is not a big issue. She also agreed , I repeated my semen analysis, now morphology came as 3% .
She advised it is better to go for ICSI instead of natural or IUI.
Here my doubt can urologist will helpful for my condition.
default
Follow up: Dr. Mahesh Koregol (0 minute later)
Thank you for ur suggestion, I discussed the same thing with my doctor about VARICOCELES grade 2 is not a big issue. She also agreed , I repeated my semen analysis, now morphology came as 3% .
She advised it is better to go for ICSI instead of natural or IUI.
Here my doubt can urologist will helpful for my condition.
doctor
Answered by Dr. Mahesh Koregol (34 hours later)
Brief Answer:
ICSI is better option

Detailed Answer:
Hi,

Morphology of 3 percent is fairly normal and needs no intervention. Urologist will not be of much help in this.

ICSI would be better option.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Mahesh Koregol (0 minute later)
Brief Answer:
ICSI is better option

Detailed Answer:
Hi,

Morphology of 3 percent is fairly normal and needs no intervention. Urologist will not be of much help in this.

ICSI would be better option.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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Hi Greetings Healthcare Team I Married In 2015 My Present

Hi greetings healthcare team I married in 2015 my present age 37 years and my wife age is 27 years. From the day 1 we are in plan for children. We went to different hospitals. My wife had got no issues, viz she get date in the interval of 32-35 days , egg sizes, number of eggs and tubes also in good condition. Initially in 2015 my sperm count 26 millions/ml. And All other parameters like morphology motility were normal. I did My semen analysis at different diagnostics where my count was almost same of 26 to 30 mil/ ml and other parameters also normal. I.e till 2017. But we didn't get any result. Doctor done 2 iui's but of no use. Then we went to fertility centre for advanced treatment., Because we felt pressurised. We opted for IVF in 2017 October. We got positive result that my wife get pregnant. But unfortunately pregnant aborted due to leakage of water in the month of February 2018. Baby was alive condition during abortion. After her recovery we started our treatment in March 2019 at other famous infertility hospital and we told that we interested in normal conceiving method, because we faced lot of problems during pregnancy that daily two injections, and spotting was observed once for 10 days. admitting to hospital. It was very painful. Then doctor suggested sperm DNA fragmentation, sperm analysis and ultrasound Doppler scrotum tests Sperm DNA test values: % DFI is 26% HDS is 11% semen count is 20mil/ ml and morphology is 1% with motility 35% in the absence of 1 day. Here doctor told that semen analysis can't be compared with other diagnostics center because variation in infrastructure. They have good facility and qualified team. Doppler scroutem summary is Left grade II, Right grade I VARICOCELES HERE I AM UNABLE TO find to attach my reports. My questions are 1. can it corrected my morphology and DNA fragmentation. As I had there will be some treatment of vericoceles of grade 2. If it can be treated how much time and money (approximately)required because I'm already 37 years. Is there any guaranteed improvement which leads to getting pregnancy by natural method. Or else please suggest the best alternative method. I have lot of other reports which are normal.