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Suggest Treatment For Infertility

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Posted on Fri, 14 Nov 2014
Question: Hi Doctor,
I got married 3 years back and my age is 27. I dont have a chid yet. I have done all the tests and doctor told me i had weak quality of egg and gave medicines for it. Last month everything was fine from my end and I have done my iui last month for the first time and no success. So doctor suggested me to go for husband semen analysis.My husbands report is as below.
Count- 32M/ml, motility- 37%,progessive motility - 31%,normal forms is 0% and total motile sperm count is 23.68M/ejac,total functional motile sperm is 0.23 M/ejac.Teratozoospermic index is 2.36.
Please tell me if we have any chance for getting a baby. If so which is the best method? Medicines or IVF or ICSI. If this can be cured by medicines how long we have to wait?
doctor
Answered by Dr. Mahesh Koregol (23 minutes later)
Brief Answer:
ICSI after 3 cycles of IUI

Detailed Answer:
Hi,

I read your query and I understand your concerns.

Following is my reply:

1) The sperm count is good.

2) The morphology seems to be bad. That is the reason for teratozoospermia.

3) Since you are trying from 3 years and have teratospermia I suggest to go for ICSI if you dont get pregnant in 3 cycles with IUI

4) During ICSI the sperms with good morphology only are selected for injecting and ICSI done.

Let me know if you have anymore questions.

Regards,
Dr. Mahesh Koregol
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (1 hour later)
Hi Doctor,
Thanks for your suggestion. Could you approx let me know how much it would cost for icsi in XXXXXXX Also why do you ask me to go for 3 IUI's. We are really frustrated and do not want to waste time any more.also to let you know my FSH and Lh values are 7.5 and 7.75 and amh is 2.8. Do you think i have good quality of egg?
doctor
Answered by Dr. Mahesh Koregol (15 minutes later)
Brief Answer:
ICSI

Detailed Answer:
Hi

It is good decision to go for IVF treatment as soon as possible.

It costs about Rs. 1,50,000 approximately. You can meet Dr. XXXXXXX at XXXXXXX IVI Fertility in XXXXXXX and quote my name from XXXXXXX as reference.

Your investigations seem to be fine and ovarian reserve is good. You can go ahead with IVF.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (5 minutes later)
Doctor you said ICSI and now again IVF. Which is the right one? If it is IVF how much it would cost? or do we need both IVF & ICSI how much it would cost
doctor
Answered by Dr. Mahesh Koregol (8 hours later)
Brief Answer:
ICSI

Detailed Answer:
Hi

You will need ICSI not IVF. Moreover nowadays everyone does ICSI only. IVF is not suitable with this semen parameters.

I told you ICSI cost only previously.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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Suggest Treatment For Infertility

Brief Answer: ICSI after 3 cycles of IUI Detailed Answer: Hi, I read your query and I understand your concerns. Following is my reply: 1) The sperm count is good. 2) The morphology seems to be bad. That is the reason for teratozoospermia. 3) Since you are trying from 3 years and have teratospermia I suggest to go for ICSI if you dont get pregnant in 3 cycles with IUI 4) During ICSI the sperms with good morphology only are selected for injecting and ICSI done. Let me know if you have anymore questions. Regards, Dr. Mahesh Koregol