Mar 13 2009

50/50

Let's hope this one is a winner!!

Today was my appointment for the reproductive urologist visit.  Jess took off of work early so she could make the trip with me.  When she got home, we rounded up the results from my previous semenalysis, hopped in the car and started making the trip to Marlton.  From my previous visit to the Marlton office, I knew we would have a decent wait to be seen.  It seems like this office over books, and is in slow motion.  Not to mention that my doctor is only there on certain days.  Once we finally got in to see the Doc, we gave him the results from the previous semenalysis done by IVFNJ.  He was a bit surprised because all earlier tests done showed me with a diagnosis of azoospermia.  From what reproductive endocrinologist at IVFNJ explained, it seems that regular labs (Centra State, which is where all my previous semenalysis’ were done), will mark the results as no sperm even if there are a small quantity.  I’m assuming this is because an abnormal result would be less than 20 million per ml., and how do go about reporting maybe 10 per ml.  There is no scale to measure that little quantity.  Also, the lab at IVFNJ looks through the entire sample, not just a small quantity of it.  Anyway, the point is they did find something! 

The Doc explained that the only true way to determine my lack of sperm would be through further testing (DNA, major biopsies).  After answering our 1000 questions, the Doc agreed to be on board with the cycle of IVF.  He explained that he would be performing a percutaneous sperm aspiration procedure(this is a variation of a TESE procedure called PESA), using local anesthetics, and sperm extraction through needles.  He uses ultrasonic guidance, which helps to locate areas that would have a better chance of having sperm.  This is opposed to going in blind and just taking multiple samples here and there.  This brings us to our last question posed for the Doc.  Which was “What are the chances of finding viable sperm?”  His response was a very conservative 50/50.  He did however say that having any kind of sperm in the last semenalysis was a great sign!  We are hoping and praying for the best!