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Need Help

5 posts on this thread and the last post was on March 9th, 2007 5:41 PM by B. Jacobs, M. D.

sjbozarth1 - March 8th, 2007 12:56 PM

Hello
I just had my first ER yesterday for IVF. They retrieved 10 eggs 7 which were mature. They did ICSI on all of them.

Today they just called and said no sign of fertilization yet...dr did say they will continue to watch until tomorrow b/c in some cases they will start dividing if fertilization was missed?? Is that possible. He said I have a 50/50 chance...
I have two girls from a previous marriage with no problems. My new husband does not have kids. They said the eggs and sperm were good yesterday.
Thanks so much,
Samantha

B. Jacobs, M. D. - March 8th, 2007 5:57 PM

If there was no fertilization after successful ICSI, there is probably a problem with the sperm. A competant embryologist can certainly determine if fertilization took place.
Good luck.

sjbozarth1 - March 8th, 2007 6:17 PM

thanks for the reply...my RE said that sometimes fertilization occured early or late and was not seen at the 24 hr check? I am so confused! If the sperm looked okay during the analysis what else could be wrong with it?

B. Jacobs, M. D. - March 9th, 2007 6:31 AM

Semen analysis does not provide information about the genes or chromosomes of the sperm. Also, there are mechanisms by which the sperm chromosomes must "decondence" to pair with the egg chromosomes.

sjbozarth1 - March 9th, 2007 3:08 PM

Thanks so much! My RE just called and said no egg fertilized. So do you think it may be a DNA/chromosone issue?? He has never fathered children and with his prior wife they did not conceive after 8 yrs with no birth control.
My RE recommended Donor Sperm. That worked for us last time but it ended up an ectopic.

Thanks for the help!!

B. Jacobs, M. D. - March 9th, 2007 5:41 PM

Donor sperm is a reasonable option. Not being a specialist in male fertility, I do not know if something can be done to improve his sperm function. Again, I send the men in our practice to Dr. Jeffrey Buch in Plano, Texas.
Good luck.

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