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Discussion Starter · #1 ·
Hi

After some really bad SA's (9 mllion sperm to 0.2 million with no motility to 0 sperm) my husband and I have now re-evaluated where we should have treatment.  We were initially going to go with SIMs in Dublin (we live in Belfast), but are now unsure as my DH factor is really severe.

Any advice on what UK / International clinic is best for this kind of MFI?  We will require SSR via some method.  I have been looking at CARE Notts to date, any opinions would be greatly appreciated.

TIA
Hapyfeet
x

 

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If you go to Notts, make sure you get Ken Dowell. We were seen by a guy at Notts who specialised in female fertility (helpful) and then the guy who did my husband's SSR also wasn't a male factor specialist!

Luckily they did find sperm, but I am really dubious whether it's done us many favours as my husband took four weeks to recover from the SSR and was in a fair bit of pain for a while, so we think they really had to go "hunting" around for the sperm. And I'm worried it will have left enough damage that it's going to limit the chances of them finding any more.

Having said all that, Care Notts is lovely, the staff are lovely, it's a nice atmosphere, and I'm more than happy to be treated there. but if we get a BFN and run out of sperm, then I want the male factor specialist this time!!!
 

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Hi Happyfeet!

Have we spoken before? If so I'll keep this brief, it's just that you ask about international clinics. If you can afford it, Cornell in NY has got an incredible reputation. The clinic itself has phenomenal success rates (no 2 in the US) and the urologist who works with them will quote you a 60% success rate for severe male factor (where surgical retrieval is required, and that's for non-obstructive as opposed to obstructive azoospermia).

There's a recent thread discussing the very same topic, http://www.fertilityfriends.co.uk/forum/index.php?topic=132792.0

ARGC's success rates are very very impressive (60% clinical pregnancy for under 35) and I personally know two babies "made" there with severe MF. Although they perform SSR in-house, I feel that this kind of procedure is best performed by a urologist skilled in using an operating microscope, hence using Jonathan Ramsay in conjunction with ARGC.
 

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Just checked my messages, I mixed you up with a FF called Happycouple (though I'm sure you are that too  ;))
 

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Discussion Starter · #5 ·
Hi

Thanks for the replies!

Maybe-If - I spoke to someone in CARE yesterday and they recommended we see Ken Dowell but if we go for it I will def ask for him. 

Claudine - Cornell sounds really impressive, I will look into it.  Finance may be a stumbling block though.  I'm interested in ARGC as I didn't realise they specialised so much in severe MFI.  Do you know if they do satellite montioring of cycles?  I live in NI and would prefer to have scans etc over here as I couldn't take the whole cycle time off work.  You mentioned a Uroloigist at Harley St carrying out the SSR, would this usually be done on same day as ER and transported over or done in advance and frozen?  Sorry about the daft questions but we are very new to this!

Just to say we are a happycouple too!!! :p

Thanks
xo
 

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Hi Happyfeet

Sorry I can't reply more at the moment, I'll try to post later on today.  If you look through my recent posts you'll find quite a bit about Mr Ramsay and what we're planning at ARGC (quickly yes, Mr Ramsay will be available for TESE on day of EC and sperm couriered over if necessary).

ARGC aren't necessarily MF specialists but as per previous discussion, embryology lab are very very impressive and would have to be to achieve those statistics.

If it wasn't for the surgery aspect of our MF, I'd be happy to leave everything in ARGC's hands.

Not sure about satelitte montioring, you'd have to give them a call.

Must go but talk later?
 

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Discussion Starter · #7 ·
Hi

Just to say thanks for the info but cannot chat as running out...

H
xo
 

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Hello Ladies,

Hope you don't mind me joining this discussion

Claudine - can I ask you how much it's costing you for Mr Ramsay?

Do you think that the Cornell is better than the clinic in Denver?  I have read that the Cornell is better for male factor - is that right?

I see in the other thread that you linked to that you say you have a spreadsheet of the costs, would you mind sending that to me please?

I really don't know what to do a the moment.  Guys couldn't find any sperm at all in a SSR, but my husband was producing sperm in October when we had our 1st ICSI, so I think that was so recent that I'm not prepared to give up yet.  But it seems like we will need somewhere very specialised with MF.

Thanks for any help
 

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Discussion Starter · #9 ·
Hi Ladies'

Clotted Cream - I know what you say about not giving up as my DH had a decent (9 million with 27% motlity) in Jan 08 and he has suddenly dropped to nothing.  I am hoping and praying that his may change and go back up, or at least that we find a cause for this drop. 

Claudine - I would really appreciate it if you could also send me the spreadsheet of costs for Cornell.

Ta
xo :)
 

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No problem to send spreadsheet, send me a PM with your email addresses (can't send attachments through FF) and it's done

Clotted cream, sorry, very sorry to hear your DH had an unsuccessful SSR.  Do you know who performed op and how it was done?  We've been discussing biopsies a lot on the NOA thread, as with NOA it can be very difficult to find sperm.  Schlegel at Cornell came up with the microdissection technique as random biopsies are just that, random.

I have heard of the clinic at Colorado, but don't know anyone personally that went there.  A few girls on the multicycler thread have had consults with them.  Their success rates are the best in the US.  I get the impression they're the ones to go to for female factor and older women, but no, not necessarily for MF.  Let me rephrase, not for MF where SSR is involved.  Cornell definitely your best bet.

The thing about Cornell, Colorado, ARGC et al is that they are so very thorough and experienced when it comes to the female side and the embryology side. They would not be getting the kind of results (50-60%) otherwise (and that's with a particularly difficult patient base as many couples come after failing elsewhere).  But I personally believe, to optimise your chances of success, you also need a urologist specialising in male infertility on board, especially if sperm retrieval is required.

Mr Ramsay's consult plus ultrasound, SA, blood tests etc came to just under £500.

 

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Claudine - thanks for answering all my questions.  I did try to send you a PM, but your mailbox is full at the moment, so I wasn't able to send you my e-mail address.
 
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