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What Are Changes Of Pregnancy With Donor Sperm After A IUI?

Posted on Tue, 3 Jun 2014

Question: Hi doctor,
myself XXXX aged about 28years. My husband is suffering with azoospermia. I am trying to conceive through IUI with donor sperm. This is my 3rd IUI. As per my doctors reports i am all ok and no issue with my fertility. The USG test on day 10th has following results.
endometrium size 9mm
no free fluid seen in cul de sac
uterus measures 65x36mm
both ovaries visualised ,normal in size and echolexture
rt ovary measures 9x20mm
lt ovary measures 32x30mm
lt ovary follicle is 14mm,13mm,12mm
advised to take hcg injection on day 12th and IUI Planned for day 14th. My question is this is my 3rd IUI and how much chances for being pregnant with donor sperm. Is more than one sample of sperm increase chances of pregnancy

Answered by Dr. Mahesh Koregol (9 minutes later)

Brief Answer:
Sperm Quality

Detailed Answer:
Hi,

I read your query and I understand your concerns.

Following is my reply:

1) Your uterus , ovary and other parameters seem to be fine.

2) Follicle is only 14,13,12 mm as of 10th day. It needs to be 18 mm or more before hCG can be given. Hence get another scan done on 13 th day and then think of hCG. Day 12 may be early.

3) Each cycle has success of around 10 to 15 percent for IUI. Hence your chances remain same.

4) The success does not depend on more than one sample of semen but on best sperm quality.

Let me know if you have anymore questions.

Regards,
Dr. Mahesh Koregol
IVF & Infertility Specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (30 minutes later)

Dear doctor,

thanks for your prompt reply.

We are using lab prepared donor sperm.( means provided by the Ivf clinic). How to know the quality of sperm in this case and chances of pregnancy with these lab prepared sperm. And also want to know whether azoospermia is diagnosable as the PESA Test of my husband is also reported azoospermia.

if azoospermia is diagosable then how much time it will take and what would be the estimated expenses?

Answered by Dr. Mahesh Koregol (25 minutes later)

Brief Answer:
Blood test

Detailed Answer:
Hi,

You ask your doctor to check the semen sample under microscope to confirm quality before doing IUI.

Azosspermia needs to be diagnosed by semen analysis as well as blood tests like FSH and testesterone.

TESA may be necessary if testis is normal is size. If testis are small and primary testicuar failure, it cannot be reversed. Please see a urologist in your town

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (40 hours later)

Dear doctor,

the pesa test of my husband done on 12.01.14 and the following are the results
MACROSCOPE ANALYSIS-
complete liquefication time- within 60 min
colour- Pearl white
viscocity- Normal
volume - 1ml
pH- 8.5
MICROSCOPIC ANALYSIS
sperm concentration - 0
sperm count (million/ejaculate) - 0
grade (A) , (B), ( C) and total sperm motility - 0
total non motile sperm- 0
total motile sperm-0

I would like to know that with these above findings , whether the azoospermia is diagnosable and is the diagnosis involves surgery?

further my doctor suggested to take hCG injection on day 12th itself. Whether the timing of injection is right because they said the follicle is around 16-17mm on day 12th

Answered by Dr. Mahesh Koregol (34 minutes later)

Brief Answer:
azoospermia

Detailed Answer:
Hi

The results of PESA confirm azoospermia. The blood test FSH and other hormonal parameters must be collaborative with azoospermia. You can discuss with the doctor about those tests too.

By PESA azoospermia is already diagnosed.

It is better to take hCG injections after follicular size is 18 mm. In your case 13th day is better.

Regards

Above answer was peer-reviewed by : Dr. Prasad