IVF with or without ICSI?

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IVF with or without ICSI?

Postby MGK5 » Thu Sep 29, 2016 10:14 am

Hi all,

I'm a longtime lurker, but only just registered. My husband and I are 33 and 31 (almost 32) respectively, and have been TTC-ing for almost three years. Its been a lonely and difficult journey. We've finally decided to go forward with IVF after getting diagnosed with unexplained infertility, and currently trying to decide whether or not to do ICSI. My husband's sperm is so-so (decent count and motility, but 1% morphology), and my tests are all normal, with good AMH. Our doctor does not stress too much on morphology as the main cause but has recommended ICSI with the decision ultimately on us. I would REALLY appreciate how you all decided to go with ICSI? Did the doctors speak to any increased risks related to ICSI? Did you have to repeat cycles and ultimately find success due to ICSI? I guess my fear is to have produced eggs but none fertilized, and to do the process another time with ICSI. Thank you so very much for your help.
MGK5
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Re: IVF with or without ICSI?

Postby johnnyswifey » Thu Sep 29, 2016 3:35 pm

Hi MGK! Welcome!

I personally would do ICSI because you are spending a lot of money for IVF and you want your best chance on every try! It costs a little more, but worth it. My hubby has 4% morph and we did ICSI just to be safe! We also did CGH (an extensive form of PGS)!
Him- 31- PERFECT
Me- 30- Tubal (tubes removed 2012)
Angel babies 9-22-09, 10-12-16, 1-12-17

Starting Over- Feeling Excited!!
8/1/16: 10 frozen embies!!!
9/26/16: BFP!!!!!
9/30/16: BETA #1: 218
10/3/16: BETA #2: 322 then 404 then 534 then 1202
10/12/16: Dx with ectopic pregnancy (cornual) mtx given

STARTING FET AGAIN NOV 2016! 9 babies left!
*I DECLARE THAT ANYTHING I DECIDE TO DO IN MY LIFE WILL BE SUCCESSFUL!!!!*
12/19/16: BFP!!!
12/23/16: BETA- 186!!!
12/26/16: BETA- 531.7!!!!!!!! Almost tripled!
01/04/17: BETA- 11,790!!!!! :shock:
01/12/17: M/C!!!!! :shock: :shock: super sad!

FET #3- Third time's the charm!
4/20/17: BETA- 240!!!
4/24/17: BETA- 1,800!!!! Then 23,838!!! Then 45,445
5/11/17: Miscarried. My body has failed me yet again
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Re: IVF with or without ICSI?

Postby Danaa » Thu Sep 29, 2016 3:45 pm

Hello and welcome.Most of the clinics offer icsi these days and some like the one I'm currently under is using icsi for all their patients,I don't know how could a doc use it if it would affect the embryos or the babies in anyway.i honestly don't know much about it and I haven't done any research regarding icsi but i have faith that the doctors are doing their best to help us get a healthy baby.Good luck!!
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My Ovulation Chart
.
Me 29
DH 31
After 3 years in which we tried everything we are doing IVF in Greece with Iakentro Athens.
Short Protocol with Bemfola and Cetrotide
19mature eggs and we have 9 day5 blasto.
FET#1 ended in a loss around 5 weeks
FET#2 ended in a loss at 22w due to IC,my boys will be forever in my heart .
FET#3 ?
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Re: IVF with or without ICSI?

Postby KatieS » Sat Oct 01, 2016 7:13 pm

We did ICSI however my husband has low everything (count, morph, etc) and I have PCOS. I strongly recommend it. I had 33 follicles and 31 of those were mature. ICSI was done on all of them and only 19 of the 31 actually fertilized. I can say that of the 19 we have 6 frozen and I'm currently 23 weeks pregnant with twins after our first IVF cycle. Good luck and plenty of baby dust!!!
Me 26 PCOS DH 28 severe MFI
DS 2 (our little miracle)

IVF May '16
33 eggs retrieved
19 fertilized
2 transferred :bfp:
Beta 1 (15dpo): 331
Beta 2 (17dpo): 572
Beta 3 (19dpo): 850
Beta 4 (23dpo): 6083
U/S at 5w+3 : TWINS!!
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Re: IVF with or without ICSI?

Postby MGK5 » Mon Oct 03, 2016 1:12 pm

Thank you all. As a follow up, we discussed with our doctor and apparently the difference in risks between ICSI and normal conception is small. Several clinics, like mine, also do rescue ICSI if there has been no normal fertilization after egg retrieval. The medical literature related to ICSI, as really all medical literature, makes one believe that it is tied to many risks, but those risks exist for most couples struggling with infertility. This gave us solace as the procedure on its own is only a fraction of the actual risk.

I apologize if reading this scares you - it definitely scared us. But I feel better having clarified questions and doubts so we are going into this as well informed as we can be. Additionally, as many of you have mentioned, ICSI gives us the best shot so we've decided to go forward with the treatment plan.

Thank you and good luck to all of you.
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