₦airaland Forum

Gambros:
Hi fruitful mammas , hubby has been diagnosed of low sperms count. Please how can he improve it and which hospital do you suggest we go for proper treatment so that his count can increase. His count is presently at 2MM. I do not have any issues so far from all the tests carried out. I feel his spermcount could be what is delaying us from conceiving. Please fellow mama's, what drug can he take to boost spermcount or do we go for IVF. Thank you.

Hello gambros. A sperm count of 2MM is quite low. But thanks to advancement in modern medicine, there are solutions. You could consider doing IMSI.

Intracytoplasmic Morphologically Selected Injection (IMSI) is one of the latest advancements in the treatment of male infertility.
In IMSI, sperms are magnified more than 6,000 times in order to be able to select the best sperms. Pregnancy rates approach 60% and rates of miscarriage is reduced by 75%. Indication.

I will advise you visit Nordica Fertility Centre since they are the pioneers of this technology in West Africa. In addition to IMSI, they have also introduced the cutting edge PICSI Dish for Sperm Selection technology. So, Nordica seems the best bet for your hubby's case.

Wishing you all the best.

It used to be that a woman who had no uterus could not be a mother. But that is no longer the case. Women are not only getting pregnant at older ages, they are becoming mothers even without a uterus. There are several cases of successful out-of-uterus or “surrogate uterus” pregnancies. Speaking of getting pregnant without a uterus, there is a celebrated case of a grandmother who gave birth to her own grandchildren, using her daughter’s eggs and her son-in-law’s sperm. This was reported as far back as 1989 and the whole procedure was necessitated because the woman’s daughter had no uterus

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The 27 year-old woman had lost her uterus from the hysterectomy necessitated by severe bleeding which occurred in her previous pregnancy. The only way the doctors could save the young woman’s life from the obstetric disaster was to remove her uterus. Yet she had normal ovaries and her husband had good sperm, what was the solution?

As it turned out, her 48 year-old mother was quite willing to serve as a surrogate uterus to carry her daughter’s baby. The mother’s uterus was medically prepared for conception.
The daughter’s eggs along with her husband’s sperm were used to create two embryos in a culture dish. Both embryos were then placed in the uterus (womb) of the 48 year-old grandmother-to-be who became pregnant with her daughter’s twins. Nine months later, she gave birth to two healthy grandchildren whom she then immediately turned over to her daughter and son-in-law. Thus, in one delivery the grandmother gave birth to her own grandchildren. This is one of the earliest surrogate uterus cases reported.

Essentially the history of “gestational surrogacy” is well known. It was actually in 1985 that the first successful case of a woman with no uterus whatsoever was able to have her own genetic child was reported. The 37-year-old woman became pregnant, but the uterus spontaneously ruptured at 28 weeks of gestation, necessitating a cesarean section and a hysterectomy. The baby girl subsequently died and the woman was left childless and without a uterus.
The couple, however, remained strongly committed to having their own genetic child and the wife asked that an embryo of hers be transferred to the uterus of a friend who was interested and willing to carry the child as a surrogate. The friend was a healthy, married young mother of two. The reproductive cycles of the two women were synchronized. The patient’s eggs were incubated with sperm from the husband, and three days later an eight-cell embryo was transferred to the uterus of the surrogate. The surrogate became pregnant and nine months later delivered the healthy genetic baby of her friend.

Another case in point explains the onset of gestational surrogacy. A woman who had gone through many failed attempts at in vitro fertilization (IVF). Her sister had already had several children without any problem and was quite willing to carry a baby for her. Fertility experts were able to obtain six embryos from her eggs and her husband’s sperm. Three were transferred into her and three into her sister. As it turned out, both sisters conceived, one with twins and the other with a singleton. The infants were born a month apart. The surrogate sister, of course, gladly gave the children back to their genetic parents.

There is also the case of a 29 year-old woman who had her uterus and both ovaries removed, and desperately wanted to have a child. Her husband had perfectly normal sperm, and they both wanted a baby by her husband’s sperm. The question for this patient was who would provide the eggs and who would provide the uterus? In her family, one of her sisters was willing to donate an egg, the husband of course would provide his sperm, and another sister would allow the eggs and the sperm to be transferred to her so that she could carry the baby. This couple now have a beautiful daughter, with two special aunts, one who provided the eggs, and one who carried her. Thus, with an open attitude, and loving friends and family who are willing to help, virtually any woman can have a baby.

This medical revolution is made possible by the scientific revolution known as in-vitro fertilization (IVF) and egg donation. It’s thanks to these landmarks that women who have no uterus can still “bear” their own biological children, assuming their ovaries are still functional. Technically, if a woman’s uterus has been removed, she will not be able to carry a pregnancy. But we know she can still be a mother assuming she still has her ovaries intact. If the woman is relatively young, less than 35, her eggs can be harvested during an IVF procedure. If she cannot produce viable eggs, then she could benefit from donor eggs. These eggs can be fertilized in the laboratory with sperm from her partner or another donor and then transferred into the uterus of another woman, who is called a gestational surrogate. However, the child will be genetically related to the woman whose eggs were used, not to the surrogate.

But the issue of surrogacy goes further. In order to be a surrogate, it is better that the woman is not the genetic mother. It is preferred that the egg donor is not also the surrogate. This makes biological and psychological good sense. This is so because if the surrogate were also the egg donor there would be a severe danger of psychological “bonding” conflicts, regardless of the original intent of the would-be parents and the surrogate.

The implication here is that even couples who wait too long can still get pregnant even if the woman has no uterus. Granted if there is an egg problem, there would be requirement of the donation of an egg either from an anonymous donor or from a good friend or younger sister of the woman, or even a niece who has not yet gone through menopause herself. But the ultimate message is that surrogate uterus pregnancies are here to stay; they are morally and ethically proper, and they offer an opportunity for a relative or a loved one to give the greatest gift possible to a woman without a uterus.

It may be needful to add that one of the earliest accounts of surrogacy was when Sarah required her maidservant to bear her a child for her husband (Abraham).


Source: [url]Nordica Fertility Centre[/url]http://nordicalagos.org/your-mother-sister-or-friend-can-bear-your-children-for-you/

Your chances of conceiving and having a healthy pregnancy are greater if you’re close to your ideal weight, it is not easy for an overweight or underweight body to conceive. Being overweight can cause abnormal menstrual cycles, which can lead to infertility. Overweight women are also more likely to have pregnancy complications such as hypertension and diabetes and more difficult deliveries. Try to maintain a healthy BMI and weight according to your height. This is true for both men and women.

[img][/img][img][/img]

It’s best to stay away from popular diet plans that eliminate certain foods or food groups (like carbohydrates). Low-carb diets work for many people, but diets that cut out milk products, fruit, and vegetables can rob your body of many important vitamins and nutrients that you need to sustain a healthy pregnancy.

A better diet would be one that concentrates on “good” carbs such as whole-grain breads, pastas, and brown rice. Also include plenty of lean protein (such as fish, chicken, and lean cuts of meat), as well as fruits, vegetables, and low-fat dairy products such as milk, yogurt, or cheese. The whole grains in your diet can make you feel full, as will drinking plenty of water.

Here are a few guidelines to keep in mind as you try to reach a healthy body weight before you get pregnant:

Pay attention to what you eat. Your daily diet should include: five or more servings of grains/starches (including at least three whole grains), 2 cups of fruit and 2 and a half cups of vegetables (be sure to include a variety, such as dark green and starchy vegetables, orange and vitamin C-rich fruits, as well as dried beans and legumes), 5 to 6 ounces of lean protein from a variety of sources (fish, beans, poultry, meat, pork, eggs, nuts), three or more servings of dairy or calcium-rich foods (milk, cheese, yogurt), 6 teaspoons of added vegetable fat from canola oil or olive oil, or products made with these oils. Try to avoid trans fat, the “bad” fat found in many fried and fast foods.

Be active! Exercising tones your muscles, builds strength, and helps your body burn more calories even when you’re sleeping. Exercise also promotes strong bones and helps ensure that your weight loss isn’t from the loss of muscle tissue.
Aim for 60 minutes of moderate to vigorous activity on most days of the week, even if you have to split that time into several sessions. Pick activities you like — hiking, bicycling, swimming, gardening, dancing, or weight training. Remember that once you lose the weight, exercise is still important for keeping the weight off.

Aim to lose about 1 to 2 pounds a week. This will help guarantee that you’re losing fat. Losing much more than a couple of pounds a week can mean you’re losing fluid and burning muscle mass instead of fat.
Remember that if a diet sounds too good to be true, it probably is. Stick with a sensible eating plan and regular exercise to achieve a healthy body weight.

SOURCE: http://nordicalagos.org/pregnancy-tips-be-in-the-correct-weight-zone/

Your chances of conceiving and having a healthy pregnancy are greater if you’re close to your ideal weight, it is not easy for an overweight or underweight body to conceive. Being overweight can cause abnormal menstrual cycles, which can lead to infertility. Overweight women are also more likely to have pregnancy complications such as hypertension and diabetes and more difficult deliveries. Try to maintain a healthy BMI and weight according to your height. This is true for both men and women.

[img][/img][img][/img]

It’s best to stay away from popular diet plans that eliminate certain foods or food groups (like carbohydrates). Low-carb diets work for many people, but diets that cut out milk products, fruit, and vegetables can rob your body of many important vitamins and nutrients that you need to sustain a healthy pregnancy.

A better diet would be one that concentrates on “good” carbs such as whole-grain breads, pastas, and brown rice. Also include plenty of lean protein (such as fish, chicken, and lean cuts of meat), as well as fruits, vegetables, and low-fat dairy products such as milk, yogurt, or cheese. The whole grains in your diet can make you feel full, as will drinking plenty of water.

Here are a few guidelines to keep in mind as you try to reach a healthy body weight before you get pregnant:

Pay attention to what you eat. Your daily diet should include: five or more servings of grains/starches (including at least three whole grains), 2 cups of fruit and 2 and a half cups of vegetables (be sure to include a variety, such as dark green and starchy vegetables, orange and vitamin C-rich fruits, as well as dried beans and legumes), 5 to 6 ounces of lean protein from a variety of sources (fish, beans, poultry, meat, pork, eggs, nuts), three or more servings of dairy or calcium-rich foods (milk, cheese, yogurt), 6 teaspoons of added vegetable fat from canola oil or olive oil, or products made with these oils. Try to avoid trans fat, the “bad” fat found in many fried and fast foods.

Be active! Exercising tones your muscles, builds strength, and helps your body burn more calories even when you’re sleeping. Exercise also promotes strong bones and helps ensure that your weight loss isn’t from the loss of muscle tissue.
Aim for 60 minutes of moderate to vigorous activity on most days of the week, even if you have to split that time into several sessions. Pick activities you like — hiking, bicycling, swimming, gardening, dancing, or weight training. Remember that once you lose the weight, exercise is still important for keeping the weight off.

Aim to lose about 1 to 2 pounds a week. This will help guarantee that you’re losing fat. Losing much more than a couple of pounds a week can mean you’re losing fluid and burning muscle mass instead of fat.
Remember that if a diet sounds too good to be true, it probably is. Stick with a sensible eating plan and regular exercise to achieve a healthy body weight.

Mr. and Mrs. O.A were first seen at Nordica Fertility Center Lagos in November 2010, they were a pleasant young couple who had been to several clinics on account of inability to conceive in the five years of trying. They were particularly bothered because according to them low sperm count is something you hear or read about in the papers, not something that could possibly strike so close to home talk less of affecting them.

The first seminal fluid analysis done some four years ago revealed a count of eleven million but it had steadily reduced and was now in the range of less than a million. They have had three attempts at in-vitro fertilization and used practically all the sperm boosters available including a few local herbs all in a bid to improve sperm parameters. After each IVF failure, it was the same story, poor quality embryos and the poor sperm parameters was the most likely culprit.

They eventually had a varicocoelectomy done at a Teaching hospital but rather than improve, the sperm parameters got worse.
After the last failure in December 2009 the doctor had been quite candid with them, “give consideration to the use of donor sperms”, the verdict had ruined their holidays.

This was an anticipated problem as the cause of infertility in Louise Brown’s parents was tubal blockage, her father had excellent sperm parameters. A number of things were tried to improve fertilization rates among this cohort of infertile couples with dismal results. This changed dramatically in 1992 with the perfection of the technique of intracyctoplasmic sperm injection (ICSI) by the pioneering work of the three doctors shuttling back and forth between Brussels, Belgium and St. Luke’s Hospital in St Louise. This is how the technique works: With fine instruments attached to special microscopes, the woman’s otherwise invisible egg can actually be held secure with a pipette, and an even tinier micropipette can be used to inject a sperm through the hard outer shell of the egg so that this one sperm is literally forced to fertilize the egg. Can you imagine the delicacy of this type of manipulation?

The sperm head is no more than 4 to 6 microns in diameter (that’s approximately ¼,0000 of an inch), and an egg is approximately 130 microns in diameter (1/2,00 of an inch). It took years of painstaking research to perfect it. With these technique, there was light at the end of tunnel for male fertility and fertilization rates rose and naturally pregnancy rates also rose to compare favorably with other category of causes.
They were not particularly excited when attended to but was told about the latest advance in the management of severe male factor infertility IMSI. They just wanted to have a last attempt at assisted reproduction before giving consideration to the use of donor sperms. With guarded enthusiasm, they welcomed the idea and commenced the treatment, they had three beautiful embryos transferred three days after egg collection.

They came after the transfer and said regardless of the outcome, even God knows we have done our best”.

It was a very excited Mr. O.A that called one sunny Saturday morning ten days later, they had done a sneak urine Pregnancy test, the few weeks waiting period was too long and guess what? It was a big fat positive!!!!!!! They have since gone on to have a lovely set of twins a boy and a girl.

This story is not at all uncommon at Nordica Lagos but it has not always been so in the medical world. Following the birth of Loiuse Brown in July 1978 fertility specialists thoughts the end of infertility treatment was in sight except that it was noticed that when the sperm parameters were poor , chances of conception was also poor, this was especially due to inability of the sperms to fertilize the eggs. The sperms could simply not get into the eggs because of poor numbers, poor motility, poor maturation or poor appearance and so fertilization could not take place.

It was soon discovered that when sperm parameters are particularly poor, less than 20million, even ICSI may not be able to achieve conception. This naturally prompted a search to find the solution to this problem. Benjamin Bartoov an Israeli urologist published a series of papers in 2004 and 2005 describing a new technique of achieving fertilization in this cohort of clients very similar to ICSI but an advancement no doubt.
Intracytoplasmic morphologically selected sperm injection was different from ICSI in that in selecting the sperms are magnified 6500 times as opposed to 200 times using a regular ICSI microscope. This way, the most subtle abnormalities in the sperms can be detected and such sperms can be ignored in the continued search for more normal sperms. This radically improved the outlook for couples with severe male factor infertility. IMSI is also beneficial in couples with recurrent failure of IVF/ICSI, recurrent implantation failure, recurrent biochemical pregnancies, recurrent pregnancy loss, severely reduced sperm motility.

In a bid to improve services to our clients, Nordica Fertility Center Lagos was the first center in Sub-Saharan Africa to procure the IMSI machine in September 2010. A n review done on the first 1000 IMSI cases at NORDICA FERTILITY CENTRE LAGOS showed a fertilization rates 87.5% (nine out of ten of the eggs fertilized), pregnancy rate of 42% and live birth of 39% (almost half of all couples treated achieved pregnancy). About 98% of these couples being poor prognostic patients with diagnosed severe male factor infertility and recurrent failed ICSI. In view of the above factors, the pregnancy rate of 42% is highly commendable.

There is evidence to suggest rising incidence in male factor infertility all over the world with a recent survey showing that one out of five young men in Europe in the age range of 18 to 25 years have semen parameters of in the sub-fertile

A comparison of semen parameters of men presenting in 2003 and 2013 in Nordica Fertility Centre Lagos, showed that a 37% drop in mean sperm count and worsening mean sperm motility during the ten year period.

This reduction has been described as a looming epidemic, while possible factors contributing to this epidemic is being investigated with the possibility of putting preventive measures in place, IMSI is a major way to assist conception in these couples.

Because of the need for continuous training of manpower, maintenance of equipment and the consumables used, the IMSI procedure attracts an additional cost to the IVF process but this cost is nothing compared to the joy of having a genetically related offspring.

ARTICLE SOURCE: http://nordicalagos.org/treating-severe-male-factor-infertility-a-true-life-example/

MIDDLE age has never been accepted as one of the best times to conceive but experience shows that it is quite possible to achieve successful pregnancies either through natural or assisted fertility treatment procedures up to the age of 35 and even beyond. There are many available options to chose from, but In-vitro-fertilization (IVF) appears to be proving most popular.

Once you have become familiar with the available procedures, it is important to know that pregnancy and birth rates for women over 40 years of age who undergo IVF and other assisted reproductive techniques are generally lower than those for younger women. This is not to imply however that an older woman cannot achieve pregnancy with this procedure. It is more appropriate to say that the likelihood of successful pregnancy for such woman is lower compared to a younger woman who is less than 35 years of age. Many primary factors are responsible for this outcome and we shall address each of these in turn.

Egg Quality

One of the reproductive factors specific to older women who are trying to conceive is the quality of eggs which declines with advancing age. It is believed that one of the most common reasons that women over the age of 40 years have a lower success rate following IVF is related to aging of the woman’s eggs. Generally in women less than 35 years of age, approximately four out of every five eggs that are produced are healthy and have the potential to be fertilized. At 45 however, the reverse is usually the case with many of a woman’s egg being defective. This has been attributed to the effect of age on the chromosomes. The most rapid decline in egg quality occurs after the age of 40 years. Because egg quality declines dramatically with age, it is common to transfer a greater number of embryos to the uterus of an older woman in the hope of offsetting embryo quality problems. This generally does not increase the risk of multiple births.

Age

The next factor has to do with the fact that women aged 35 and over are more resistant to stimulation with fertility medications. It is like this: the older a woman becomes, the closer she gets to the change of life (best known as the menopause) and the more resistant her ovaries become to hormones that stimulate ovulation. It is for this reason that women over the age of 40 commonly experience abnormal ovulation. It also explains why older women find it more difficult to conceive naturally. Added to this is the development of increasing resistance to fertility hormones, making it much more difficult for the production of multiple follicles. This is important because the ability to induce the development of multiple follicles is essential for harvesting multiple eggs for IVF.

Hormones

With today’s technology, it is possible to assess the sensitivity of a woman’s ovaries to fertility drugs by measuring the follicle stimulating hormone (FSH) and estradiol blood levels in a cycle preceding an IVF cycle. The levels of these parameters help to determine the most ideal dosage and regimen of fertility drugs necessary to achieve an optimal response. What gives indication of an optimal response is the result in production of the maximum number of follicles containing eggs in the ovary. Unfortunately, advanced age affects the potential for egg production (even with the use of fertility drugs) in any given cycle. When fewer eggs are available for retrieval, fewer embryos can be transferred back into a woman’s uterus. Transferring fewer embryos can impact the likelihood of a successful outcome (pregnancy).

Risk Factors

Another factor is that older women are more predisposed to miscarriage and birth defects. With advanced age comes an increased incidence of chromosomal deformities in a woman’s eggs. We have established that a woman is producing fewer and fewer eggs as she ages, but it is also significant to note that the quality of those eggs deteriorate as well. These chromosomally defective eggs, when fertilized naturally or through IVF, are much less likely to implant properly or be successfully carried to term. Miscarriage is often the result. It is quite rare that these aberrant fertilized eggs implant successfully and the fetus carried to term, however the result may be a baby with a birth defect such as Down’s syndrome.

There are other risk factors to conceiving in addition to age. Just like in younger counterparts, women above 35 may have other risk factors for infertility including pelvic disease, endometriosis or uterine fibroids. Unfortunately, these are conditions which may further compromise the ability to achieve pregnancy either naturally or with IVF, in addition to declining egg quantity and quality.

Sperm Quality

Even as much as we have talked about the effect of advancing age on a woman’s fertility, it is significant to note that sperm quality still matters. To be exact, sperm quality is a major factor which influences the likelihood that eggs will be successfully fertilized. Accordingly, poor sperm function will negatively influence the number of embryos that are available for transfer to the uterus. The bottom line is that while sperm quality is independent of the woman’s age, it is nevertheless very important.

Cost of treatment

Cost of treatment also cannot be overlooked. By all standards, the cost of IVF treatment is likely to be greater for older women probably women because reduced success rates and higher miscarriage rates in these women inevitably require more IVF cycles. This burden is usually borne by the infertile couple as there are no immediately available health plans for the reimbursement of the cost of IVF or related procedures.

Although success rates for ART using donor eggs with those for ART using a woman’s own eggs among women of different ages indicate that the likelihood of a fertilized egg implanting is related to the age of the woman who produces the egg, it becomes obvious that the rate for cycles using embryos from a woman’s own eggs declines steadily with age. In addition, a woman’s chances of success using ART (with her own eggs) decrease at every stage of ART as her age increases.

Age-related causes of infertility are not always insurmountable. Just because a woman is over 40 does not mean she cannot conceive, however all the above factors need to be weighed carefully prior to proceeding with the IVF cycle. This is where the services of an experienced reproductive endocrinologist are invaluable to provide a guided pathway to parenthood. For those who decline to proceed with IVF or have repeated unsuccessful attempts, the option of third party parenting is always available.

Source: Nordica Lagos Fertility Center Website- http://nordicalagos.org/trying-to-conceive-at-the-age-of-35-and-beyond/

In more ways than one, the emotional traumas associated with infertility are well known especially to those who have been waiting for long to have children. While increased availability of counseling and support networks has attempted to understand and meet the needs, there are instances in which some of the most intimate problems couples encounters are still poorly discussed, because of embarrassment, lack of knowledge or maybe simply because of a lack of time.

Talking about sexual problem is always the best place to start. Usually, open discussion between the couple will find a solution but this is often a very difficult subject for many people. Just finding the right words to use can be confusing. Yet there are several pertinent questions related to sexual intercourse and its relationship with infertility. We will be discussing some of these today.

Making love can become an ordeal for a couple that has been trying very hard to conceive for quite a while. Take the case of the Adedayos; As man and wife, this couple has tried almost everything including scheduled sexual encounters all for the purpose of achieving a successful pregnancy. Lately however, this couple has discovered that the sexual act has become no more than a mechanical activity more for the benefit of achieving a particular objective rather than to fulfill any sexual desire. Both discovered they no longer had any sex drive or the kind of passion they used to have for each other. So what has gone wrong?

The answer is quite simple. Love making may become disappointing when a couple that is trying to conceive feels that the purpose of sex is simply for pregnancy and when this is not readily achieved the whole purpose of making love becomes a failure. It is not surprising therefore that infertility can have a devastating effect on the sexual relationship of such couples. However, it must be remembered that sexual relationship has other benefits. Not only does making love have an immediate physical pleasure, it also provides a physical closeness which gives the comfort and support which is essential for all relationships.

It is often very difficult to preserve these other pleasures when life is dominated by the desire to conceive. Once it becomes realized that it is as a result of the intrusion of having “sex on demand” that has challenged the intimacy in the relationship, the problem is half solved. Once a couple no longer takes time to enjoy sex like before, this kind of scenario is bound to crop up.

What Couples Can Do

What can be done in this situation is for the couple to learn to spend time together and refocus attention on each other?

Continue reading- http://nordicalagos.org/how-infertility-affects-sexuality/

Everybody knows that there are certain things you need to do when you’re pregnant. But the time before you conceive is often ignored. Taking care of your body may help you get pregnant. It can also improve the critical first few weeks of fetal development—a time you might not even know you’re pregnant. We have something for you – there are certain things you and your spouse can do to boost your chances of getting pregnant in this New Year. Here are 20 great tips for getting pregnant:

Monitor Your Fertile Days
Eat Healthy
Exercise regularly
Take Folic Acid
Be In the Correct Weight Zone
Stop Smoking
Switch to Decaffeinated Beverages
Banish Chemicals From The Vaginal Tract
Men Avoid Biking or Cycling
Ideal Positions
Detox from Alcohol:
Get Those Screening Tests:
De-Stress:
Morning Sex:
Beware of Some Medicines:
Go Low on The Sweets:
The Big-O:
Foods to Enhance Conception:
Men, Man-Up Your Sperm:
Don’t shy away from seeking help
Don’t Delay Too Much!

Source: [url][/url]http://blog.nordicalagos.org/2015/01/20-great-tips-to-improve-your-chances.html

A great fertility tool for women: Know your most fertile days with this ovulation calculator [url][/url]http://www.webmd.com/baby/healthtool-ovulation-calculator?utm_content=buffer66770&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer

Penstef: [color=#006600][/color]hello all
Please i need your advice.
My husband and i have been ttc for two years and recently found out he has low sp count <1million ann 99% non motile. We are considering ivf although the gynae ddnt even bring it up at all instead he placed my husband on meds and said he will treat him.
I have some questions in my head

1. Can the IVF work with this sp.erm result status? Or maybe after the treatment

2. If I were to start IVF process, will i be able to continue well at my place of work? I mean, with all the test, appointment, procedures etc, should i take time off work to go full time into TTC via assisted reproductive means
Or is it something i can do while working

3. are there any women who got success with IVF while maintaining jobs, how did u do it.

My job is very demanding 7-5pm all week Saturday inclusive (half day)

Pls reply... blendy i would appreciate ur reply to

To answer your first question, there are procedures that can help even with a lower sperm count than your husband's. Either IMSI or ICSI should do but I will recommend IMSI.

Intracytoplasmic Morphologically Selected sperm injection (IMSI) is the latest advancement in the treatment of male infertility. In IMSI, sperm are magnified more than 6000 times in order to be able to select the best sperms. Pregnancy rates approach 60% and rates of miscarriages is reduced by 75% Indication. IMSI is especially indicated in severe derangement in sperm parameters and other indications are:
• For men with very low sperm count less than 2 million and with less than 20% motility (severe Oligoastherospermia).
• For men whose partners have had recurrent abortions in the first trimester (this exclude the contribution of damaged sperms).........

I will advice you visit Nordica Fertility Center. They are the First IVF centre in sub-Saharan Africa to procure the IMSI machine. You can book appointment for a free consultation by following this link http://www.nordicalagos.org/book-appointment.html