Flunked the post-coital - NEED YOUR ADVICE!

Well, my post coital this morning did not go well at all. Dr. K said that there were "no sperm" in the sample. Good news was I have "perfect" mucus, cervix looks great and I had a nice big follie on my right ovary.

DH has yet to do his SA (dragging his feet), but I was really shocked by this. I asked what could this mean? Dr. K said DH could have male factor, or maybe not. Sometimes the SA is normal and they get this result for some reason. He recommended IUI. Obviously, we won't know until the SA. I know DH has to get it done ASAP, but he's been so so busy with work and stressed out. I think he is scared. I had to tell him this afternoon that there were no sperm and I think he's just crushed. I feel so bad and upset.

Any advice besides getting the SA done ASAP? Anyone had this result with a normal SA or had this result and could share your experiences?

Re: Flunked the post-coital - NEED YOUR ADVICE!

I don't have any advice re: Post-Coital since I never had one. But at this point, it's imperative your husband get the SA done asap. IUI won't help if there is no sperm, or very little sperm.

I'm so sorry

Re: Flunked the post-coital - NEED YOUR ADVICE!

Well I'm so sorry you had such bad results I would definately get you DH to do the SA before making any decisions about doing an IUI. Hopefully it's just that the sperm don't like your CM which an IUI would easily overcome. But if it is male factor then you may need to go a different route. Does your DH work near the RE? Most offices open pretty early so maybe he could drop his sample off on his way to work? Also, most offices are open on the weekends so that might be an option too. I hope you get some answers after that

Re: Flunked the post-coital - NEED YOUR ADVICE!

Thanks girls. Yeah, my DH does work near the RE's office. I'd rather him do the SA tomorrow, but he wants to do it on Saturday. It's his most busy time of year at work, but I'm so frustrated because I just want answers ASAP. My mind is racing with all the possibilities. He said he will do it tomorrow or the next day if I really want, but I feel guilty forcing him. Now there is so much more fear and pressure on him too.

So, nobody else who's had a postcoital got such bad results? I never in a million years would have thought we could be male factor given my history.

Re: Flunked the post-coital - NEED YOUR ADVICE!

Posted by Chai77

Thanks girls. Yeah, my DH does work near the RE's office. I'd rather him do the SA tomorrow, but he wants to do it on Saturday. It's his most busy time of year at work, but I'm so frustrated because I just want answers ASAP. My mind is racing with all the possibilities. He said he will do it tomorrow or the next day if I really want, but I feel guilty forcing him. Now there is so much more fear and pressure on him too.

So, nobody else who's had a postcoital got such bad results? I never in a million years would have thought we could be male factor given my history.

Re: Flunked the post-coital - NEED YOUR ADVICE!

Dh had his initial SA done at a regular lab. Results were "normal". I had the PCT, and the NP said it wasn't great, but not horrible either. I've done 4 IUI's before seeing the urologist at the RE's office (LI-IVF). We met with Dr. Sheynkin and he suggested DH give another sample at StonyBrook since he's affiliated there and the techs are specifically trained in andrology.

Good Luck!

Re: Flunked the post-coital - NEED YOUR ADVICE!

I have had 2 post coitals and failed both. It turns out that we are dealing with MF issues. DH had "problems" producing also. Incase your DH is not able "to do it" in a cup. There is a special condom you can use for intercourse.....

HTH

Re: Flunked the post-coital - NEED YOUR ADVICE!

I never had a post coital but I would get that SA done ASAP!!! A post coital with those results is suspicious. I am sure your DH is scared of the results but you guys need to know what you are dealing with.

Re: Flunked the post-coital - NEED YOUR ADVICE!

Thats gotta be a bruise to his ego. Try to get him to see it needs to get done. IMO..you really cannot move forward without it, especially after this test results.

Re: Flunked the post-coital - NEED YOUR ADVICE!

We failed 2 post coitals but it was on my end, not his - apparently my cervical mucous is "hostile". Hang in there, the benefit of seeing an RE is there is a whole slew of treatment plans for these kind of things

Re: Flunked the post-coital - NEED YOUR ADVICE!

MF is one of the easiest forms of IF to get around.

there's so much more responsibility on the woman in these situations. All he has to do is piddle in a cup. DH did it at home and brought it to the RE.

No one was in the house. He went into work late.

Sorry if his ego is at stake here but you can't go forward without knowing for sure.

Good luck getting him to do this.

Re: Flunked the post-coital - NEED YOUR ADVICE!

Thanks so much everyone. Just to update you- we are doing the SA on Saturday morning. DH is going to produce the sample at home and we're going to bring it in to the lab together. Then DH said we'll go out for a nice breakfast after! I hope all goes according to plan, I know he is very nervous and so am I frankly.

On a side note, my DH works with computers and spends basically all of his waking hours with a laptop on his lap. Sometimes he even falls asleep with it there! He's been doing it for years and years. The more we think about it, the more we really wonder whether or not that is a factor. At least now he is using a breakfast tray to keep it off of his crotch.

Re: Flunked the post-coital - NEED YOUR ADVICE!

I wonder if the heat from the computer is killing his sperm.

Anyway I have PCOS & my husband had an issue, which happens to be very, very common! My brother-in-law also had the same problem. They had a large vein in their scrotom, it's called a varicocele, which carried a lot of blood which made the sperm warm. Too warm, it deformed & killed their sperm. They both had surgery, out patient, & I now have two beautiful children & my sister just had her baby one month ago!!!

Ask your doctor about it. Your husband would need to see a Urologist. In fact, all the doctor has to do is press on the scrotom & she can feel if he has one (most of the time, if it's big). My husband had one on each side. They will send your husband for a SA & an ultrasound too.

Don't loose hope!