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Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
30th Mar '11
Quoting Ryans Mommy TTC #2:" DH's sperm results came back- dr said it is better which still has a high velocity, he is now at 12 million ... [snip!] ... and still thick, so hes putting him on more Vitamin C and Guaifenensian 2 tsp times a day, then another repeat SA in 6 weeks."


I'm glad there's improvement!



SO doesn't see the Endocrinologist until the 11th. His MRI of his pituitary came back fine so were trying to figure out what's causing the low testosterone. I hope they get to a treatment soon.

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
11th Apr '11

So the treatment the endocrinologist said they want to use is Androderm patch and they won't prescribe anything that will help with natural production of testosterone because he will need to see a fertility specialist for that.



From what I've understood, straight up testosterone replacement causes a decrease in sperm count and after a period of time goes all the way down to zero. So this is depressing news. I was hoping that we were closer to it. Now we have to go through an RE to get pregnant.

Ryans Mommy TTC #2 TTC since Jun 2009; 1 child; Madison, West Virginia 1850 posts
11th Apr '11
Quoting Mac &hearts:" So the treatment the endocrinologist said they want to use is Androderm patch and they won't prescribe ... [snip!] ... to zero. So this is depressing news. I was hoping that we were closer to it. Now we have to go through an RE to get pregnant."


Sorry to hear that! I've come to terms that we will probably have to go to, since both drs have suggested IVF already

2 kids; Sunnydale, CA, United States 2669 posts
25th Apr '11
Quoting Mac ♥:" So the treatment the endocrinologist said they want to use is Androderm patch and they won't prescribe ... [snip!] ... to zero. So this is depressing news. I was hoping that we were closer to it. Now we have to go through an RE to get pregnant."


Can't they put him on Femara to block his estrogen levels and let the testosterone take over?

2 kids; Sunnydale, CA, United States 2669 posts
25th Apr '11

Finally SO is getting the testing done to see what's causing the hormone imbalance. The first test is an MRI, will we find out the results of the MRI right away? I'm pretty sure the MRI will come back fine.

Ryans Mommy TTC #2 TTC since Jun 2009; 1 child; Madison, West Virginia 1850 posts
25th Apr '11
Quoting Vicarious✯:" Finally SO is getting the testing done to see what's causing the hormone imbalance. The first test is ... [snip!] ... The first test is an MRI, will we find out the results of the MRI right away? I'm pretty sure the MRI will come back fine."


I hope everything turns out well for him :)
We've pretty much figured that we have no other choice than go on to the RE for IVF, so we're waiting until DH's next SA on May 9, and then see what his urologist says. If there has been no change, we are going to go ahead and have them to refer us to the RE. Both my dr and his has already suggested it, and basically said thats all that we could do

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
25th Apr '11
Quoting Vicarious✯:" Can't they put him on Femara to block his estrogen levels and let the testosterone take over?"


I wish, but since she is an endo and not a repro endo she doesn't prescribe meds like that. She flat out told him that we have to go to a RE to get pregnant. Especially if I have PCOS.



I'm going to schedule with my OB to next check up on progress, and this time I was told we would be getting the referral since my HSG came back fine. We're hoping that it will be as simple as putting him on Clomid or Femara and waiting for his sperm levels to rise, and then get me back on Clomid as well, and magic will happen. lol



Otherwise, we're trying to find the best insurance coverage and financing options if need be.



They did an MRI for SO's low testosterone and it came back as normal. His endo wanted him to start testosterone replacement, but everything we've read up on the gel is that can effect partners who come in contact with you... and the last thing I need is more testosterone. So they we're considering the IM injections every two weeks, or the androderm patch. Then we found out the insurance doesn't cover anything at all besides the gel. So we were told sometimes you can get sponsored by the company that makes the patches so he's looking into that. Which I'm glad he hasn't started anything yet, because we decided to move up going for an initial consultation with an RE to this summer instead of the fall. If he starts replacement it can just make it require more time for his body to start naturally producing with the right meds.

2 kids; Sunnydale, CA, United States 2669 posts
25th Apr '11
Quoting Mac ♥:" I wish, but since she is an endo and not a repro endo she doesn't prescribe meds like that. She flat ... [snip!] ... If he starts replacement it can just make it require more time for his body to start naturally producing with the right meds."


:? Now I'm not hopeful about SO getting treated.. We're not TTC right now but he wants to try to fix his count and gain muscle. This is so frustrating!! We had to get his doctor to check his testosterone twice because they didn't check both levels (total and free), then we had to go back and force them to check his estrogen. Finally after the back and forth game SO got his referral and we spoke with the endo.



Will the testosterone replacement lower his count in the long run? All of this is confusing.

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
25th Apr '11
Quoting Vicarious✯:" :? Now I'm not hopeful about SO getting treated.. We're not TTC right now but he wants to try to fix ... [snip!] ... and we spoke with the endo. Will the testosterone replacement lower his count in the long run? All of this is confusing."

From everything that I read, testosterone replacement brings you basically down to zero sperm count by week 10 of being on replacement. While he is on it, it will be highly unlikely to conceive at all. Stuff like Femara and Clomid can only be given for short periods of time to increase natural production, since they can have long term effects on the liver and other organs.



If he's wanting to fix his count, he'd need something other than straight replacement. He would be able to gain some muscle. However, unless trying to conceive, they won't go this route probably.



If he goes on the replacement, then when you guys decide you want to TTC, he might need to come off it way before then. I have no idea how fast natural production of low counts bounces back. I don't know if Clomid or Femara can help bring it on faster, or if you have to wait until you have some natural production first. This is all why I want to talk to a RE and get a consultation. Figure out the GAME PLAN. I didn't want him starting something this summer for a few months with replacement therapy and then set us back for still trying to continue to conceive. If can start something like Clomid or Femara now, and if that doesn't work, then prepare for more invasive options either injections, iui, or if all else fails or isn't financially the best option, ivf.




One of my good friends just announced she's preggo. I was really close with her during her first two pregnancies with her boys, and she got preggo last year with the man she just married and they aborted... and now they are preggo and keeping it. I'm jealous of her fertility. lol. Also, one of my best friends since 1st grade is going in for a c-section tomorrow for her second child. I'm happy for everyone but it always stings slightly.



I'm kinda down that it's such a process for us.

Ryans Mommy TTC #2 TTC since Jun 2009; 1 child; Madison, West Virginia 1850 posts
25th Apr '11
Quoting Mac &hearts:" I wish, but since she is an endo and not a repro endo she doesn't prescribe meds like that. She flat ... [snip!] ... If he starts replacement it can just make it require more time for his body to start naturally producing with the right meds."


Does Clomid help increase sperm count??
I wasn't for sure if I read that right or not??

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
25th Apr '11
Quoting Ryans Mommy TTC #2:" Does Clomid help increase sperm count?? I wasn't for sure if I read that right or not??"

In instances where the low testosterone in the cause, yes. I'm not sure about otherwise.

Ryans Mommy TTC #2 TTC since Jun 2009; 1 child; Madison, West Virginia 1850 posts
26th Apr '11
Quoting Mac &hearts:" In instances where the low testosterone in the cause, yes. I'm not sure about otherwise."

O Ok.....IDK if DH has low testostrone or not, the only thing hes been tested for is his SA.

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
26th Apr '11
Quoting Ryans Mommy TTC #2:" O Ok.....IDK if DH has low testostrone or not, the only thing hes been tested for is his SA."

It may be a good idea to have his total, free, and bioavailable testosterone tested, along with estrogen, LH, FSH, and thyroid.



They did an MRI on my SO's pituitary when they found the low testosterone. However, my SO has the major outward characteristics of low testosterone. Almost no body hair, very little muscle mass, somewhat soft testies, and problems with energy and depression. Also, men who are overweight or older can go through andropause... basically the male equivalent to menopause causing low testosterone.

Dr. Mrs. The Monarch 49 kids; N/a, Na, United States 1019 posts
4th May '11

Went to the OB/gyn today to discuss possibly getting a referral to an RE. SO came with me. He wants to do a semen analysis and see where SO stands since he has low testosterone. It could come back normal since it's odd that even though he has such low numbers, the fact that he has absolutely no erectile dysfunction or libido issues may be a sign that he's more fertile than we think.



If it's normal he said we may want to try IUI then. They do IUI's in their office! He also said, that more than likely after that he will send him to a reproductive urologist. If he has low sperm count, then the RU can prescribe him something, more than likely Clomid, to help raise his testosterone and sperm count.



Then I can continue the Clomid and try that way, both being on Clomid and natural or we could pair it with IUI if we wanted. So depending on the price we may try that. So it's exciting that there are options before going to something like IUI and IVF. He seems confident that since my HSG came back fine, and I'm ovulating appropriately on the Clomid, that if SO has normal sperm count, or can be fixed with Clomid too, that I should be be able to get pregnant without IUI or IVF. If there are motility issues with his sperm at all though, he strongly recommends IUI.



I'm excited!!

Ryans Mommy TTC #2 TTC since Jun 2009; 1 child; Madison, West Virginia 1850 posts
5th May '11
Quoting Mac &hearts:" Went to the OB/gyn today to discuss possibly getting a referral to an RE. SO came with me. He wants to ... [snip!] ... without IUI or IVF. If there are motility issues with his sperm at all though, he strongly recommends IUI. I'm excited!!"


Thats awesome to hear!!! I wish my GYN could do it in the office....
Well DH's next SA is on monday, so once we get the results we are planning on calling my GYN back for the RE referral. IDK if it has increased or not? Since the only thing hes been on is the Guaifenesin and Vitamin C. He is bad about forgetting to take it for one thing, plus he doesnt like it all too well either, so the only thing we could really do is go on to IUI or IVF, since thats the only thing left we can do.
I hope that you guys get pregnant naturally with meds before going on to the more expensive route, I mean we've been through every step through the GYN and urologist and it has helped some, but not enough to get me pregnant yet. He started seeing the urologist in Dec and I went back to my GYN in October and Janurary, so theres nothing more they both can really do, as per what they said.