How long should one wait before starting IVF?

Hi,

Welcome to icliniq.com.

I understand your concern and will try to help you with it.

I have reviewed the sent reports (attachments removed to protect the patient’s identity). Please specify the months you are planning to have a baby. All parameters are normal except for two issues. Your serum testosterone levels are low, and the semen analysis indicates a low sperm count of 5 million per mL, whereas it should be more than 50 million per mL. Additionally, sperm motility is also reduced. These findings suggest that your testes may not be functioning properly, leading to low testosterone levels and abnormal sperm parameters, which can affect conception.

It is important to determine the cause of the low sperm count and testosterone levels. You should consult a urologist for a physical examination to help identify any issues with your testes. I recommend getting an ultrasound of the scrotum with color Doppler to assess the size of the testes and check for any conditions like varicocele. Additionally, you should undergo blood tests for serum FSH (follicle-stimulating hormone) and serum LH (luteinizing hormone) to determine whether you have primary or secondary testicular failure.

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Hi,

Welcome back to icliniq.com.

Before proceeding with extensive evaluation and treatment, you should try for six months. We can wait up to a year before considering invasive treatments. Infertility is defined as the inability to conceive after one year of regular attempts. I recommend starting with a basic evaluation and waiting for some time. In the meantime, you can take medications to help improve your sperm count. If we cannot determine the cause of your low sperm count, you may consider ART (assisted reproductive technology). In ART, healthy sperm are collected from your semen or testes and injected into your partner. ART is typically performed by a gynecologist and usually requires two to three cycles; it is not a one-month procedure.

For now, I suggest you undergo basic tests and evaluations and begin with medical management. Consider taking supplements three times daily. Consult your doctor soon and follow the prescribed treatment.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I have reviewed the reports (attachments removed to protect the patient’s identity), and they appear to be favorable. You are responding well to the treatment and are making good progress. You can try to conceive naturally for the next four to six months before considering IVF (in vitro fertilization). At this time, no additional tests are required. However, you should repeat the semen analysis in a month. Please continue taking the prescribed medications as directed.

Thank you.

Hi,

Welcome back to icliniq.com.

Please go ahead and ask your questions, and attach your reports.

Hi,

Welcome back to icliniq.com.

I have reviewed the semen report (attachments removed to protect the patient’s identity), and it shows significant improvement compared to the initial one. Your sperm morphology has also improved slightly. You should continue taking Clomifene and thyroxine. Incorporate antioxidants into your diet and consider taking supplements. Remember, only one healthy sperm is needed for conception. While your sperm count is normal, the morphology is still somewhat low, but it is not at zero. Continue with your medications and maintain hope.

Looking forward to your response in order to help you.

Thank you.