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21 Feb 2004

Infertility - What are my chances?????????
I have a blocked right fallopian tube and my husband has a sperm factor problem ie. 90% abnormal sperm. In 2003 we went for a combination of infertility treatment made up of ICSI and IVF. We had a miscarriage and were devastated. Is there anyone with a similar problem? Have you fallen pregnant? What are the chances of us actually falling pregnant naturally (been married for 5 years)?

What effect would an abnormal sperm have on a pregnancy? My gynae assures us that it merely means that the sperm has a broken tail or 2 heads etc. Is this all it is?

My gynae has suggested that we try again both naturally and through assisted reproductive technique (ART). So far nothing has been happening naturally. We found the ART both financially and emotionally draining and are not ready to consider this option just yet. We also want to find out more information on abnormal sperm and its effects on the embryo-we just don't know who to speak to regarding this........

How can we find out more about the composition of my husbands sperm? Is there a DNA/genetic specialist in Durban or surrounding that we could see?

I also want to know about cyclogest. After the ICSI / IVF treatment I was on a course of cyclogest and when I started spotting my doctor advised my to increase the dosage. What effect does this have on a person, sexual desire and how long does it last? Please help.
Answer 443 views
Expert
GynaeDoc
gynaedoc

01 Jan 0001

The abnormal sperm means that it has poor fertilising ability, hence your difficulty falling pregnant. If a sperm managed to fertilise an egg, the embryo would not be affected. The main probelm is with conception not with the fetus afterwards. Remember though that 20% of women miscarry in early pregnancy, most likely from genetic abnormalities. This could happen in your case as well and is not particularly related to your husband's sperm count. If you want to speak to a geneticist, the best place to find one is at the academic hospital in Durban.
Cyclogest is a type of progesterone and is used to help prevent a miscarriage due to low progesterone levels. This can affect libido but this effect should wear off in a few days.

Best wishes
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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