From girl sway to secondary infertility with Mfi - please help atomic!

[atomic sagebrush]

Update - had a scan Thursday am and the 16 mm follie took the lead and the two in the right seemed not to be maturing . The 16 mm was now 17.8 which she said is a little slower growing but my lining and estrogen level were in line . Going tomorrow to hopefully confirm ovulation on its way. If so femara would of loved up the o by 2-3 days only.. On another note I requested a copy of my husband's sa and the total count was not 70 million it was 268 million ... 70 mill concentration and motility was 68% however the morph was 2% and the note was Kruger strict mostly tapered heads ... From the research I did tapered heads appear a lot in varicoceles and he will now see a urologist but I'm hoping we have enough with a strong egg this go ! I would have to believe that the count overrides the morph in this case? Thoughts?

Honest to goodness Facepalm.

I hate to be negative about a person who I know nothign about but is this RE trying to get money out of people or something??? That is NUTS to take a guy with a sperm count of 268 million who has already conceived a child, and tell them their only chance is ICSI. I have literally NEVER EVER heard of that in going on 10 years advising people with both natural and IVF conceptions. I feel it's really out of line and now that she's done a 180 it feels very much like she ~may be~ trying to scare people into IVF and then if they don't bite treating them with other methods. I really am at a loss but just please rest assured that I think you guys are totally fine to proceed naturally and I would not be surprised if you get pregnant in short order.

[atomic sagebrush]

I am so sorry I don't know how I missed these posts?!?

Most IVF uses ICSI anyway. it's not at all unusual and if you were to do PGD (for gender) you would have to.

IUI is really not very successful and I think you'll have better results with intercourse anyway. A lot has to go right for an IUI to work out and many times the batch is put in too soon or too late and it ends up being the natural BD rounds that get ya preggo anyway.

It takes fully fertile couples doing nothing to sway, 3-6 months ON AVERAGE to get pregnant. I think it is utterly beyond the pale for a doctor to look at someone who has been TTC for 3 months and advise these courses of action. I am honestly speechless.

I would wait AT LEAST 3 months before looking into IVF *unless you want to do it for gender selection with PGD and I am in solid agreement that 4-6 months is MUCH more reasonable. You really haven't even begun to try yet.

I would probably not have you do 3 attempts around trigger, I'd do what I laid out in the post above there. I really think this is a tempest in a teapot and I hate to see anyone throw out the baby with the bath water just yet, because I think the odds are very good you will conceive within the next 3 months. BUT if you are ready to pull the trigger and conceive, I advise SMEP as it's the best of the best way to get pregnant. Sperm Meets Egg Plan