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  1. RockyR1
  2. Infertility Discussion
  3. Thursday, 05 February 2015
  4.  Subscribe via email

I'll give you the basic story. I am 34 years old, I'm considered obese by medical standards, about 320lbs 6ft. My wife is slimmer than me, she is 32, but also considered obese. We have changed dramatically this last year, and started eating alot healthier, and have been going to a bootcamp style workout for about 7 months. I myself have lost 30-35 lbs.
We have been trying to get pregnant over a year now, and nothing. We got checked up, my wife was diagnosed with PCOS, which is why it was hard for her to lose weight. I was diagnosed with 5 mill sperm count, and some abnormal. My testicles showed normal, nothing else wrong other than low sperm and low motility.

We have recently tried acupuncture for the last month, and still nothing.

We don't know where to go next. IVF is crazy expensive, or should we adopt.

We don't want to get pregnant if there is a chance our baby will have a medical disorder in any way because of my abnormal sperm.

We have pulled our hair out and screamed to God why us.

If anyone has any advise of where to turn please advise. We just want a normal baby, and normal life.

Accepted Answer
DrNorian Accepted Answer Pending Moderation
Thank you for your post! Let me touch on a few things that you bring up. First and foremost, keep up the good work with the focus on nutrition, lifestyle, exercise.. Please check out my article that I wrote about the data related to these topics and their impact upon fertility. Restricting carbs to only slow carbs, up-ing plant based proteins, and focusing on healthy fats are a good start.

Regarding issues related to male fertility, IVF with ICSI is likely the best treatment option for you. But keep on optimizing what you can because some causes of a low sperm count are reversible. In addition, there are many tools that we can use to help better identify genetic and chromosomal issues prior to implantation or embryo transfer.

ICSI is regularly recommended for men with low counts, low motility (movement), and low strict morphology (shape) or some combination of the three. The chance of a congenital anomaly with any pregnancy whether it is spontaneously conceived or with assistance is low (overall approximately 3% and 1% major anomalies in spontaneous pregnancies). With IVF with ICSI this percentage is higher, but it is still a low number overall.

At your initial consultation, we can speak about more the specifics and also discuss adoption and whether that may or may not be a good option. In addition to our website, (managed by the ASRM) is a useful site to get more information.

Hope this helps and best of luck!
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