Fertility results - please help

Hi there guys. I recently did a sperm test and my wife underwent a HSG test. "HSG is an x-ray procedure used to see whether the fallopian tubes are patent (open) and if the inside of the uterus (uterine cavity) is normal."

We have done some fertility tests recently as we have now been trying to fall pregnant for 2 years with no results. However we are currently in a developing nation and it's been difficult to find good professional advice on our results. (Especially as there is also a language barrier.)

Is there anyone out there who could help us? We would greatly appreciate this.

Thanks,

Update: here are some photos of the xrays of the HSG test. Can anyone comment on this?

https://ibb.co/gZNqcjd
https://ibb.co/f0KvpPV
https://ibb.co/wJcvwmy
https://ibb.co/vDF6R1t
https://ibb.co/dfTdTMm

Comments

    • +1

      We know the language fairly well, though when you get into technical areas it does prove more difficult, however it's not just the language barrier but cultural barrier and different ways of thinking about health, medicine etc. I'm not completely opposed to "eastern medicine", I think they have valuable contributions, however I would just appreciate another perspective such as a "western" one.

      • +2

        Can you you seek medical advice from a country with good doctors?

        No one here will be able to give you medical advice.
        I don't know where you are or where you can travel.

        I don't know what eastern medicine is does that mean eating spices to have birth?

        If you can't travel to another country eg. Thailand has good doctors, travel to another part of your country.

        I really wish I could answer your question honestly, it sounds stressful.

    • lol…I agree on this

    • +4

      Actually… For us to fly back to Australia, quarantine 14 days at an hotel at our own expense, pay to visit a fertility doctor to get there opinion and then fly back again would workout fairly expensive… I think!? So yeh… I kind of am looking for a bargain.

      • +1

        Are there not some nearby suitable countries, with less onerous travel and quarantine restrictions, where you can get this done instead?

    • +8

      Also… I know the word "bargain" is in the website's name but maybe if you have a 10 second look around the website and check out the different categories you may notice that Ozbargain has evolved to be much more than just posting bargains…

      • +1

        Yeah but they have the OZ bit down at least?

        • -2

          Well, most of us are ‘migrants’ in some ways shape or form. What’s your point?

        • +2

          LOL, flexing on being an OzBargain veteran, no one asked about your OzBargain experience either, get of your high horse.

          If the mods used your logic on post:bargain relevance than most of the forums here (which are probably a major source of traffic) would be shutdown.

          And some of your posts aren't bargain related either, hypocrite. But I'm sure you're free to ask whatever when it suits you, how entitled.

          https://www.ozbargain.com.au/node/44090
          https://www.ozbargain.com.au/node/73055
          https://www.ozbargain.com.au/node/73055
          https://www.ozbargain.com.au/node/22943

        • +7

          Been here since 2009, probably indicates I know my way around the website.

          For someone who's last deal post was 10yrs ago, you don't get to bully new members from your high horse.

          Grow up and don't attack people under the guise of being here since 2009. If you haven't contributed since 2011 then you carry zero weight with your comments.

          Next time just scroll past if you don't like it

    • OzBargain is a discussion forum for other things than bargains. Let's welcome new members and act respectfully.

      • -3

        but anti-semitism and hate speech isn't allowed in the site rules. Please explain why the offtopic political opinon rant has been allowed to stay for days. thanks

        • Perry making things up again.

          • @[Deactivated]: maybe read the posting guidelines before making false derogatory statements - not that you're interested in the published rules.

            no reply from the mod encourages the routine breaking of the published guidelines though so….

        • +1

          well its their site, so their rules….if you want one with anti-semitism or whatever that is and hate speech allowed, go to another forum.

          • +1

            @Zachary: That's not what they're saying.
            Petry is saying there IS anti-semitism and hate speech going on in ozbargain, and the mods are being hypocritical/selective rule enforcement

            • @Blitzfx: Perry is a hypersensitive snowflake who'd have half the world's books burnt if he could.

              • @[Deactivated]: personal attack based on what exactly? please provide a link to where i advocated book burning? you haven't contributed anything to the thread save for attacking me.

                hope you feel better for your casual hate.maybe read the sites published rules

            • +1

              @Blitzfx: Oh I see, both can be in a rant and aren't mutually exclusive of each other. Well yes, what mod has the time to troll through every single thread and post looking to be Judge Dredd of the forum? So of course they'd be selective. People report the posts and if the reported post breaks the rules then that comment gets censored.

          • +1

            @Zachary: Its not allowed here according to the sites published rules, and they are published there to protect themselves because of federal laws.

            the reality is they don't enforce them repeatedly.

            your view is i should leave the site because they ignore federal law? is that correct? and that the anti-semitic views blatantly posed here is ok, and should be unquestioned even though there are laws against it?

            • -1

              @petry:

              Its not allowed here according to the sites published rules, and they are published there to protect themselves because of federal laws.

              I thought the rules are there to keep the peace, and not protect themselves from the law…?

              the reality is they don't enforce them repeatedly.

              Interesting……got examples?

              your view is i should leave the site because they ignore federal law? is that correct? and that the anti-semitic views blatantly posed here is ok, and should be unquestioned even though there are laws against it?

              No, what I said is if you wanted to do all of that, then you should go to another forum that allows such things because obviously this place does not, due to peace keeping.

              • -3

                @Zachary: its not peace keeping - forums are full of hate.

                the site does a bare minimum of banning hate content, and is not federally compliant anymore.

                as for its published rules - well some people are repeatedly allowed to break both site rules and federal laws on cyberstalking.

                suggest you read truth decay… which is old now - after decay comes rot.

                currently australia is riddled with truth rot - even clotting is deemed not to effect older and aging people more any longer. killing off elderly australians saves money and cheating the disabled to give money to the rich and foreign investors is good politics. robo killing was known to be illegal from the start.

                never seen any party do more to harm their own country in the last 20 years than the coalition.

                • @petry: So you prefer a site with no rules or are you complaining about its inconsistency?

                  • -2

                    @Zachary: nope they are consistent with how different people are treated so very differently.

                    maybe you don't understand how many profiles the site uses, its a manifestation of truth rot..

                    the site does a bare minimum of banning hate content, and is not federally compliant anymore.

                    'as for its published rules - well some people are repeatedly allowed to break both site rules and federal laws on cyberstalking.

                    suggest you read truth decay… which is old now - after decay comes rot.

                    currently australia is riddled with truth rot - even clotting is deemed not to effect older and aging people more any longer. killing off elderly australians saves money and cheating the disabled to give money to the rich and foreign investors is good politics. robo killing was known to be illegal from the start.

                    never seen any party do more to harm their own country in the last 20 years than the coalition.'

  • +4

    I can't actually understand what is the actual question? are you looking for some telehealth appoinment from here ? Is everything ok with the test results such as sperm motility rate ?

  • +7

    SEEK PROFESSIONAL HELP!

    I mean FFS man - if you cant get it where you are go somewhere you can

    • +2

      Upvote from me. Get the best help you can from where you can/need to go to get it. Dont wait to long. Often the older you get any medical related issues you may have may just make it harder.

      • Age is not your friend when it comes to fertility

        Females are generally aware of this

        But this is true for males as well - males also have a biological clock

        • -2

          not if you blast into an ice cube tray

          • -2

            @PensionerXXL: i assume you're joking but just in case - you can't freeze your own sperm at home, it's a complicated procedure

            but yes cryopreservation can potentially extend male and female fertility
            but it's certainly not a panacea

            it's expensive
            for females it is invasive
            and there are side effects thought to be minor on the children conceived from them

            • -2

              @bargain huntress: no i wasnt joking

              yeah im sure there are side effects, however plenty of people born naturally are defective. look at all the people who've never worked & collect a pension that selfishly have kids they cant fully look after that puts more of a burden on society!!!!

              ps thanks for neg :'(

              • -1

                @PensionerXXL:

                look at all the people who've never worked & collect a pension that selfishly have kids they cant fully look after that puts more of a burden on society

                All the people…
                What people?
                I don't know any

                • -1

                  @bargain huntress: o yeah and you know a lot of ivf babies?
                  ahhahaha gosh…… 🤨

                  • -1

                    @PensionerXXL: What? Wtf are you talking about?

                    • -3

                      @bargain huntress: yeah my bad, perhaps this needs to be a separate thread titled "how do i perform this simple everyday task" or "will this everyday item catch fire if i use it"

                      haha, read a book and not google :)
                      laters

                      • @PensionerXXL: So this was all targeted at me

                        I don't have any children

                        I don't know what your problem is

                        • -3

                          @bargain huntress: so you think an ice cube tray comment is targeted at you? lmfao you really are special
                          all i did was reply to your bs. anyway lets stop this, im sure your tired of downvoting comments (time well spent……)

                          • @PensionerXXL: it's not bs
                            feel free to research male fertility and aging yourself
                            i'd also look at how even though some males still have technically viable sperm in old age, and therefor can conceive naturally or with technology, the mutations in those sperm start to increase exponentially after age 40

                            • -3

                              @bargain huntress: no. no thanks, you enjoy your fertility 'research'. & i wish you the best of health :)
                              ciao

  • +3

    to sow your seed you're supposed to come back to the golden soil… come back home mate.

    • +1

      you made me feel more patriotic than i ever had been

  • -3

    Both of u try diff partners, the cause will become apparent quick enough.

  • +1

    Timing is key and let your balls freely hang (no underwear) which should help with temperature management, anecdotally I think that's helped me.

    https://www.winchesterhospital.org/health-library/article?id…

  • +3

    Good luck with everything…
    Ive done ivf and now have a 2 year old wild boy but i also have 4 older kids as well that was concieved naturally …
    I was very lucky as i only had to do one cycle of IVF but got pregnant on my 2nd embryo transfer so if you have any questions about the ivf journey i would be more then happy to help ..

  • +2

    Maybe get a telehealth appointment via video with a specialist of your choosing in Australia (or wherever else, UK or US). You'll just have to pay privately - it's not like you get much back for specialist appointments via medicare anyway.

    Also if you haven't already gone down this route, also make sure you're timing your activity to conceive naturally with ovulation and engaging in the activities often enough. You can buy ovulation tests to help with timing and there are phone apps to keep track of things. I think they say go for at least every second day across the whole month if you're really keen to make a baby. I know lots of people who have gone down the IVF route but then conceived naturally - it might not happen for you, but there's no harm in keeping on trying until you can get other advice.

    • +3

      medical practitioners cannot consult on patients outside of Australia as their professional indemnity insurance will not cover them

      • +1

        there are places offering it eg https://www.cityfertility.com.au/fertility-services/internat… I would imagine there are different insurance arrangements depending on the scope of practice. I’m almost certain that OP would be able to get a consult online with a reputable fertility specialist (though the fertility industry IMO has a lot of practitioners with questionable ethics) from somewhere in the world. If not Australia, I know people who have had consults with US doctors whilst in Aus (not for fertility but other issues). Of course treatment is a different issue. But advising on which tests to get and interpreting results is very likely to be an option.

        If someone is motivated enough, and has the financial resources there’s often a way to work with/around legal and insurance constraints eg some Aussie drs with mental health concerns seek services in WA where mandatory reporting laws are different.

        • that's interesting, good to know (genuinely so, no /s filter on!)

  • +1

    what's your question?

  • -2

    Maybe u can get in contact with the man helping families in Australia.

    https://www.google.com/amp/s/amp.www.complex.com/life/2020/1…

  • +1

    consult some telehealth websites, google telehealth Sydney doctors (or where ever you were based when you were here)
    go to their site, book an appointment, pay with credit card (im assuming you still posses some sort of international payment method?), if not use a family or friends credit card who still live in aus (if they trust you they will send you a pic of it) thats that, also when paying use a vpn connected to a server in where ever the (friend) is located for example Sydney to avoid any geo security triggers. telehealth is more common now after the covid thing, so im sure you can find a specialist and set up some sort of arrangement to get what you want. they would want to run some tests for sure, so see if you can run the tests in (iran im assuming) im sure they are also available in English as Iran is very developed contrary to popular belief. email back the results to the specialist and see what they say. this is the best method of doing it if you cannot physically be present in Australia.

  • +2

    Man this thread is getting toxic already

    • School holidays.

  • You should try IVF. I am sure all developing countries have this fertility treatment.
    Get in touch with some doctors from countries like India, who can check your results and advice you accordingly.
    Keep looking and reaching out for assistance. You will surely get it.

  • IVF is your answer.

  • A question like this belongs on whirlpool lol

  • I'm not sure how people on an Australian based Forum can help with:
    1) medical issues
    2) issues outside Australia

    But good luck with that.

  • +1

    Are you timing the intercourse correctly? I think there's a "fertile window" that is very important. Especially while your partner is ovulating. There are over the counter kits that will determine if your partner is ovulating (get high quality ones, and get like really lots of them). Your sperm also must be large in number and high in motility, which means you must abstain for a day or two just before that important ovulation day (I believe it's two days of ovluation?).

    • Thanks for your input. We bought some ovulation strips a few months ago, they have worked well and given us a better understanding of ovulation times. My sperm is high enough in number and a little bit on the low side on motility however the main issue was high levels of white cells present in sperm. Not sure what this exactly means…

      • the main issue was high levels of white cells present in sperm. Not sure what this exactly means…

        Perhaps a doctor would be able to tell you?

  • +1

    If you are in Iran maybe try these people.
    https://hayatmedtour.com/procedures/ivf-in-iran/
    They are geared towards medical tourists from the USA as ivf is way cheaper in Iran. Plus in developing countries you get to do things like select sex etc which is banned in Australia.
    Another way to get info is post on a Facebook fertility group. Lots of people turn into quasi doctors on those groups.

  • +1

    No idea where you are in the world. But if coming back to Oz is not an option, I've heard Greece is a good place for fertility treatment. That might be a more affordable and easier option from where you are.

    Do your own research and good luck.

  • +3

    Hello @Changemymind

    We also had the unexplained infertility where the doctors couldn't find an exact reason for why it wasn't happening.

    We kept trying. we did the induction cycles where doctors would track the release of the egg from the ovaries and then let us know to do the thang in the days that followed. The cycles unfortunately did not work for us but was good education because before that we were just not timing and just goofing around whenever. so timing is important. If there is no other apparent reason for it not happening now, you can get the ovulation tracking strips online and track the ovulation and may be try to time it if not already doing so. I thought ill share my story because it might help. and yes we did end up being successful just before we had our first ivf cycle booking.

    In the words and voice of Sir Harry Lauder:

    "Keep right on to the end of the road,
    Keep right on to the end,
    If the way be long, let your heart be strong,
    Keep right on round the bend.
    If you're tired and weary still journey on,
    Till you come to your happy abode,
    Where all you love that you're dreaming of
    Will be there at the end of the road.
    With a big stout heart to a long steep hill,
    We may get there with a smile,
    With a good kind thought and an end in view,
    We may cut short many a mile.
    So let courage every day
    Be your guiding star always."

    I hope and pray that you are blessed with a child soon.

    • +1

      You said "The cycles unfortunately did not work for us"

      So then what worked for you?. Could you please let me know.

      Me and my partner are also trying since 2 years now and have done with all the tests the doctor advised.
      Our scheduled online meet with the doctor is on the 20th of this month.

      • +4

        To be honest i dont know what worked.

        I think it was just that we just gave up and gone through all the other steps (induction cycles, iui, tube cleanup, HyCoSy, clomid, latrozole) and knew that we had ivf booked so werent stressed as much.
        But also importantly my missus did some things, in months prior to falling pregnant, which might have helped. She did the castor oil massage, acupuncture sessions (to get the progesterone going). She used to get cold feet and hands which apparently means you have more estrogen. and wife thought her body wasn't making enough. we did also treated her stomach parasites (i dont remember what they are called) but were told they affect fertility. Our acupuncturist gave us a Chinese /herbal medicine for the bugs.

        Good luck with the journey.

    • +2

      We have recently started tracking ovulation and have realised that my wife ovulates much later than we thought… (Day 17-19)

      Thanks for sharing your story and for the encouragement. :)

  • +1

    Dear OP,
    BTW, you didn't tell what's the result.
    If result is normal and no medical help is needed.
    Rest is up to you guys, and let me tell you it's not fun.
    But, if by chance you guys can make it fun…..in one of my colleagues' words during our difficult time………..you will have a bouncy baby in no time.
    Good luck for you guys!!

  • -1

    fertility problems are best diagnosed by the process of elimination

    have your wife sleep with a man who has previously fathered children. if she falls pregnant then you know where the problem lies. problem solved.

    if not, sleep with many women and if one of them falls pregnant you know where the problem lies. problem solved.

  • +1

    Maybe storing the sperm and letting it boom at the right timing might be better than trying it everyday. Or it could be just stress related issue.

  • IVF will probably fix your issue. It’s not that expensive, and in some countries you can even choose the gender.

    • +3

      IVF will probably fix your issue.

      How do you know that without their medical records?

  • +5

    @changemymind

    You didnt mention the results of those tests were they normal? Some other information would be useful, such as age.

    When I went through those tests, it seems that they can only figure out the cause of infertility in about 50% of cases, the others are unexplained infertility, which can mean there is nothing wrong, or can just mean they cant determine what it is which means they can treat it.

    I think there's also a test where they count eggs on the ovary follicles, which also gives you a good idea on chances.

    There are a couple options, there are some drugs (Letrozole, Clomid) you can try before IVF which kind of force an egg or multiple eggs to be released on the next cycle. It supposedly increases chances of getting pregnant, but also a greater risk of twins, which sounded great to us at the time. But ugh, having had one child now, I dont know what i was thinking, i think it would be more than twice as difficult as just one, but would depend how much support you have. Also i believe greater risks to mother and kids in a twin pregnancies.

    Anyway so yeah, you can take that drug, and try a couple cycles with that. And you can also look at IVF. We looked at the option and tried letrozole and then was planning IVF, but thankfully go pregnant literally the last cycle before we were going to start IVF.

    Assuming you are healthy, then from our experience and research recommend :

    • eat healthy
    • maintain a healthy weight (if you are underweight or overweight, make sure you work on that)
    • have her take the pregnancy vitamins. The doctors were all super insistent. I dont think it helps getting pregnant, but any reasonable chance of avoiding issues you should take
    • regular exercise
    • relax. -Which is the most important thing to do, but also the most impossible if you are desperate.

    Ultimately, I think our biggest hindrance was her age and that she could not relax, until we had basically given up because we were starting IVF the next month. The older she got, the more anxious she got. My wife was also a bit prone to believing every wives tales online, and there is SO SO MUCH. There are some good online resources, I think Mama Jones on youtube is pretty good, although perhaps that more pregnancy related. There is good youtube content, you just have to be careful if the presenters (even if they are a doctor) have an agenda.

    Trying to hit the 'window', also made it stressful and made it feel like an obligation. I honestly think, you are better off paying less attention to the window and just keep at it every few days. Apparently, its best to wait about 48 hours in between, and the sperm can age after about 72 hours so less chances after that as well. Which was probably something they advised you when you did the sperm test, they probably wanted it to be like 3 days worth, but no older.

    Also the cost of IVF seems to vary widely. In NSW they seem to have more subsidies at a state level than VIC, so there were some noticeably cheaper options there than Melbourne. I'm not sure what IVF options are available where you are, but it might be worth at least scoping out pricing. Ultimately, it may be worth moving for.

    • +1

      @changemymind

      The above is good info. For us it took 6 years, multiple specialist but finally conceived naturally. May be the above tablet assisted in our case.

      On top of it based on my experience through this, I would add as doctors usually say 2 years is not a lot 2 X 12 = 24 + few cycles. It is not considerable duration in terms of considering fertility issues. Give yourself some more time, forget about this and get on with life. If I were in your situation, I would do the tests as you have done. If the doctor says everything with in range, which is what most likely you would hear. Give your self some gap 3/ 6 months. before going back for the next step. I would continue monthly scan to do ovulation timing and plan accordingly.

      There is an IUI process. which would be your next step before IVF. Its not just about money. It will be stressful, takes time and nothing is guaranteed 100% success. Few more things you can do is educate yourself of the different options, accept the reality that it takes time.

      This is just based on my experience. All the best!

      • +1

        Thanks. Yes, we have done some tests and things seem to be fairly normal so we're just going to wait for awhile now before we do anything else. Thanks for your input and reply.

    • +1

      Thanks @modiika. Really helpful advice.

  • +1

    If you are in the middle east , then my suggestion would be to reach out to fertility clinics in India.

    • +4

      reach out to fertility clinics in India.

      Do they have a call centre?

      • Probably your best call yet JV.

  • -6

    However we are currently in a developing nation

    Go ask someone in your own country then….

    or just break up and find a partner who can give you children.

    • or just break up and find a partner who can give you children.

      too expensive…

  • Post the results here and we can get back to you.

  • Have you tried an alternative health approach? From a holistic point of view there is something lacking nutritionally. Most people follow allopathic medicine with no avail.

  • I am stunned that you would ask for help with this on a bargain forum.

  • +1

    Wow, stumbled across this thread- there was very interesting discussion on Arab vs Israel conflict and history.
    The more I read these threads, the more I realise that there is no absolute truth. Just manifestations of our beliefs and opinions- we all perceive "facts" from our viewpoint, and the more strongly we feel about something, the more biased we are.
    As a disinterested party, I thoroughly enjoy these discussions, as it helps me with the aspect of trying to understand the intricacies of human biases in decision making and judgement.

  • First, i am not a doctor so any advice is personal and not professional. But i used to work for a lab for women's hospital that did fertility tests. It could be anything. You count, sperm morphology, motility etc etc. Same with your wife it could be her uterus not able to attach fertilised eggs etc. I dont know if Xrays will show fallopian tubes..prolly need CT scan or MRi or ultrasound. and that photo quality is super bad.. cant see anything right.

    If you really need kids or want to bring some that badly in this (profanity) up world you will have to spend a lot of $$ and get a IVF for your wife where they will manually implant a fertilised egg, I think each try costs from $8k to 20k here in Melbourne IVF. I am not sure if surrogate mothers are legal but that another option. IIDK why a embryologist or gynaecologist , andrologist cant help you.

    But just look after your wife and yourself and be happy. By the time you are old, we are lucky enough that most things will be automated and there will be robots. Theres already too many humans on this planet. Unless you are filthy rich, i dont think kids are a good Bargain…

    • +1

      As someone who is holding a one week bub conceived through Melbourne IVF I can tell you thats not how much it costs at all. Its 1k per implant and an extra 1k for egg collection. Cost us maybe 4.5k-5k total max.

  • There are now a number of website where you can see a GP online. Getting an opinion from them is a good idea compared to ozbargain.

  • Be sure to put it on the correct hole. Use a flashlight. Just kidding!
    Laughter is all I can give as I know you are already stressed. Good Luck Mate!

    Ps. If I am on your shoes I would definately go to an Australian practitioner.

  • +1

    I’m not trained to read HSGs so take this advice with grain of salt. Also images are horrible making it impossible to read.
    The L) fallopian tube seems open and patent
    R side, I cannot make head nor tail of it and it’s almost impossible to read off a phone
    (This is not formal medical advice, I recommend proper specialist review)

  • @changemymind

    Send me a PM if you wish, I can have someone qualified do a full review for you.

    • Thanks. :) I tried to PM you through your account however it says i am unable to start a new conversation with you. Let me know. Thanks

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