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yayamimi posted:
So my Husband and I have been TTC since his VR in May 2010. The MD saw a lot of sperm on both tubes during surgery, however here we are 10 months in and he has had low sperm count. In Jan 2011 he had 8.1 million, then Feb it went down to less then 0.1 mil and in March up to 0.3 mil. I dont understand why it's up and down on his numbers??? He has 2 children that are 20 and 22 yrs old, and i have a child that 11 yrs old. He did get his Vas about 18 yrs ago, and I know thats a factor, however I am so FERTILE, you would think that it would have happened already.......but nothing. Now we are considering IUI or ICSI, I also think that they might put my Husband on Clomid just so his numbers can get better. Is there anyone that has any other information that you would like to share w/me that I may not know???
amyaalc responded:
Sounds like he's trying to close off at the surgery site. He needs to begin some anti-inflammatory medications to try to keep things open so the sperm can pass through into the ejaculate. Discuss this option with the VR doctor. If the surgery site does not stay open there is no reason to take the Clomid since the increased sperm production will not be able to make it out into the ejaculate. Post-op care for VR is very important and it is common to need anti-inflammatories if the numbers should start to drop. Dr. Marks' uses Prednisone 20 mg daily for 7 days followed by 600 mg Ibuprofen three times daily for 6 weeks followed by another semen analysis. This regimen can be repeated as needed until the numbers return to normal parameters.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal

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