30/01/2026
Me: Was this the worst s***m you've ever had to work with?
Embryologist: Yes, all of his s***m were abnormal, they either had pin heads or very large heads, and most had multiple tails. Plus, almost all were immotile.
■ In their 1st IVF cycle at their 1st IVF centre, she had 16 eggs collected. They did a surgical s***m retrieval (PESA/TESE) for him. Unfortunately, when they didn't find any motile s***m, they discarded all her eggs 😢! It's a pity they didn't just freeze her eggs.
■ In their 2nd IVF cycle at their 2nd IVF clinic, he underwent another PESA/TESE procedue and this time, his s***m could be used to fertilise 15 of her eggs. 4 fertilised, and they had 4 Day-3 embryos. Unfortunately all 4 of their Day-3 embryos failed to implant in 2 separate frozen embryo transfer (FET) cycles.
They then tried 2 more rounds of IVF at Sunfert@Bangsar South with me. I had to do another PESA/TESE for him. This time, we made sure to freeze some of his s***m. We used s***m and egg activators to help with selection of s***m and fertilisation of her eggs.
■ So, her 3rd IVF cycle gave us 13 eggs, 8 ICSI-ed with his fresh PESA/TESE s***m, 4 fertilised, but we ended up with only 1 blastocyst.
■ In their 4th IVF cycle, we used frozen TESE s***m, we collected 12 eggs, ICSI-ed 11 eggs, 9 fertilised, and we had 4 blastocysts this time round. My embryologists were probably the happiest people on earth that day!
So, in total, we have 5 blastocysts frozen and a few straws of frozen TESE s***m as well, just in case we need another round of IVF in future.
As of today, this is our frozen embryo count: 5AA, 5AB, 5AB, 5BB, 4CC. Not too shabby at all!
So, that part's done. Next, I have to focus on getting Mum ready for her FET. I've screened her for recurrent implantation failure and so far, everything has come back normal, except for a clotting issue and an endometrial polyp that needs to be surgically removed. We're in the midst of sorting out her polyp now.
Best of luck to the both of you, everyone's praying for you! And, see you soon, I've already decided on the FET protocol I'm going to use for you.