I am currently on Day 20, in the middle of the down regulation and lucrin starts this Friday. Tam has just given me a light-bolb moment, given DH's sperm situation (DNA fragmentation came back 30 SCSA test) should I be changing FS to a Dr. Lok at SIVF who is specialized in male infertility area right before the cycle starts? Currently I am with M. Livingstone. Seems that I don't even need a referal as both FS are with SIVF...
There are a few things that Dr. Lok's opinion is very different from what FS suggested to us on this specific problem with DH's sperm DNA:
1. Ejaculate daily till EPU vs. Ejaculate daily then abstain 3 days before EPU
2. Extract sperm directly from testicle vs. not a way to go
I wonder if the FS specilized in male infertility would have more authority but I don't want to force onto my FS. I also feel that we haven't been give sufficient time to discuss this issue with my current FS, we feel rushed (hence posts all over the place from me on BB, have to consult BB medical team...). I wonder if we will get treated better by changing to Dr. Lok.
However, I also worry if this will cause some bad-blood with my current FS then? Will this be too sensitive? Will this be too late to change just before this cycle start? I just don't want to waste my time and energy to go into another cycle without getting all the ducks in line IYKWIM...
I can't really advise you on when to change - I don't know what the repercussions would be between DR Lok and you and your current FS.
What I can tell you is that we were referred to Dr. Lok especially because he deals with male infertility issues and SIVF have all the onsite facilities to deal with all the sperm stuff (as apposed to having to take samples and then trasport them off site for analysis etc.)
I may have told you before - but I rate Dr. Lok very highly. He didn't muck about - we went straight to ICSI. No trial and error trying other type of AC. We are now 10 weeks & 3 days pregnant off our first cycle of AC. We also have 3 frozen day 5 blasties.
I don't know if he will treat you better than your current FS. We only met with Dr. Lok a couple of times and the rest was organised via the nurses, but I felt very comfortable knowing that he was reviewing all my BT's and scans and in the end it has all worked as planned.
I don't know if I have helped at all with your dilema. Maybe it's worth speaking to Dr. Lok and asking him if it is normal for people to change at the stage you are at? Basically, it comes down to what YOU want and what YOU feel comfortable with. YOU are the one paying them.
Good Luck.
From the SIVF pages about Dr. Lok...
Dr Lok obtained his medical degrees in Hong Kong in 1990, and completed his PhD research in feto-maternal medicine at University of Adelaide in 1994. Derek undertook his specialist training in O&G in Sydney and Adelaide, followed by subspecialist training in reproductive endocrinology and infertility (REI) in Adelaide and UK. Derek was awarded Fellowship (FRANZCOG) in 2001 and Subspecialist Certificate (CREI) in 2002.
Derek expanded his clinical experiences overseas in 2002 and 2003, mainly as a clinical fellow/lecturer at University of Sheffield, UK. During that period he also spent time in Infertility and Endoscopic Units in Oxford, London, Paris, Germany, Montreal and Seoul, with part assistance of the travelling scholarship awarded by RANZCOG.
Derek is a consultant gynaecologist at Liverpool and Westmead Hospitals, and a senior clinical lecturer at University of Sydney & UNSW, involving in undergraduate teaching, specialist and subspecialist training for advanced trainees from RPA, Westmead and Liverpool Hospitals. He also teaches at the Master of Reproductive Medicine Course at University of Sydney.
Derek's major interests are in male factor infertility, endoscopic and sterilisation reversal microsurgeries, different modalities of infertility treatments including preimplantation genetic diagnosis and miscarriage management.
Derek also performs vasectomy reversals at the Sydney IVF city clinic. The procedure used by Derek is "microsurgical vasovasostomy", which is a unique and superior technique.
Nic, thank you so much for coming in and post. I seriously thought about you earlier today because I know you were with Dr. Lok and had a success...
I don't mean to criticize my FS, he is actually a very nice man but maybe the male infertility part (which only just been found out) just makes Dr. Lok so much more appealing.
I have already left a mesg with him and hopefully to get an appointment asap. I even consider postpone to next month is needed, because I just want to do it when I feel completely confident.
I have already been waiting for 5 years now, one month won't make too much of a difference, and I feel that the progress I've made in the last couple of weeks are more than in the last 5 years. Finding out DH's condition is a breakthrough of our TTC journey I have to say.
I am so happy to know your progress Nic and hope you are enjoying the pregnancy, your mood said 'stressed' I hope you are ok...
Cuddlepie, I was in a similar situation to you. Had done a few TF'ers with one FS at my clinic and just wasn't getting results. Then we were told about this amazing FS at the same clinic, who was achieving great results. While we didn't have any specific hurdles such as your DH's sperm results that have come back, we just felt we weren't getting the right treatment for us.
So we changed to the new FS and there was absolutely no problem at all with changing. No-one was upset or said it was the wrong thing to do. I was anxious about doing the "wrong thing" by our old FS too, but i the long run, I knew we would get better results with our new FS, so I knew we had to do what was right for us.
This was the best decision we have made on our TTC journey so far. We have even now changed clinics to follow our new FS.
In the end, the decision is completely yours. I would say though, to go with who you think is the best FS for yours and DH's situation.
I have no feelings of doing wrong by anyone in regards to changing FS and clinics. In the end we want all want a family and have to do what is right for us.
Hope I have helped a little. You and DH certainly have come a long way in the last couple of weeks. I look forward to sharing your journey with you.
Sweet Bel, thank you so much to share your story hun!
I have to say that at the back of my mind I have been having a little bit of doubts...which I believe in this tough journey, you need to have full confidence in the your FS. So the recent findings is just one last thing tip the scale I guess...I am still very grateful what he has done for us so far (including the fact that I know I can get pregnant), but maybe its time to move on...like you said, the end goal is we just want to have our family that all...
Hope that changing and switching is just their normal practice and no one takes too personal in that regard. I will let you know how I go.
Good luck with tomorrow's transfer , Bub is going to board on mothership now Do you know the time yet? I will be thinking of you hun!
I'd say if you are having any doubts then you probably know what you need to do. You never want to look back and have any "what if's". You and DH will do what is right for you both. I hope you get the appointment really soon and then hopefully everything will just fall into place. Will be thinking of you.
TF at 9.30...I love the mothership comment. That is TOO cute!!!
Change FS just before cycle starts - Wise?
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, Bub is going to board on mothership now 
Do you know the time yet? I will be thinking of you hun!
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