2 things,
Mike, I am putting together a website for males with CF wanting to pursue IVF with ICSI and having sperm extracted via the MESA sperm retrieval method (as well as some others, but less successful for men with CF). My husband and I haven't been through the acutal procedure yet, but we have done all the work ups, he is having his testicular mapping done tomorrow and then on the ninth he is having the MESA procedure done. We are scheduled for the egg retrieval and all that other good stuff in October. It would have been February but his Testosterone, FSH and LH plummeted to single digits immediately after he started using colistin-nebulized (nobody can tell me if there is a connection or not but my gut tells me there is). So now that it is back up, we are on schedule about 6 months later. But anyways, back to the website thing...Would you and your wife be willing to share your experiences, how you felt after the procedures, the pregnancy, and anything else. I am leaving my name and personal photos out of the website because that is what my husband and I both want but I am creating a journal with first names only about our experience thusfar. I want to create a "featured articles/stories" page where males who have CF can share their successes. This is such a new thing that there is almost NO information out there about it. If you and your wife decide you are interested, please let me know. The article, story or Journal entries you two create (if you decide to do it) can be complied however you wish and I can just cut and paste onto my website. I hope to have the site up in about a week or so, so if you want to wait and see it first that is fine with me. If you would like to contact me my email address is division902@hotmail.com
Annonymous, the sperm extraction from the male is called Microsurgical Epididymal Sperm Extraction, commonly refered to as MESA. There are other methods such as Percutaneous Sperm aspiration and Testicular sperm aspiration but the samples taken from men with Congenital Bilateral Absense of the Vas Defrens shows the MESA procedure has been most successful. They take sperm from the epididymis which is where they believe (again based on studies and lab results) the freshest and healthiest sperm are. Sperm grow in all different stages throughout the Epididymis so they may select a few sites to sample from. Before they do that procedure though, they are going to want to test his testosterone, FSH and LH levels to make sure that they are normal.
Mike is right, you also need to be tested as a carrier because your signifigant other has CF. Then you will need In-vetro (IVF) with Intracytoplasmic Sperm Injection (ICSI). ICSI is where they take 1 sperm and 1 egg and inject the 1 sperm into the nuclei of the egg. With traditional IVF you need about 50,000 sperm to try and fertilize a few eggs, which would work for a man with normal ejactulation if the female had reproductive problems but that wouldn't be ideal or successful for a man with CF. So they fertilize the eggs which then become embryos and then at stage 8 (whatever that means, I don't know but it's about 2-3 days) they will take 2-3 eggs and implant them into you-that is the IVF procedure. IF you have any more questions please feel free to email me as well at division902@hotmail.com
Julie (wife to Mark 24 w/CF)