Advanced Fertility Center of Chicago ivf

Male Infertility Treatment - How to Get Pregnant with Sperm Problems Advanced Fertility Center of Chicago

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Treatment for sperm problems

Men with low sperm counts or low motility often ask for treatment to correct the defect. Unfortunately, this is not often possible. Many cases of sperm abnormalities are genetic in origin.

Since there is currently no way to correct such genetic defects, we end up working with the couple in ways that will (hopefully) increase their reproductive efficiency. This usually involves either intrauterine insemination, or in vitro fertilization (more below).


Hormone deficiencies

If the man has a hormonal deficiency, it might be treatable with medications. These are rare cases.


Varicocele ligation

A varicocele is an abnormal tortuosity and dilation of veins of panpiniform plexus within the spermatic cord. If there is a varicocele, it can be surgically treated - which might help fertility in some cases.

However, well controlled studies of surgery vs. no surgery have failed to consistently demonstrate increased pregnancy rates with surgical correction. Some studies have shown better pregnancy rates after surgery, but other studies have shown lower pregnancy rates following surgery.


Clomiphene citrate (Clomid, Serophene) for the infertile male

Some men with relatively mild sperm abnormalities have been treated with clomiphene citrate (tablets) in an attempt to improve the semen. According to published medical literature, Clomid for the male sometimes can improve the sperm count or motility. However, well-controlled medical studies have shown no increase in pregnancy rates.

A "double blind" study (World Health Organization study, published in the International Journal of Andrology, 1992) of 190 couples, gave clomiphene or placebo ("sugar pills) to men with abnormal semen parameters. The men took either clomiphene or placebo for 6 months. Pregnancy rates were not increased with clomiphene:

  • 8.1% pregnant in clomiphene group
  • 11.7% pregnant in placebo group

Intrauterine insemination and in vitro fertilization


Mild to moderately low sperm counts and/or motility:

  • Inseminations for about 3 months
  • Then consider IVF with ICSI if not pregnant

Severely low counts and/or motility:

  • IVF with ICSI

Infertility due to mild to moderate sperm abnormalities can sometimes be successfully treated with ovarian stimulation combined with IUI - intrauterine insemination.

Success rates with insemination (IUI) for low sperm numbers

Moderate degrees of sperm abnormalities can also be treated with IUI, however, more often they will require in vitro fertilization in order to conceive.

Severe sperm abnormalities require either in vitro fertilization with intracytoplasmic sperm injection (ICSI) or donor sperm insemination, whichever the couple prefers.


Approximate chance for pregnancy with one month of treatment
Female age under 35, 2 years of trying to conceive
Total Motile Sperm Count (in millions)
< 1
1-5
5-10
10-20
> 20
Type of Treatment: Intercourse (Try on your own)
.2%
1%
2%
2.5%
3%
Type of Treatment: Intrauterine Insemination - IUI
.4%
2%
5%
7%
8%
Type of Treatment: Stimulated IUI (Ovarian stimulation of female)
.5%
2.5%
7%
9%
12%
Type of Treatment: IVF & ICSI:
(at our center)

IVF success rates vary between clinics
60%
60%
60%
60%
60%

Approximate chance for pregnancy with one month of treatment
Female age under 35, 2 years of trying to conceive

Type of Treatment

Total Motile Sperm Count (in millions)

Less than 1

1-5

5-10

10-20

> 20

Intercourse

(Try on your own)

.2%

1%

2%

2.5%

3%

Intrauterine Insemination - IUI

.4%

2%

5%

7%

8%

Stimulated IUI

(Ovarian stimulation of female)

.5%

2.5%

7%

9%

12%

IVF & ICSI:
(at our center)

IVF success rates vary between clinics

60%

60%

60%

60%

60%

Previous vasectomy
Our IVF pregnancy success rates
Donor sperm
Costs for fertility testing and treatments

4920 N. Central Ave
Suite 2C

Chicago, IL 60630

Phone: (773) 794-1818
Fax: (773) 794-1819

30 Tower Court
Suite F
Gurnee, IL 60031

Phone: (847) 662-1818
Fax: (847) 662-3001

820 E. Terra Cotta Ave (Rte 176)
Suite 118
Crystal Lake, IL 60014

Phone: (815) 356-1818
Fax: (815) 356-1866

TESTIMONIALS

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I am so grateful for Advanced Fertility Center. I just had my son Leland. I want to thank Dr. Catenacci and all of the nurses that helped us. Especially Ashley in the Crystal Lake office. You made this process easier by being supportive and positive. Thank you very much!

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Dr. Sherban and his staff are the most amazing, compassionate, and supportive people. After almost 5 years of trying to conceive, going through numerous tests and meeting with another clinic closer to home, who told me my chances even with IVF were still very low, a good friend recommended advanced fertility center of Chicago. Best decision we ever made! We now have 2 amazing children who are now 5 and 3 years old! I cannot stress enough how amazing this staff is, they make you feel like family!

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Our experience was amazing with Dr. Cantanucci and all of the nurses (especially Ashley). After ttc for 4 years and at 41 years of age, we became pregnant after 1 round of IVF, and had our beautiful boy this past October. Can't thank them enough!

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2/7/15 our son was born all thanks to the assistance of Dr. Sherbahn and his staff. Everyone was so helpful and here for all our questions, worries, etc. They want this for you just as much as you want this for you! Handled with pure professionalism and care from the very start! Thank you advanced fertility!

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