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Thread: New fear

  1. #1
    Join Date
    Aug 2011
    Location
    Kentucky
    Posts
    197

    New fear

    Well we recently decided to step up from if it happens it happens to full out trying mode for our 1st child. My DH decided to kinda drop a bomb on me, he is afraid that he is sterile....
    Little back story, when he was a teenager he was in an accident and had surgery on the penis, how extensive I'm not sure, it seems to me on on the tip. In the past way before we were together, he had unprotected sex multiple times with multiple girlfriends, never even a pregnancy scare. There is always a guy he works with and a close friend of his who are both sterile due to different things (one gentic, the other a brown recluse bite) added all together and my DH is kinda in a panic.

    I'm not that worried I think all things combined he is worried, so he wants to get tested.

    Here is my question/fear, 1st the best kinda test to get done? I was researching and it looks like everything needs to start with an urologist. Is that right? What exactly will they do?

    2nd question/fear, if by chance he is sterile, are there different levels of it? Could we still have a biological child? Or would we need to look into donor sperm?
    I'm Alix Louise
    Wife to Skyler James since 4/28/12
    Mommy to Daphne Valora since 8/02/13

    When we have another
    Boy : Sebastian, Jasper, Edgar
    Girls: Sonia, Matilda

  2. #3
    Join Date
    Sep 2012
    Location
    Los Angeles
    Posts
    4,514
    Penile surgery should not impact his fertility. If he ejaculates (not a dry ejaculate) then you can assume he has as much a chance of being fertile as anyone. The tip of the penis is waaaay down there in the urogenital tract, long after the hormonal axis, the bits where spermatogenesis occurs, the bits where ejaculate is all mixed together (provides glucose as an energy source for sperm to swim, etc).

    You should not worry about fertility unless you've been having regular, unprotected sex for a year with no results. Then, yes, both partners are analyzed-- usually the man first since it's so much easier. About 20-25% of infertility is male-factor. So your husband could be infertile, but for an entirely separate reason.
    Blade, MD

    XY: Antoine Raphael
    XX: Cassia Viviane Noor

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  3. #5
    Join Date
    Aug 2011
    Location
    Kentucky
    Posts
    197
    Thanks! That's kinda what I was thinking, I tried to tell him about the year of trying before testing but he is well and truly freaked out so I'm just going let him do what makes him feel better. But good to know it's most likely just his paranoia kicking in.
    I'm Alix Louise
    Wife to Skyler James since 4/28/12
    Mommy to Daphne Valora since 8/02/13

    When we have another
    Boy : Sebastian, Jasper, Edgar
    Girls: Sonia, Matilda

  4. #7
    Join Date
    Sep 2012
    Location
    Los Angeles
    Posts
    4,514
    Your health insurance will likely not cover testing now. You would have to pay for it out of pocket, and it is quite expensive. Maybe study together what makes men fertile or not? It should reassure him that there is no causal relationship, and his teenage hijinks were just lucky!

    Brief overview--
    - man must go through puberty and make enough androgens (male hormones) to induce sperm development
    - testosterone and adrenal androgens level must stay relatively normal as spermatogenesis is constant and lifelong, and new sperm are made every 60 days
    - sperm are made in the testicles. If anything happens to the testicles or scrotum-- i.e prolonged exposure to heat or cold, trauma, surgery-- then either all of the sperm currently there will die (so he'll be infertile for 2 months till more sperm are made; this often happens to men who soak in hot tubs) or his ability to make sperm will be impaired. It doesn't sound like this happened to your husband.
    - Man must be able to perform sexually.
    - in the act of sex, the sperm get mixed together with all of the other stuff that makes semen; this provides the energy source and a pH buffer
    - ejaculation occurs, sperm are deposited and make their way up the female genital tract till they reach the fallopian tube, where fertilization occurs. If the sperm are wonky, have motility problems, are morphologically weird, etc then they won't make it and the man is infertile.

    Crudely speaking the penis is just a sperm delivery tube. As long as it's placed where it's supposed to be (vagina) and nothing impedes exit of the ejaculate, it doesn't have really any role whatsoever in fertility. So as I said, if your husband is able to have vaginal sex and finish up normally, he has just as much a chance of being fertile as the next guy.
    Blade, MD

    XY: Antoine Raphael
    XX: Cassia Viviane Noor

    Aquila * Chrysanthe * Emmanuelle * Endellion * Ione * Jacinda * Lysandra * Melisande * Mireia * Petra * Rosamond * Seraphine * Silvana * Theophane / Blaise * Cyprian * Darius * Evander * Giles * Laurence * Lionel * Malcolm * Marius * Peregrine * Rainier

    كنوز الصحراء الشرقية Hayat _ Qamar _ Sahar _ Amal _ Hanan / Altair _ Fahd _ Ilyas _ Sajjad _ Saqr _ Tariq

  5. #9
    Join Date
    Sep 2012
    Location
    North Carolina
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    778
    Quote Originally Posted by alfiejoe View Post

    2nd question/fear, if by chance he is sterile, are there different levels of it? Could we still have a biological child? Or would we need to look into donor sperm?
    There are circumstances between "normal" fertility and sterility. My dad had several factors stacked against him and after 5 years of trying/tests/treatments my parents used donor sperm to get me. Both I and my baby's father have been diagnosed with sub-fertility (obviously for different reasons). We were both really surprised when I tested positive since we'd both been told it would be very difficult to get pregnant naturally. But very difficult does not mean impossible.

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