Our options for getting pregnant

I had my annual papsmear yesterday morning – not the type of appointment one looks forward to, but a necessary one. I must admit, I’m very fortunate that my GP is lovely. She makes me feel welcome and takes a genuine interest in me as a person, not just as her patient. The fact that she’s licensed to do my papsmear is just a bonus.

As luck(?) would have it, I have a really sore throat and feel a bit off, so Dr checked that out too. My voice has a husky undertone, I think it’s quite sexy, but it’s not worth the pain. Turns out, I have Acute Pharyngitis. Basically, just a really bad, contagious (sore) throat infection, so I’m booked off work for the rest of the week.

Posting about the fact that I had a papsmear yesterday is not something I’d normally share, but it is the next logical step for us in trying to have a baby. We need to make sure that everything is in working order on my side seeing as we know everything is in working order on KB’s side! I told my Dr about our baby-making plans and she was so excited for us! She also told me that she has another patient who was in the same boat as us (i.e. trying to have a baby after a vasectomy), and they went to Tygerberg Hospital. She also said that although the fertility clinic where I’ve made enquiries about our options is fantastic, they are a private clinic which means they are more expensive too. She suggested I investigate hospital options too, and I will.

By the way – Did you know that if you haven’t had German measles or weren’t inoculated against Rubella (aka German measles), then it’s best to be inoculated before pregnancy? I knew that it was bad, but didn’t realise it was that serious. It’s very dangerous for the baby if you contract German measles while pregnant; it can cause various serious birth defects, resulting in having to terminate the pregnancy or a still birth.

In a enquiry email I sent to the fertility clinic in question, I was advised to arrange a consultation, but that judging by the info I had supplied, the fertility specialist suggested we do 2 procedures:

Procedure 1:
Involves removing KB’s sperm through a procedure called epididymal or testes aspiration. The sperm is frozen until needed.

Procedure 2:
Intra Cytoplasmic Sperm Injection (ICSI) involves an embryologist choosing a single sperm cell and injecting it directly into the egg (me).

Because KB had his vasectomy so long ago, it’s probably the best option for us. Unlike women, men remain quite fertile as they age. Therefore, our issue is not with his age, but rather with how old his vasectomy is. Doing it this way, will also only produce 1 baby, as the egg is fertilised directly, as opposed to other fertility procedures that could result in twins/multiples. There are twins on my mom’s side of the family; her dad, my Oupa, was 1 of twins. So actually having twins naturally is a possibility … Yikes!

Being able to do the necessary at a hospital rather than at a private clinic will make it more affordable. This means we can afford to do it sooner and won’t have to save so long before proceeding. Fertility treatments are pricey and our medical (as with most) won’t cover it, but it will cover the pregnancy and birth.

It seems our options are opening up a bit! While I wait for the results of yesterday’s examination I’m going to do some hospital research to see what I can find out before we book a consultation at the fertility clinic.

For now, our options are:

  1. Vasovasostomy – reversal of K’s vasectomy, with a 50/50 chance of falling pregnant naturally or unaided
  2. Testes/epididymal aspiraton and ICSI

I’ll keep you posted!

Nicky

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