I found out today we'll be ordering off the a la carte menu from the lab. My husband's semen analysis came back, and apparently all is not well with his swimmers. The count's good, the motility's good...but the morphology (that is, the shape of the sperm) is not so good.
Our doctor has said we'll need to use intracytoplasmic sperm injection (ICSI) to fertilize our donor's eggs.
Big sigh. Well, I was running out of things to worry about, anyway, in between the sweats and headaches caused by my favorite drug, Lupron.
I talked to the egg donation coordinator, and she says this is not a bad thing. Many programs routinely use ICSI for all donor egg procedures because it maximizes the success of a very expensive treatment option....
My husband's more cheerful about it than I am. I told him the results and he said, "See, I'm getting old too." Nice, honey. Very nice. But he meant well.
I'm not sure how I feel about this. We used ICSI in one of our pregnancies -- for our little boy, lost at 9 weeks. I certainly can't blame ICSI for the miscarriage; that was most likely due to my defective oocyte, given that I produced a grand total of one egg during the whole IVF cycle. Surely the problem was with my egg, and not my husband's sperm. Surely....
Oh well. Nothing to do but keep going. I hope someday that I'll have a baby in my arms and all of these dark hours will be like watching daytime TV with a sinus infection--nothing but a bad memory.