Has your doctor mentioned ICSI at all? This is the technique they use when there is low/no mobility where individual sperm are selected and injected into each egg. I would have thought that’s the obvious answer to helping your fertilisation rate. Good luck!
If they’re injecting sperm directly into the eggs and your fertilisation rate is still low (we had this issue last cycle) then they can add something called calcium ionophore which is meant to stimulate the eggs into accepting the sperm to kickstart the fertilisation process. HFEA have details of this process on their website and although there’s limited research about the effectiveness, our clinic have recommended we have that because they do believe it can make a difference - perhaps see what your doctors view on it is and whether they can offer it too? x
Your answer about ICSI doesn't make sense so I'd go back to your clinic and ask for clarification. ICSI bypasses problems with motility - they can even use totally immotile sperm and successfully fertilise eggs with ICSI. If you still had no fertilisation at all the problem isn't just with motility but must be more wide-ranging than that. Testicular biopsy would get you the same sperm and use the same process of fertilisation, so I think you need to push for more information here. Why do they think a biopsy would give better results? Have you done a DNA fragmentation test? Has your partner seen a good urologist who specialised in male fertility?
Hi, sorry to hear that this time didn't work for you. I agree with Some16, if they do ICSI and there is no fertilisation it is nothing to do with motility. My partner has no motility and very few sperm but we do always get some fertilisation when he has a TESA, so it is possible
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