Well, our appointment was pretty uneventful and went basically as I expected. We already knew that J had a varicocele from his physical exam during our first appointment and assumed that the doctor would recommend surgery. Today we got the results of J's third semen analysis which was no different than the first two. His bloodwork all came back normal, so the doctor made two basic recommendations.
1. Surgery to repair the varicocele.
2. Begin fertility treatments.
I'm not sure that J will consider the surgery at all. The doctor said about 60% of patients have improved results 6 months after the surgery. He also said that sometimes varicoceles cause sperm quality to worsen over time too, so if we want to have more than one child, the surgery may be considered 'preventative.' The doctor said that the surgery would be outpatient but would require about a week off of work to recover. I wish we knew someone who had experience with this type of surgery just to hear what their experiences were.
Fertility treatments of both IUI and IVF could work for us based on J's numbers. However, I'm not sure that we are interested in IVF. I would need to see an RE for any type of treatment. I called my OB/GYN this afternoon to see if she could recommend a doctor or practice for me. I'm thinking we should probably see an RE to find out what they recommend and then kind of weigh all of our options. J and I each have separate insurance through the companies we work for. Unfortuantely for us, his covers infertility but mine does not. I'm wondering if it's possible to bill treatment through his insurance - I'm guessing it's not since technically I would be the patient.
Wow! I was totally expecting this, but it was still really tough to hear. I guess we have some thinking to do. I'm hoping I hear back from my doctor soon so that I can schedule an appointment since I'm assuming it will take a while to get one.