Patient: Dr. Malpani, I’m really worried. My IVF cycle failed, and the clinic said it’s because of my low sperm count and high sperm DNA fragmentation. They even suggested I use donor sperm for the next cycle. Is that really necessary?

Dr. Malpani: I’m sorry to hear about your failed cycle, but let’s address your concerns. First, let me assure you that a low sperm count or high sperm DNA fragmentation doesn’t necessarily mean you need donor sperm. Many men with similar conditions have successfully fathered children through IVF, especially when the right techniques are used.

Patient: But the clinic insisted that my sperm quality was the reason for the poor embryo quality. They said that was why the embryos failed to implant.

Dr. Malpani: Unfortunately, this is a common scenario. Many clinics tend to blame the man’s sperm quality when things go wrong. While sperm DNA fragmentation can sometimes contribute to problems, it’s not the only factor, and it’s certainly not always the main reason for IVF failure. The quality of the eggs, the culture environment, and the skill of the embryologist in performing ICSI (intracytoplasmic sperm injection) all play significant roles.

Patient: They also recommended I take a bunch of supplements and even suggested a surgical procedure to extract sperm directly from my testes. Is that really necessary?

Dr. Malpani: Most of these supplements are not proven to improve outcomes, and surgical sperm retrieval is usually unnecessary unless there’s a specific medical reason. The key is not just having sperm but ensuring the embryologist handling the ICSI is skilled. A good embryologist can work wonders even with low sperm count or high DNA fragmentation.

Patient: So what should I do next?

Dr. Malpani: First, don’t lose hope. It’s important to get a second opinion to explore all your options. I offer a free second opinion service where we can review your case and provide tailored advice. You can visit www.drmalpani.com/free-second-opinion for more details. If you’d like a more in-depth discussion, we can also arrange a video consultation for just ₹3000/-. You can book that at bit.ly/consult-drmalpani.

Patient: That sounds reassuring. I’ll definitely consider the second opinion and consultation. Thank you, Dr. Malpani.

Dr. Malpani: You’re welcome. Remember, the key to IVF success is not just the numbers but the quality of care and the right approach. Let’s work together to find the best solution for you.