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  1. #1

    Smile Wanting a Baby ---

    Just recently Feb. 15. We had an appointment with a doctor by the name of Dr. Bertinit in Houston, Tx. Ricky (my husband) had his first viboratory text done and it was unsuccessful and very disappointing to him and I. But we are still keeping our options ope. Dr. Bertini seems to think that his baclofen pump is getting in the way of him ejaculating..What i was wondering would it just be better to just extract the sperm and get it over with or go through another trial run where the lower the dosage of his pump and do the viboratory test again. The doctor says if that doesn't work he does an electrode test....It's very aggrevating because we are so ready for a child...Can anyone help me understand things and maybe give me another perspective on our situation. I know everyones injury is always different and circumstances are different but just having someone to talk to about it is so nice...please can someone help me----
    [/FONT]Amber & Ricky

  2. #2
    Feb 15 is very recent indeed. I wouldn't feel disheartened if something doesn't happen immediatly. Not trying to make it sound worse, but sometimes it takes couples a few years to have somethings work, sometimes not.

    Take it in stride. Keep trying, relaxe, and let the Doc's work the voodoo that they do so well.

    Stiff upper lip an all.

    Cheers! (oh.. good luck and I hope you get knocked up soon!)
    Rick Brauer or just call me - Mr B

  3. #3
    We recommend at least 2 trials (usually 3) with vibratory stim before giving up. At each session, we do three 3 minute stims, each at a different setting (ampltude and frequency). Does he have leg spasticity? This is the best predictor for vibratory stim working.

    If the vibratory stim does not work, the next step would be an evaluation with electroejaculation, which must be done with anesthesia if he has any sensation. Vibratory stim produces better quality sperm, so should be tried first.

    Testicular biopsy can be done (not always successfully though) but if you go this route, then your only option for ART is ICSI, which is the highest tech and most expensive ART. It cannot be used for IVF or GIFT or for IUI or IVI.

    All of these ART techniques require fertility meds (and usually surgery) for the women, often with many side effects, and none guarantees a baby. The best SCI fertiltity programs report about a 30% success rate (live births).

    You all need to consider how much time and money you want to spend on this. It is not a quick or inexpensive process. If you get past your tolerance level quickly, you may want to consider donor sperm or adoption.

    If you have not reviewed it already, you may want to read the booklet you can download at

    Last edited by SCI-Nurse; 02-17-2006 at 09:16 PM.

  4. #4
    Senior Member krajaxa's Avatar
    Join Date
    Dec 2001
    New Castle, PA

    Been there - done that...

    As many of people here know, me and hubby are the proud parents of very healthy twin boys (you wouldn't believe how fast can hubby sometimes push his chair...) turning two in a few weeks.

    Hubby had the biopsy done after many unsuccessfull Ferticare tries. The doctor retrieved plenty of live sperm to fertilize any number of children we would like to have. Some vials are better that the others, but I'm sure the second try will be as successfull as the first one.

    I went thru all the fun stuff with the injections and countles trips during month of July 2004 to have my eggs measured every couple of days, without any serious side effects. We did the ICSI, seemed like waste of money to try anything else and we wanted the procedure that would guarantee us the highest possibility of positive pregnancy. They retreived 14 eggs, 10 of which were fertilized, 8 made it to be those tiny 4-8 cell ebryos and 2 of those were implanted back into my uterus. My whole pregnancy was uneventfull, I even worked on Friday, and the boys were born on Saturday morning.

    If you would like me to answer more of your questions, please email me, my email addy is in the profile... I will be happy to help, since I have gotten lots of info from this website.

    Take care and lots of luck!!!


  5. #5
    Suspended Andy's Avatar
    Join Date
    Jun 2003
    Chicago IL
    Quote Originally Posted by SCI-Nurse
    . At each session, we do three 3 minute stims, each at a different setting (ampltude and frequency). (KLD)
    Could you go into detail on the specifics on how you guys do this? I'm thinking of the home based turkey baster method...

  6. #6
    While some choose to use this method (actually a syringe, not a turkey baster), it is rarely successful unless you have an excellent sperm count (rare in men with SCI). We generally recommend at least doing IUI, and there is much more "bang for your buck" with IVF. Of course the woman's ovulation must be perfectly timed too, and this may require the use of fertility drugs. There are risks of multiple births and other side effects with these (some of which must be given by injection), so you should really work with a female fertility specialist in planning strategies for pregnancy when the man has a SCI.

    With the Ferticare, it is important to read the instructions and view the instructional videotape to learn how to use it correctly. If 3 minutes is not successful, rest for 5 minutes, adjust either the amplitude or frequency, and try again. If still not successful after doing this 3 times, wait for another day to try again with more adjustments. Finding the perfect combination can be time consuming, but once found it tends to be pretty reliable for repeat use. Working with a physician or nurse who is very familiar with the Ferticare and can help you find the right settings can safe a lot of aggrevation.


  7. #7
    No personal experience here, but I found this. Good luck to you both!

    Side effects of chronic intrathecal baclofen on erection and ejaculation in patients with spinal cord lesions.

    Denys P, Mane M, Azouvi P, Chartier-Kastler E, Thiebaut JB, Bussel B.

    Department of Neurological Rehabilitation, Paris-Ouest Faculty of Medicine, University Paris 5, France.

    CONCLUSION: Intrathecal baclofen may compromise erection and ejaculation. This effect is reversible. Patients should be informed of this effect

  8. #8
    My husband and I too tried the Ferticare with no results. He also has a baclofen pump. We actually never thought of the pump being the problem but that makes sense. Well, anyway we were also ready for children right away and decided to do the biopsy. They retrieved plenty of live sperm. We went ahead with IVF with ICSI and now have a beautiful 7 month old daughter. It was worth every penny and all the time and pain that was involved with the proceedures. We are actually talking about trying again later this year. Good luck to you. I hope things turn out better on the next trial. If not, maybe start talking about all of your other options and what steps you may be willing to bypass to get to your end goal. It all depends on the money and time you are willing to put in.

  9. #9
    jjs---i was wondering can you request the biopsy instead of going through the whole vibrotory trials and stuff--or is that something that they kind of go through routinely--not too be too noisy but was is pretty costly?
    [/FONT]Amber & Ricky

  10. #10
    i´m from south america and would like to try the ferticare, where did you buy it and how much is ?

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