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TESE worked for us, too! I didn't get pregnant until our 3rd IVF cycle (my meds were adjusted as well). We used frozen sperm for attempts 1 & 2, but had a same-day TESE for cycle 3. We had two frozen embies left over from our cycles which we transferred in September. I miscarried at 8 weeks... In the course of going through the FET, we found out that our insurance would pay for 2 more fresh cycles, so we geared up for IVF #4 in April (including a same-day TESE) and are now pregnant with baby #2!
It can be a long road getting there, but ICSI is such a wonderful technology for male-factor cases.... If the urologist can just find a few sperm, you're good to go!
Please feel free to PM me as well if you'd like more info about our protocol/process. Best wishes!
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Me: 37, wombtacular
DH: 40, spermatically challenged
TTC 4 years
2 years on our own
2 years with RE
3 IVFs, 3 TESEs, 1 FET, 1 m/c, and a DD that made it all worth it! 
IVF #4:
IVF/ICSI/TESE
8/5 -- anatomy scan; HB 149; weight 7 oz. We have a healthy tot! And no, we didn't peek at the gender--it's a surprise!
10/7 -- passed glucose screening! / HB 150 / measuring 1 week ahead / now taking daily iron supp.
12/3 -- 34 weeks / + 29 lbs. / HB 145
12/15 -- HB 145 / measuring 1 week ahead / dilated 1 cm
12/30 -- HB 150 / measuring on schedule / dilated 2 cm
1/5 -- HB 155 / measuring 37 weeks [baby has dropped but is not engaged] / dilated 2 cm / no effacement / me = +33 lbs
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