Our expert says:
Dear Dr. D
As testicular cancer and in addition chemotherapy will certainly affect ones chances for conception. If however a sperm count is showing that one does have a fertility potential then that is a good sign that there is still a chance of falling pregnant. Now if the sperm count and quality are very poor, then one would have a good chance of conception using assisted reproductive techniques. The best technique for very low count and motility would be a procedure called ICSI combined with IVF. This procedure should give you a 30% to 40% chance of conception. So in conclusion the fact that you do have endometriosis which can affect fertility and in addition your husband has a sperm parameter problems your best option would probably be IVF with ICSI when you are ready to fall pregnant.
Answered by: Dr. Y. Dasoo
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