These are the prior posts that explain my husband's infertility issues.
http://forums.thenest.com/discussion/8987833/could-use-some-good-thoughts#latest
Where we are now:
DH went for his follow up at the urologist the other day. He was in a double blind study where he was getting one of two drugs known to increase testosterone and preserve fertility. It was revealed that he was getting Clomid (Yes, this is a female fertility drug). On the Clomid his testosterone increased from a low 80-120 to 240 (should be 348-1197). He's still too low. His sperm count was essentially the same (6 million from 9 million) and his motility increased (25% to 30%). We are very sad because these results are still not good. Its a miracle that he was able to get me pregnant this time, and now we are wondering if it will ever happen naturally again. Our next step is to start DH on the other drug in the study (Anastrozole- an anti-estrogen breast cancer medication). We will give DH five weeks on this medication and see if it is working with follow up blood work. The urologist is hoping that the reason that the clomid didn't work has to do with the way it affects estrogen. He also recommended that my DH has surgery to fix bilateral varicoceles in his testicles (basically varicose veins) since the varicoceles in his testicles could interfere with their testosterone production.
We are very sad that he has to have surgery, but we know that this is what we have to do. Its robotic microsurgery, very high tech. They say he can work Monday if he has the surgery on Friday. The very difficult thing, is that MIL and FIL think DH needs a second opinion from another urologist. They don't understand that his testicles are not functioning in producing testosterone. They don't understand that DH's testosterone being so low interferes with so many aspects of his life that need help (low T makes it hard to lose weight/gain muscle mass, maintain erection, sex drive, sperm count/quality, fatigue, and DH has osteopenia which will eventually become osteoporosis if we can't get his T up). I would get a second opinion in a heartbeat EXCEPT we seem to already be seeing a very smart, very knowledgeable specialist in the area. We don't just see ANY urologist, but one that specializes in fertility. His counterparts work at places like Tufts and New York Presbyterian. It is all very frustrating. Also, DH's urologist thinks that part of the issue that made him get the varicoceles is from a bilateral hernia repair he had at 3 months old...something MIL and FIL failed to mention to DH until he was in his 20s (DH knew he had surgery "down there" but thought that it was related to his circumcision). I'm so annoyed with them. I'm the health care professional (registered nurse x5 years). Why are they questioning DH and I who have been to every appointment together with the urologist, the reproductive endocrinologists, etc?
Thank God, DH is on my side. His whole take on the situation is "My parents had 18 years to take care of me healthwise, and they didn't. You have been taking care of me the last 3 years and look how far I've come." I'm tired of my in-laws throwing their opinions out there when we don't ask for them. I get it, they are worried about DH being in pain, etc. He will be fine. He is a big boy and I'm going to take Thursday thru Monday off to take care of him, even though he should be ready to go back to work on Monday. He's taking Friday thru Monday off as well. I feel like they think I am the bad guy because the whole reason we found out about this was that we were ttc and found out about dh's infertility, but it turns out, it is so much more than that. We really need DH to get better.
Re: Update on DH...
You mentioned that MIL never told your H about hernia surgery until he was in his 20s. She may be feeling guilty about that and now she is trying to step up. A second opinion won't hurt anyone and at least if they hear twice the same treatment, everyone will feel more comfortable.
Good luck!
T. His doctor recommends trying the medication but still doing the surgery because he really thinks that regardless of whether the meds work, the varicoceles need to be fixed.