Unfertile & Unfiltered

Sidney Hales Davis

A raw, honest podcast about male factor infertility, azoospermia, and the realities no one prepares you for. We share our journey through diagnosis, grief, marriage strain, and the difficult decisions around sperm donors and donor conception. This is the real, unfiltered side of infertility — for anyone navigating male infertility and trying to feel less alone.

  1. Jun 22

    EP 20: 5 Things to Know Before Doing a MicroTESE

    In this episode, we talk through the five biggest things we wish we had known before doing a microTESE. After going through the surgery and learning more after the fact, we realized there were several conversations we wish had happened sooner. We discuss genetic testing, how diagnosis can affect the odds of finding sperm, why overall success rates are not the same as your personal success rate, and why it matters to involve your IVF clinic before scheduling surgery. We also talk about Matt’s testosterone levels after surgery, the symptoms we noticed months later, and the importance of asking direct questions about hormone risks before moving forward. We get into recovery, anesthesia, constipation from pain medication, and the practical things that would have made the process easier. onobstructive azoospermia (overall): Approximately 47% chance of finding sperm.Complete AZFa deletion: Near 0% chance of finding sperm.Complete AZFb deletion: Near 0% chance of finding sperm.AZFc deletion: Approximately 47% average chance of finding sperm, with guideline estimates ranging from 50–75%.Klinefelter syndrome: Approximately 44–50% chance of finding sperm.Sertoli Cell-Only Syndrome: Approximately 22–41% chance of finding sperm.Prior failed MicroTESE (salvage procedures): Approximately 18–43% chance of finding sperm.This is where we’ll include the different microTESE sperm retrieval odds based on diagnosis, including non-obstructive azoospermia, AZFa deletion, AZFb deletion, AZFc deletion, Klinefelter syndrome, and Sertoli cell-only pattern. Does your lab prefer fresh or frozen microTESE sperm, and why? What are your lab’s fertilization and live-birth outcomes with frozen-thawed testicular sperm? How often does your lab see usable sperm survive thawing? How do you freeze very small numbers of sperm: individual sperm, microdroplets, tissue pieces or standard vials? What happens if only one or two usable sperm are found? Would you recommend coordinating the procedure with egg retrieval in our specific case? What happens to the eggs if no sperm is found? Should we have donor sperm available as a backup? If sperm is found, how many IVF attempts could the stored sample realistically support? Who will search the tissue, and how long will the laboratory continue searching? Will tissue be evaluated during surgery so the surgeon knows whether to examine the second testicle? Can the urology lab and IVF embryology lab communicate directly before the procedure? This is where we’ll include the questions we recommend asking your urologist and IVF clinic before surgery, including questions about genetic testing, testosterone, fresh vs. frozen sperm, timing with egg retrieval, backup donor sperm, lab protocols, and what happens if only a small number of sperm are found. This episode is not medical advice, but it is the conversation we wish someone had walked us through before surgery. If you are considering a microTESE, we hope it helps you ask better questions, get clearer answers, and understand the tradeoffs before making a decision.

  2. Jun 17

    Episode 20: Starting the IVM Process with Donor Sperm, Fertility Medications, and Preparing for Egg Retrieval

    In this episode, we share a detailed update on where we are in our fertility treatment process as we officially begin the IVM (In Vitro Maturation) study. After months of testing, appointments, procedures, and waiting, we finally have a treatment calendar, medications, and a timeline leading up to egg retrieval. We walk through the full protocol, including birth control, Clomid, monitoring appointments, trigger shots, and what happens during the IVM process. We also discuss the possibility of being removed from the study if follicle development doesn't meet protocol requirements, how embryo creation differs with IVM, and what the next steps could look like if the study doesn't result in viable embryos. Throughout the episode, we talk openly about the realities of male factor infertility, using donor sperm, balancing optimism with realistic expectations, and the many decisions that come with fertility treatment. We also discuss the financial considerations of IVF and IUI, concerns about embryo creation, and what we're hoping for as we move into the next stage of treatment. Whether you're researching IVM, preparing for IVF, navigating male factor infertility, or simply following our journey, this episode provides a real-time look at the planning, uncertainty, and decision-making that happen before egg retrieval. Resources & Links Follow me on Instagram: https://www.instagram.com/sidneyhdavis/ Listen to previous episodes of Unfertile & Unfiltered for more conversations about male factor infertility, donor conception, microTESE procedures, fertility treatment, IVF, IUI, and family building.

  3. May 11

    Ep 16 Breaking Down "Three Makes Baby": What We Learned About Building a Donor-Concieved Family (Updated Podcast)

    In this episode, we’re breaking down the book Three Makes Baby: How to Parent Your Donor-Conceived Child by Jana M. Rupnow and sharing our honest thoughts after reading it. If you’re navigating male factor infertility, azoospermia, or considering building a family through donor conception, this book is one of the most comprehensive resources we’ve come across. It focuses less on the medical side and more on the emotional, psychological, and identity aspects of raising a donor-conceived child. In this episode, we walk through what the book actually covers, including: The emotional weight of infertility and how to process it as a parentWhether or not to tell your child they are donor-conceived—and why openness is now widely recommendedCommon fears like feeling like a “real” parent, bonding concerns, and fear of rejectionSocial stigma, family dynamics, and how to handle difficult conversationsHow to choose a sperm donor (anonymous vs. open ID, identity considerations, future contact)When and how to talk to your child about their story—from early childhood through teenage yearsHow to navigate identity, half-siblings, and the possibility of meeting a donorAnd one of the biggest takeaways: how to hold both grief and gratitude at the same timeWe also share our personal reactions to the exercises in the book—especially the ones that helped us uncover emotions we didn’t even realize we were feeling. If you’re at the beginning of your donor conception journey or trying to understand what it really looks like to raise a donor-conceived family, this episode gives you a straightforward, unfiltered overview of what this book teaches and why it might be worth reading. For reference, this is a breakdown of what the chapters cover: Introduction: An Emotional Decision Chapter 1: Are You Ready to Tell? Explore Your ReasonsChapter 2: Why Tell? Get ComfortableExperts Say DiscloseTelling Is HealthySecrets Aren’t the Best ProtectionChapter 3: How to adddress the most common concerns about donor conception? Concern #1 Emotional Distress: What If My Child Is Upset?Complicated GriefDistinguish Your Feelings from Your Child’sConcern #2: Parental Legitimacy Parent-Child AttachmentBroken BondsConcern #3 Social Differences Social StrainSocial StrategyPrivacy vs. SecrecyConfronting ShameEmbracing DifferencesConcern #4 Family/Cultural Differences Acclimating to New FamilyChapter 4: Choosing a Donor Connecting to Your Donor Donor Profile Selection Process Anonymity Not Guaranteed The internet is a resourceSocial media influence Donor Regulation Self-Report Psychological Testing Known Donation Preparing for known donation Embryo Adoption vs. Embryo Donation Future Contact Potential Genetic WonderEpigenetic Influences Chapter 5: when and how to talk about it When Is the Right Time to Tell?Talking over the Years—Make It Your StoryShifting from your story to your child's Baby years Preschool years Middle-childhood years Teenage years - Finding Identity and Meaning How to talk about half siblings how to talk about griefFive Ways to Handle Social Situations: The Five Ds Chapter 6 - Finding treasure Book link: Three Makes Baby

Ratings & Reviews

4.6
out of 5
9 Ratings

About

A raw, honest podcast about male factor infertility, azoospermia, and the realities no one prepares you for. We share our journey through diagnosis, grief, marriage strain, and the difficult decisions around sperm donors and donor conception. This is the real, unfiltered side of infertility — for anyone navigating male infertility and trying to feel less alone.

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