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Absent spermatic duct - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Dear Doctor, i am male, married (5 yrs now). we got diagnosed and the problem is with me. It is found that there is no 'ejaculatory duct', means, there is no presence of sperm carrying tube there. I have consulted many urXXXXXXXXogists, but they say that there is not way to treat this problem. Sir, kinldy advise me on this. Hope that you will give me some hopes. thanks
Doctor :   hi
Doctor :  
ok
User :   yes sir
User :   Dear Dr., i hope that you got my query
Doctor :   is it present on one side atleast
Doctor :  
or is it bilateral problem?
User :   no sir
User :   diagnosed and found no presence of ejaculatory duct
Doctor :  
ok
User :   even consulted well known urXXXXXXXXogtists, they say, it is impossible to create such duct
Doctor :  
ok
User :   what to do ? totally in trouble
Doctor :  
if you want your wife to get pregnant still and have a kid
Doctor :  
there is a way out
User :   hope that you may be talking about ICSI/IVF and all
Doctor :  
yes i was about to tell that itself
User :   we undergone the same, but unfortu. it was a failure
Doctor :  
ok
User :   and it was too costly, about 2 L spent on this
Doctor :  
was testicular biopsy done?
User :   ya
Doctor :  
what was the report?
User :   found sperms active
Doctor :  
ok
Doctor :  
what was the result of ICSI?IVF?
Doctor :  
why did it fail?
User :   sir tell me, do this sort of problem exists ?
Doctor :  
do you have any information on that?
User :   got 3 eggs fertilized, but on result, we could only get a negative result
Doctor :  
the problem that you have is very rare
User :   sir, tell me, is there any other way out to activate the duct, something like that
User :   any such medicine and all?
Doctor :   i am really sorry to tell that no medication or surgery is available
User :   could you pl. tell me you specialization
Doctor :  
since it is a birth defect
Doctor :  
last option will be to consult a plastic surgeon and take a opinion if they can do reconstruction
User :   my brother is also having the same prob.
Doctor :  
but I am not sure if they can really do this
Doctor :  
is he able to have children?
User :   no, how can be
Doctor :  
generally the cause is genetic reason
Doctor :  
with microdeletion of Y-chromosome geenes
Doctor :  
which lead to this kind of problem
User :   XXXXXXXX
Doctor :  
and this may run in your families
User :   ok
Doctor :  
try for ICSI/IVF again with washed sperms, may be this will help
User :   have your ever heard of this sort of problem sir
Doctor :  
go for a genetic counselling
Doctor :  
this is very rare
Doctor :  
may be 1 in 0000 people
Doctor :  
so we do not come across this so often
User :   and me and my brother are the victims
Doctor :  
ok
User :   otherwise, we are fully ok...
User :   healthy and all
Doctor :  
yes, i can understand
User :   any kind of medicine or so, you may feel, which can rectify?
User :   which does not have any side effects
User :   we would like to go for that
User :   my idea is to go just blindly
Doctor :  
since there might be genetic causes invXXXXXXXXved
Doctor :  
there will be no medicine to correct
User :   sir, your specialization is?
Doctor :  
you both can go for a genetic counseling
Doctor :   I am a general physician
User :   where sir, and how? what does genetic counselling actually means
Doctor :  
genetic counselling and study
Doctor :  
will help you
Doctor :  
by doing a study of the genes present in yu both
Doctor :  
and see what could be the cause for this
Doctor :  
and advise will be given accordingly as to what can be done further
User :   could you pl. suggest, anybody here in Gurgaon?
Doctor :   if it is a microdeletion of Y-chromosome
User :   you are from where Doctor?
Doctor :   we are from Bangalore
Doctor :  
i will try to help you regarding this
Doctor :  
best will be that you go to Delhi AIIMS
User :   ok
Doctor :  
for this and consult both urXXXXXXXXogist and plastic surgeon regarding options for reconstructing the spermatic duct
User :   fine
Doctor :   this might me complex and multispeciality approach may be necessary
Doctor :  
so have courage and try this option out
User :   k
Doctor :   Is there any thing else I can help you with?
User :   is this possible to get sportsman kind sperms (donors) and have ICSI/IVF
Doctor :   yes, why not?
Doctor :  
there are possibilities to get sperm donors
Doctor :  
in which the identities will be kept confidential
Doctor :  
i will try and provide you a link
Doctor :  
you can contact this doctor
Doctor :  
who excels in this speciality
User :   BUT, WHOs sperm is being used, will not be available?
Doctor :  
no it is generally kept confidential
Doctor :  
as to who is donating sperms and to whom
Doctor :  
WWW.WWWW.WW Doctor :   try out this link
User :   then, how can we ensure that they are using the thing, we demand for
Doctor :  
contact him
User :   ok
Doctor :  
he will be able to help you
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   thanks a lot Dr.
Doctor :   you are welcome
Doctor :  
we are there to help you 24/7
Doctor :  
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Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   ok
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