Hi,I am Dr. Aniruddha Malpani (Infertility Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Diagnosed With Azoospermia, Sperm Analysis Done. Any Chance Of Becoming A Father?
Hey Sam,
I have recently been divorced due to Azoospermia and doctors believe here in Pakistan that it's non-curable one.
Following are my details, kindly check and guide me if I should stay alive with a hope or becoming father of my bio-kids?
U/S Testic/Scrotum – Done on 18/7/2010 Right Testis Measuring 33x15 mm Left Testis Measuring 32x14.8 mm Comment: Small size and shape of both testes. No abnormal reflectivity of parenchyma. No mass seen. Normal size and shape of epididymus bilaterally. Mile dilated veins seen at postero-lateral aspect of left testis but no definite evidence of varicocele. Impression: Small size and shape of both testes. No evidence of hydrocele. Mile dilated veins seen at postero-lateral aspect of left testis but no definite evidence of varicocele. Needs clinical correlation.
Semen Analysis – Done on 05/11/2008 Physical Quantity: 2.0 ml Color: Greyish White Transparency: Opaque Viscosity: Viscous Time of Collection: 11:55am Time of Liquification: 30 minutes pH: 7.5
Chemical Fructose: Positive
WBC’s: 04 RBC’s: 01
Comment: On initial slide there is no spermatozoa seen in 100 fields suggestive of azoospermia. Test is confirmed by spin down method. Please correlate with the patient’s clinical history.
Semen Analysis – Done on 11/06/2010 Physical Quantity: 2.0 ml Color: Greyish White Transparency: Opaque Viscosity: Viscous Time of Liquification: 30 minutes pH: 7.5
Chemical Fructose: Positive
WBC’s: 02 RBC’s: 00 Comment: On initial slide there is no spermatozoa seen in 100 fields suggestive of azoospermia. Test is confirmed by spin down method. Please correlate with the patient’s clinical history.
Prolactin Test – Done 10/11/2010 Result: 8.94
Testosterone Test – Done 16/01/2010 Serum Testosterone: 344.80 ng/dl
Testosterone Test – Done 06/11/2009 Serum Testosterone: 214.10 ng/dl
FSH/LH Test – Done on 08/11/2010 LH: 9.45 FSH: 23.12
Wed, 24 Apr 2013
Pathologist and Microbiologist, Dr. Sangita's Response
Hello,
Your blood report shows increased FSH that means testicular failure .But there can be focal area of normal testis with spermatogenesis. In these type of cases TESA-ICSI is only option.But pregnancy rate is very low by these newer ART methods .Dont feel depressed . You can go for adoption or artificial insemination .
You will need more investigation like testicular biopsy - probably from more than one site
Histo pathological Examination can confirm
Andrologist (Urologist) is the specialist for further assessment and assistance
Take care
Wishing speedy recovery
God bless
Good luck
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Diagnosed With Azoospermia, Sperm Analysis Done. Any Chance Of Becoming A Father?
Hello, Your blood report shows increased FSH that means testicular failure .But there can be focal area of normal testis with spermatogenesis. In these type of cases TESA-ICSI is only option.But pregnancy rate is very low by these newer ART methods .Dont feel depressed . You can go for adoption or artificial insemination .