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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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FNAC Report Shows Maturation Arrest For Sperm Formation. Microscopic Test Shows Sperms With No Tails. What Does It Indicate?

Hi Doctor,

I have Azoospermia with FNAC Impression: "Maturation Arrest for Sperm Formation" .Is this can be curable with any pills or tablets.

Below is the Microscopic Examination Result:

FNB of testes show secondary spermatids and scanty sperms with globular heads and no tails or rudimentary tails any. No inflammatory exudate. No progress to sperms formation.

Please suggest.
Thu, 28 Nov 2013
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OBGYN,  's  Response
Hello
Thanks for your query.
In a word - No, this is not curable.
Azoospermia can be of two types.
One is where normal sperm formation is ongoing, but due to obstruction in the ducts, the sperm is not secreted.
Second one is the testicular problem where the sperm formation itself is defective.
Obstructive azoospermia can be treated.
However, maturation arrest at this stage cannot be treated.
It is better for you to consider pregnancy with donor sperm ( donor sperm IUI - intra uterine insemination ).
As a few sperms are seen, you MIGHT consider TESE ( testicular sperm extraction ) and then ICSI ( intra cytoplasmic sperm injection ), but the results would not be good.
Take care.
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FNAC Report Shows Maturation Arrest For Sperm Formation. Microscopic Test Shows Sperms With No Tails. What Does It Indicate?

Hello Thanks for your query. In a word - No, this is not curable. Azoospermia can be of two types. One is where normal sperm formation is ongoing, but due to obstruction in the ducts, the sperm is not secreted. Second one is the testicular problem where the sperm formation itself is defective. Obstructive azoospermia can be treated. However, maturation arrest at this stage cannot be treated. It is better for you to consider pregnancy with donor sperm ( donor sperm IUI - intra uterine insemination ). As a few sperms are seen, you MIGHT consider TESE ( testicular sperm extraction ) and then ICSI ( intra cytoplasmic sperm injection ), but the results would not be good. Take care.