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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Azoospermia, Testicular Biopsy Showed Germ Cell Aplasia, Normal Hormonal Reports, High FSH, Low Testosterone. Treatment Option?

sir i m azoospermic...i have gone for testicular biopsy ,the result was GERM CELL APLASIA and my doctor said me that there isnt any chance for us.......now i heard some other doctor saying on TV that in such cases that particular part of testis may not have spermatids or sperms but there is some chance that the other part may have them .when i went for biopsy my harmonal reports were normal but recently i found my FSH level higher than normal and TESTOSTERONE level low.i want to know weather we should go for needle biopsy now or shall i take some harmonal medication and go for TESE....what would be the better options for us....please help!!
Fri, 3 Aug 2012
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Infertility Specialist 's  Response
Hi,

Thanks for your query.

I read your query and I understand your concerns.

High FSH and low testesterone means you have primary testicular failure. I dont see great chances of conception. Any way undergo needle biopsy to confirm presence of sperms.

If no sperms are found I am afraid you have to go for donor semen treatment for your wife.

I hope I answered your query. I will be available for any followup queries you have.

Regards,
Dr.Mahesh Koregol
IVF & Infertility Specialist.
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Suffering With Azoospermia, Testicular Biopsy Showed Germ Cell Aplasia, Normal Hormonal Reports, High FSH, Low Testosterone. Treatment Option?

Hi, Thanks for your query. I read your query and I understand your concerns. High FSH and low testesterone means you have primary testicular failure. I dont see great chances of conception. Any way undergo needle biopsy to confirm presence of sperms. If no sperms are found I am afraid you have to go for donor semen treatment for your wife. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist.