Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

170 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for absence of sperm

Answered by
Dr.
Dr. Nandita Thakkar

Infertility Specialist

Practicing since :1992

Answered : 218 Questions

default
Posted on Mon, 18 Aug 2014 in Infertility Problem
Question: my friend did an open testicular biopsy 20 years ago and found no sperm possibility. what are the advanced treatment found since then
doctor
Answered by Dr. Nandita Thakkar 28 hours later
Brief Answer:
testicular biopsy

Detailed Answer:
Hello
Welcome to HCM

Thank you for writing to us.
The biopsy done - showed no sperms.
If we can get more details on the cell type - like spermatid were seen or any other cell type we can see if there is any possibility
Also , an idea of the blood hormone levels such as FSH / Total testosterone - if they were done ( ideally done now with 3 months)

This will help us to understand the condition better and offer some treatment

Hope to have answered your query
Dr Nandita Thakkar
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Nandita Thakkar 2 hours later
Thank you. Plz tell me the required test you need to determine if there are new method to treate it.
The biopsy was done 15 years ago. But the attached repot is done in January 2014
doctor
Answered by Dr. Nandita Thakkar 11 hours later
Brief Answer:
reply

Detailed Answer:
Hello again

I have gone though your report
I will also a urologist / XXXXXXX to asses you at the outset. Plan an ultrasound.

It will advised to do the blood tests to see if there is any possibility to assess your present status.

with the reports we can plan further to help you

Dr Nandita Thakkar
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Nandita Thakkar 1 hour later
thanks. can you be specifc. whicharea the ultrasound also what blood test should i ask. regards
doctor
Answered by Dr. Nandita Thakkar 28 hours later
Brief Answer:
Further discussions

Detailed Answer:
Hello again

1. As i have mentioned in the 1st reply Hormones FSH ? total testosterone

2. Ultrasound of the scrotum

3. An opinion with the urologsit - is very important - for complete co-relation of the findings

Dr Nandita Thakkar


Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
default
Follow up: Dr. Nandita Thakkar 20 hours later
a general question. what are the new methods or technique came out since 15 years ago for such problem
doctor
Answered by Dr. Nandita Thakkar 46 hours later
Brief Answer:
respose

Detailed Answer:
Hello again

I have discussed what you need to do before we plan any discussion

The results will help the consultant to decide what is best for you

Please do the necessary tests for better evaluation and assessment

Regards

Dr Nandita Thakkar
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Medical Procedures
Lab Tests
Medical Topics

Recent questions on  Scrotum

doctor1 MD

I was having a dull throbing pain in my lower left back for a few weeks it would sometimes make me feel nauseas.
Thin started to feel pain in my left side and lower left abdominal area as well as testicles. I thought it might be kidney stones so I went to the doctor and they checked for blood in my urine. There was no blood so I had an ultra sound of the spleen done and it came back slightly enlarged. I was then sent for a blood test and was told I have mono. I am 33 years old. I havent had any symptoms of feeling tired but still get sharp pains in my sides occasionally pain in my scrotum and abdomen. I have also been feeling bloated like my stomach is strechd out does this seem like mono. I will also feel a dull throbbing pain in my upper thighs occasionally.

doctor1 MD

i am a 250lb, 6'8", 37yr old male with high blood pressure who just had intense sex with my 23yr old girlfriend of 2 years, and after sex i had a little blood coming out the head of my penis. I used the bathroom to "clean the system" and there was blood. Not to mention my right side of my stomach down to my scrotum is hurting bad! there is a buldging vein on my scrotum where the pain is... What should i do???

doctor1 MD

Hi, I am a 33 Year Hindu MALE. From last 12 years, My testicles always hangs in the scrotum like balls very loosely and they are never tight. I always feel that they will be heart while I drive a Bike or Run, etc.
Earlier, they were perfectly alright and tight. About 12 years back, I started to have nocto-urinal emmisions (night-falls), every week. After some months, there were some filling of itching over the scrotum, I used to make itching by hand, many times to remove itching. After few months, I don't know what happened, testicle balls hangs all the time in the scrotum and are very loose since then. I feel Itching even now and then and I use to itch around the scrotum by hand and itching is gone.
I still have nocto-urinal emmisions (night-falls), after 15 days or 1 month. I even masturbate, sometimes, so that I could not have nocto-urinal emmisions (night-falls). I feel ashamed on it. When I have night-falls, I become awake just after that and can not easily fall asleep for another 1-2 Hrs., and all cloth become wet. I want to get rid of all these things.
I am very much worried about testicle balls always hanging in the scrotum and I never feel tightness in the testicles and scrotum. I am also worried about night-falls (noct-urinal emissions).
Is all this OK or something wrong?
I am still unmarried and want to marry very soon, but worried about wether I will be able to perform sexual activity satisfactorily or not? I am very concerned about it. I have never consulted any doctor or anybody for this problem.
Please help me or suggest me, accordingly.
In hope of quick response.

Anonymous

doctor1 MD

I have a very sensitive patch (burning itch) @ the base of my spine, top of butt crack. There is a rough "basketball skin" patch running down inside my butt cheek. Also between my thigh & scrotum & above the penis in the pubic hair is very red & itchy.Blue star ointment gives the only releif but burns terribly.Have tried otc antifungals, benadryl, neosporin, hydrocortizone...you name it, at wits end. Dr. said yeast infection use otc antifungal creme, already know that dont help. In agony please help.

doctor1 MD

Can testicular torsion cause LOW grade pain?

doctor1 MD

Ok, I asked about this yesterday in the main forum. After thinking about it and being a little more clear headed, I decided to put it here in the "ask a specialist." Most of my question yesterday went unanswered. What was answered was very short...

doctor1 MD

I was diagnosed with intermittent testicular torsion 3 years ago and had orchiopexy performed with non absorbable sutures. Before the surgery my testicle would be backwards (180 degrees) 90% of the time or more and I had pain every day from it....