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Suggest Treatment For Sertoli Cell Only Syndrome

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Posted on Mon, 23 Feb 2015
Question: Hi Doctor,

My name is XXXX.A few days ago i've been diagnosed with sertoli cel only syndrome through testicular biopsy.In semen analysis azoospermia was confirmed earlier.My FSH level is 39.21 and LH is 10.2.Prolactin,Testosterone,TSH are in normal range.I dont know what to do next.Is there any treatment available for this condition other than ICSI or SPERM EXTRACTION?i'm 28 years of age.
doctor
Answered by Dr. Mahesh Koregol (24 minutes later)
Brief Answer:
Go for Sperm extraction soon to check for sperms

Detailed Answer:
Hello,

I understand your concerns about sertoli cell only syndrome.

You have undergo sperm extraction once to know if there is sperm production.

FSH is on higher side in your reports. There is unlikely to be any sperm production which is suitable for ICSI with this report.

Get sperm extraction done soon to check if sperms can be found for ICSI. If no sperms found you cannot even go for ICSI.

Using donor sperm would be only option if no sperms found.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Mahesh Koregol (3 hours later)
Thank u doctor.Kindly clarify my 3 more doubts..

1.Will it be useful to check s.inhibin level before going for sperm extraction?i'm anxious to know about the process of sperm extraction.is it an open surgical procedure?
2.Is there any Ayurvedic or Homeopathic treatment available for SCOS?Can Sperm increasing natural remedies in ayurveda like safed musli help to produce atleast a decent amount of sperms ?
3.Is there any success stories in your rich experience?Share if any..

Regards,

XXXX
doctor
Answered by Dr. Mahesh Koregol (20 minutes later)
Brief Answer:
Details explained

Detailed Answer:
1. Inhibin levels need not be tested.

2. You will be given local or general anestesia so that you dont feel pain. A needle and syringe are inserted into testis and semen is drawn. This contains sperms and is confirmed under microscope.

3. No use of ayurveda or homeopathy treatment for this.

4. If no sperms found on surgical extraction , nothing can be done. No treatment will improve this. Donor semen is only option.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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Suggest Treatment For Sertoli Cell Only Syndrome

Brief Answer: Go for Sperm extraction soon to check for sperms Detailed Answer: Hello, I understand your concerns about sertoli cell only syndrome. You have undergo sperm extraction once to know if there is sperm production. FSH is on higher side in your reports. There is unlikely to be any sperm production which is suitable for ICSI with this report. Get sperm extraction done soon to check if sperms can be found for ICSI. If no sperms found you cannot even go for ICSI. Using donor sperm would be only option if no sperms found.