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What Do These Semen Analysis And Testicular Biopsy Report Indicate?

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Posted on Tue, 27 Oct 2015
Question: my fsh,lh,tsh, testosterone, testicular sonography are normal but sperm count nil doctor says testicular biopsy but biopsy result small tissue sample there is no openion again doctor say TESE so what can i do and how many chances to tese succesful? i attche my all report.
doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
In vitro fertilization.

Detailed Answer:
Dear XXXXXXX Hi
I can understand your concerns.

I have gone through your history and the uploaded results of lab tests such as ultrasound, estimation of various hormones, semen analysis and the testicular biopsy.

It seems to me you have a condition called Azoospermia (no sperm count).
And your treating doctor has suggested you Intracytoplasmic sperm injection (I.C.S.I) or testicular sperm extraction (TESE). In this procedure, a small amount of testis tissue with viable sperms is taken by biopsy under local anesthesia for egg fertilization.

This procedure can be used as part of an in vitro fertilisation (IVF) treatment to help you and your spouse to conceive a child.

The success rates depends on your particular fertility problem and your age. The younger you are, the healthier your eggs usually are, and the higher your chances of success. For your age the percentage of cycles using ICSI which result in a live birth could be: 40 - 50%.

Hope this answers your query.
Wishing you all the best.



Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mohammed Taher Ali (8 hours later)
what is the reason of failed testicular biopsy and which type of Azoospermia obstrutive or non obstrutive for me and how must cost of this tretment.
doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
It may be a technical problem

Detailed Answer:
Dear XXXXXXX Hi
Thanks for your reply.

It could be due to some technical problem the biopsy could not show the testicular tissue, hence a repeat biopsy was requested by the pathologist for further evaluation.
Since the ultrasound scan shows bilateral tiny epididymal cysts, so it seems to me, apparently you have Azoospermia of obstructive type.
Regarding the cost of the treatment it varies from center to center, it may cost around 2 - 3 lakhs in a specialised IVF centers, however you may consult your treating doctor who is more familiar with the costs in various referral IVF centers.

Hope this answers your query.

Best regards.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Mohammed Taher Ali (8 hours later)
any other treatment avaliable in this case?
doctor
Answered by Dr. Mohammed Taher Ali (1 hour later)
Brief Answer:
It seems there is no other treatment available

Detailed Answer:
Dear XXXXXXX Hi
Good morning.
Thanks for your reply.
It seems there is no other treatment for such cases.
Hope this answers your query.

Kindly rate the answers if you do not have any follow up query.

Best regards.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6261 Questions

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What Do These Semen Analysis And Testicular Biopsy Report Indicate?

Brief Answer: In vitro fertilization. Detailed Answer: Dear XXXXXXX Hi I can understand your concerns. I have gone through your history and the uploaded results of lab tests such as ultrasound, estimation of various hormones, semen analysis and the testicular biopsy. It seems to me you have a condition called Azoospermia (no sperm count). And your treating doctor has suggested you Intracytoplasmic sperm injection (I.C.S.I) or testicular sperm extraction (TESE). In this procedure, a small amount of testis tissue with viable sperms is taken by biopsy under local anesthesia for egg fertilization. This procedure can be used as part of an in vitro fertilisation (IVF) treatment to help you and your spouse to conceive a child. The success rates depends on your particular fertility problem and your age. The younger you are, the healthier your eggs usually are, and the higher your chances of success. For your age the percentage of cycles using ICSI which result in a live birth could be: 40 - 50%. Hope this answers your query. Wishing you all the best.