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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Testicle Removed Due To Cancer. Low Sperm Count, High FSH Count. Is There A Way To Reduce This Level? Conception Chances?

Hi, my husband had testicular cancer about 4 years ago and had one testicle removed. The urologist said he would have no trouble in us conceiving. We recently went to a fertility specialist who advised that his sperm count was low (1million) and he has high FSH level. He said there is no way to raise his count or lower his FSH and that we won't be able to conceive naturally . Is any of this true? Is there anything we can do and what are our chances of being able to conceive naturally?
Tue, 7 May 2013
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General & Family Physician 's  Response
Hello.First of all, semen test should be repeated .
Sometimes there are very low levels by various factors that can lead to an erroneous result.
If very low levels are confirmed ;you must know that the Minimum Concentration of sperm in ejaculate must be 20 million / ml.There are treatments to increase sperm concentration but at these levels is very,very difificult.The alternative would be to use assisted reproduction techniques
which are becoming more effective.
However,request test is repeated.
I wish you good health
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Pathologist and Microbiologist Dr. Siddartha's  Response
Hello
welcome to health care magic
High FSH(follicular stimulating hormone) impairs the production of sperms required for fertilization..
Normally FSH stimulates production of testosterone hormone,but high level suppress the production of testosterone which impairs production of sperms..
Consult infertility specialist and lower your FSH level by medications..after the normalization of FSH levels you may conceive succesfully.
Hope you understand my suggestion.
Thank you
Dr.siddartha
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Testicle Removed Due To Cancer. Low Sperm Count, High FSH Count. Is There A Way To Reduce This Level? Conception Chances?

Hello.First of all, semen test should be repeated . Sometimes there are very low levels by various factors that can lead to an erroneous result. If very low levels are confirmed ;you must know that the Minimum Concentration of sperm in ejaculate must be 20 million / ml.There are treatments to increase sperm concentration but at these levels is very,very difificult.The alternative would be to use assisted reproduction techniques which are becoming more effective. However,request test is repeated. I wish you good health (In case the answer would have been useful please indicate this)