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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    What causes lack of vas deferens leading to infertility?

My husband and I have been trying to conceive for a year now and it was not a success. I just started to see an OB/GYN to evaluate myself and making sure I m ok and from what my doctor says I m fine, my egg levels are great and after using the ovulation kit it is showing that I am ovulating each month. My husband also just recently went to an Urologist who specialist in fertility and after a physical examination of my husband the doctor said he couldn’t feel my husband s vas deferens. He also mentioned that since the vas deferens is form from the same tissue as the kidneys, the doctor is afraid my husband could possibly have one kidney. He did order an ultra sound to confirm how many kidney my husband have and from what I can see on the screen my husband have two. I have done some research and a man without a vas deferens can be genetics but no one in my husband s family have problem with fertility. So I wonder how could it possibly be. I am wondering how does the vas deferens feel like and could it possibly be that the doctor miss it.
Tue, 14 Jul 2015
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Urologist 's  Response
Hello and welcome to HCM.
Your concern is understandable. As an Urologist, i must tell you to get your husband's semen analysis test done, after avoiding sex for two days.
That will give a clearer picture of absence of both vas. Also, get a scrotal scan of his done to confirm, changes, if any within and outside the two testis.
You can contact me by name for further advise.
Dr.Matthew Mangat.
Urologist.
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