Having Hypogonadotropic Hypogonadism, Don't Have Sperm Production. Take Combination Of FSH And HCG Injection. Suggest?

Posted on Fri, 6 Sep 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 6 Sep 2013 Answered on

Sun, 22 Sep 2013 Last reviewed on

Question : i am having hypogonadotropic hypogonadism. i dont have sperm production due to that i have having combination of FSH and HCG injection twice a week. if every thing is ok. how long will take for sperm production.

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
AROUND 6 - 12 MONTHS.

Detailed Answer:
Hello,

Thanks for writing to us.

In men with hypogonadotropic hypogonadism, combination of HCG and FSH therapy takes around 6–24 months for achieving testicular growth and spermatogenesis. 80 - 90 % of patients are able to achieve spermatogenesis, as long as there are no other complications like undescended testes .

If at the end of 24 months, if the counts are very low counts, it is better to take the help of assisted reproductive techniques to optimize chances of pregnancy. It is therefore advisable to commence induction 6–12 months prior to a planned conception, whether 'natural' or by in vitro fertilization or intracytoplasmic sperm injection .

Just a word of caution - before attempting pregnancy with your semen, please go for complete genetic counselling and karyotyping to ensure that there are no defects that you might pass on to your children , as men with hypogonadic hypogonadism occasionally harbour certain defects , particularly in the sex chromosomes.

All the best.
I hope this answer was informative.
Please feel free to ask any further follow up questions, I would be happy to guide you.

Above answer was peer-reviewed by : Dr. Prasad