Hello Doctors, I Am 34 Male Married. We Planned For

Posted on Mon, 4 Feb 2019

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

Mon, 4 Feb 2019 Answered on

Last reviewed on

Question : Hello Doctors,

I am 34 male married. We planned for baby and visited a hospital, they prescribed semen analysis for me. After 3 day I went for the test and the result was AZOOSPERMIA. They told to repeat after 5 days and the result same. Doctor did blood test FSH That was 1.09 and prescribed hmg injections twice per week for 3 months. I took all injections and repeated the semen analysis and the result same Azoospermia.

Finally the doctor told to test TESA for checking existance of sperm in testies. Doctor did the TESA and told there are only 5 to 10 dead sperms. And sent the sample for pathology analysis.

After seeing the report doctor told there are some blocks testies and they are causing the live sperms are not coming out.

Below is my medical history:
Form my child hood I had ingunial hernia but didn’t cause any problems. In 2013 I had severe pain in testies and had to go for bilateral inguninal hernia open surgery.

Please advice my situation.

Answered by Dr. Ashok Kumar Choudhary (2 hours later)

Brief Answer:
Consultation

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

I request you to attache all medical reports including pathology report.

This will help me to understand what is wrong with you and next course of action will be decided.

I look forward to assist you.
Thanks again.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashok Kumar Choudhary (9 hours later)

Thank you sir,

I have attached the pathology report,

Please advise

Thanks
Sanath

Answered by Dr. Ashok Kumar Choudhary (1 hour later)

Brief Answer:
Follow up

Detailed Answer:
Dear Sanath,
Thanks for follow up and providing the required pathology report.

From the available description and reports I think you need to see a urologist as any block can be removed only by urologist provided it is correctable.

In case that can not be done there is no chance for natural pregnancy as there are no sperms in the semen. In that case sperms can be aspirated for in vitro fertilisation (IVF).

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashok Kumar Choudhary (1 hour later)

Thank you sir

Answered by Dr. Ashok Kumar Choudhary (16 minutes later)

Brief Answer:
You are always welcome

Detailed Answer:
Dear Sanath,
Thanks for positive feedback.

I am glad to know that provided information was useful for you.

If you have any further query, I would be glad to help you.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar