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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Azoospermia?

Hi doctor iam male 38 yrs age, i got married 7 months back from that time we are planning preganency.but not successful so i want for semen analysis and surprisingly i found the result as azoospermia with all other semen parameters normal.three days later i have given on more sample in apollo hospitals even it said the same.so i almost confirmed it as azoospermia.doctor had given me all the hormonal tests which are normal (TSH,LH,FSH AND MANY MORE).color dopler scrotum and testis, it had given impression as left grade 2 vericocele, left spermatocele in epididymal head.just with one day gap i have given one more sample for analysis,culture and sensitivity in the same hospital(apollo).this time the sample was only .5ml and suprisingly the result was .1 millions/ml,rapid progressive motility 0%,slow progressive motility 60%, non progressive motility,0%,non motile sperms 40.Sperm viability: live sperms 65%,dead sperms 35%, WBC .2.so now what treatment should i take?what should i do now.shell go for vericocele correction? which method will be good?.can this count be incresed to normal by any treatment? please advice me.Thank you.
Mon, 23 Jun 2014
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General & Family Physician,  's  Response
Hello
In your case the situation is very delicate because you are not a case of AZZOSPERMIA rather I will call as a case of oligospermia .
I will try to explain few facts about sperm production and infertility ( in male ) . Subfertility is seen with sperms count Now , how sperms produces and where?
Sperms production happens in the Sertoli cells of the seminiferous tubules of the TESTIS & EPIDIDYMIS.
In your case varicocele present and this is one of the most common cause of INFERTILITY in male
Operation ( surgery ) for varicocele is indicated in patient who have .
1 PPAIN &
2 SERIOUS DEPRESSION OF SPERMATOGENESIS ( OLIGOSPERMIA ) as in your case .
I recommend you consult a surgeon and get surgery and there after think about fertility .
Hope this information will be helpful for you.
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How To Treat Azoospermia?

Hello In your case the situation is very delicate because you are not a case of AZZOSPERMIA rather I will call as a case of oligospermia . I will try to explain few facts about sperm production and infertility ( in male ) . Subfertility is seen with sperms count Now , how sperms produces and where? Sperms production happens in the Sertoli cells of the seminiferous tubules of the TESTIS & EPIDIDYMIS. In your case varicocele present and this is one of the most common cause of INFERTILITY in male Operation ( surgery ) for varicocele is indicated in patient who have . 1 PPAIN & 2 SERIOUS DEPRESSION OF SPERMATOGENESIS ( OLIGOSPERMIA ) as in your case . I recommend you consult a surgeon and get surgery and there after think about fertility . Hope this information will be helpful for you.