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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Azoospermia

am azospermic doc.my doc says i do vasogram to check for blocked vas.if blocked,al have to undrergo a surgery.another doc advices me not to do vasogram but take on herbal medicine coz of two reasons

1-the med will unblock the vas if blocked and 2-the med wil stimulate the testicular cells to start producing sperms if there weren't any.am caught between two.please advice.
Tue, 16 Dec 2014
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi.... For your query....Two semen analysis would confirm azoospermia ...then we go for a work up ....LH FSH levels Testosterone levels....If LH FSh low ..it could be hypothalamus / pituitary cause...If LH FSH are normal..it could be obstruction/ no obstruction. . ..testis biopsy .to confirm Normal sperm production....it..gives us clue to testicular failure( no sperm production.)......if find sperms then it is obstructive azoo.....transrectal ultrasound helps to see the vas, ejaculatory duct, seminal vesicles....TRUS guided seminal vesical aspiration has replaced vasography........
vasography done at same time of reconstruction...would tell if there are exact point of blockade in genital tract. (Epididymis;Vas or ejaculatory duct)
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Suggest Treatment For Azoospermia

Hi.... For your query....Two semen analysis would confirm azoospermia ...then we go for a work up ....LH FSH levels Testosterone levels....If LH FSh low ..it could be hypothalamus / pituitary cause...If LH FSH are normal..it could be obstruction/ no obstruction. . ..testis biopsy .to confirm Normal sperm production....it..gives us clue to testicular failure( no sperm production.)......if find sperms then it is obstructive azoo.....transrectal ultrasound helps to see the vas, ejaculatory duct, seminal vesicles....TRUS guided seminal vesical aspiration has replaced vasography........ vasography done at same time of reconstruction...would tell if there are exact point of blockade in genital tract. (Epididymis;Vas or ejaculatory duct)