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Womens Health > Infertility Forum > Treatment options for infertility
If you're experiencing difficult conceiving, you are not alone. Learn how doctors define infertility and how infertility affects both men and women here....
Many things cause fertility problems. Learn common causes of infertility for men and women here, plus info on factors that affect the ability to conceive....
Sometimes fertility do not manifest any symptoms. Other times there are definite signs. Learn to identify possible problems and know when to ask for help....
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Q: Treatment options for infertility
asked by: DoctorQuestion on November 24th, 2008
Following the above investigations & diagnosis.. What I should do ... pls help me....


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Dr. Goce Aleksovski , MD
replied on November 25th, 2008
Infertility Answer A4973
Diagnosis that has been suggested: Semen Analysis : Azoospermia (Semen checked three times with same result, No problem of Ejaculation ) HB 14.7 FSH 6.0 MIU LH 6.0 mIU Testosterone : 8.74 nano mol USG SCROTUM : NORMAL Study URINE : NAD NO SD NO VARICOCELE FNA BOTH TESTIS : Microscopic description : Smears prepared from both vestibula aspirate show presence of hero cells with evidence of spermiogenesis characterized by the presence of spermatocytes, spermatids and spermatozoa although they are reduce in number. Cali shows thick eosinophilic proteinacous material containing clusters and discrete sertoli cells.
Current medical status: Infertility (azoospermia)
Current medical treatment: no medication taking ...


Given the your symptoms, the azoospermia is probably not due to an obstruction in the genital ducts. The laboratory results are within reference range. The reduced number of spermatocytes might be due to decreased production, but presence of autoimmune antisperm antibodies have to be taken into consideration, also. A simple, direct analysis of a man’s sperm can determine whether or not antibodies are present. If present, adequate treatment can be recommended.


However, you might want to consult with a urologist about assisted reproductive techniques such as: Testicular Sperm Extraction (TESE) combined with Intra Cytoplasmic Sperm Injection (ICSI).




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