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Suggest Treatment For Azoospermia

Posted on Fri, 1 Jul 2016

Question: I have been on and off on Tramadol 100 mg 4 times a day for my spine pain since 2009. I have a PID L4/5, S1 Nerve Root Impingement. Disc dessication is almost 100%. I have gone for semen analysis in 2012 once and 2015 and 2016 once each. All the time I have been diagnosed with Azoospermia. In 2015 I was on Anabolics of Tren Ace and Test Prop. I need to conceive with my wife as we are 34+ yrs old now. Pls help. I have already gone for blood test after ceasing use of steroids and my test and estro including FSH and other hormones have returned to normal. Still having aazoospermia

Answered by Dr. Nandita Thakkar (2 hours later)

Brief Answer:
Short, actionable, direct answer (75 chars max)Treatment for infertility

Detailed Answer:
Hello
Welcome to Health care magic

Thank you for writing to HCM. As your tests are normal it will be suggested that you wait for 8 weeks and repeat the semen test. If the azoospermia condition persists - then a further work up in your case will be required.
You will have to meet a urologist who will examine you and plan further investigations that will be required and help in the treatment planning

Dr Nandita Thakkar

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Nandita Thakkar (1 hour later)

Hi Dr.

I forgot to mention that an ultrasound has been done of my scrotum as well and it is all normal. In the event that you have mentioned that i might have to see a urologist could there be an issue with my urinary tract or something?

Answered by Dr. Nandita Thakkar (1 hour later)

Brief Answer:
follow up

Detailed Answer:
Hello again

Even if the ultrasound is normal - an opinion with the urologist will be of added value
He will be able to assess and opine for any other problems identified

Dr Nandita Thakkar

Above answer was peer-reviewed by : Dr. Prasad