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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Obstructive Azoospermia And Hypospermatogenesis. Prescribed ICSI. Any Other Option?

Hi,

I have been diagnosed with azoospermia. I underwent testis biopsy and the doctors found no sperm. They told me I had hypospermatogenesis. Then I underwent testicular FNAC in epidydymis and doctors found occasional mature sperm along with spermatids and others. Then the doctors advised me to undertake HUCOG & HUMOG injections for about a month and a half (total of 15 injections) and again took semen test. There was no sperm in semen test. Now, the doctors have told me that I am suffering from obstructive azoospermia and that I should undergo ICSI.

Please let me know if ICSI is the only option for me (OR) is there any treatment for hypospermatogenesis (and) obstructive azoospermia.

Thanks.
Tue, 18 Jun 2013
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General & Family Physician,  's  Response
Hi, In biopsy you found no sperm in testis, How come they get sperm in FNAC, After injections FNAC should be repeated to find the condition of the sperm, simultaneously, if obstruction is the cause you can try to find the place of obstruction and can get it removed. Any how take another alternative advise, to confirm if you are not in favour of the ICSI, Thank you.
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Diagnosed With Obstructive Azoospermia And Hypospermatogenesis. Prescribed ICSI. Any Other Option?

Hi, In biopsy you found no sperm in testis, How come they get sperm in FNAC, After injections FNAC should be repeated to find the condition of the sperm, simultaneously, if obstruction is the cause you can try to find the place of obstruction and can get it removed. Any how take another alternative advise, to confirm if you are not in favour of the ICSI, Thank you.