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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Impregnation, Have Azoospermia. Advised To Go For Sperm Donation, Adoption. Is Opting For Sperm Donation Advisable?

Hello Dr I have the problem for my husband. We are married 3 years. Still, the problem for baby. My husband sperm count is 0( Azoospermia ). so we are tried so many doctors. They are said to me, only for the two options 1. sperm donor 2. adoption. But i am totaly confused and i am mentally disturbed, Which is the best option i choose ? and , is there is any problem for sperm donor option in future? Tell me dr. Please
Fri, 13 Jul 2012
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Infertility Specialist,  's  Response
Hi Anitha
Welcome to HealthcareMagic
Azoospermia is not incurable. First of all azoospermia need to be evaluated whether it is due to block in tubes or there is no production of sperms at all. If azoospermia is due to block in tubes ( Obstructive ) then sperm can be collected from testis through a needle(PESA/TESA). Even when there is no block in tubes and sperms are absent there are chances of getting sperms with the above procedure. After getting the sperms IVF/ICSI can be done. when all these fail and you want to have your own baby , you have patience and finance is not a concern then you can even opt for Micro-TESE. Micro-TESE is new technique in which sperms are retrieved by a surgery and then surgery can be done.. Before all these your husband need to be evaluated thoroughly by a urologist and hormonal investigations to be done. If finance is a problem then you can directly go for donor IUI .There is no problem in future because donor's name is not revealed ,only his characteristics are known. Adoption is last option ofcourse. Wish you all the best for treatment . Take care.
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Difficulty In Impregnation, Have Azoospermia. Advised To Go For Sperm Donation, Adoption. Is Opting For Sperm Donation Advisable?

Hi Anitha Welcome to HealthcareMagic Azoospermia is not incurable. First of all azoospermia need to be evaluated whether it is due to block in tubes or there is no production of sperms at all. If azoospermia is due to block in tubes ( Obstructive ) then sperm can be collected from testis through a needle(PESA/TESA). Even when there is no block in tubes and sperms are absent there are chances of getting sperms with the above procedure. After getting the sperms IVF/ICSI can be done. when all these fail and you want to have your own baby , you have patience and finance is not a concern then you can even opt for Micro-TESE. Micro-TESE is new technique in which sperms are retrieved by a surgery and then surgery can be done.. Before all these your husband need to be evaluated thoroughly by a urologist and hormonal investigations to be done. If finance is a problem then you can directly go for donor IUI .There is no problem in future because donor s name is not revealed ,only his characteristics are known. Adoption is last option ofcourse. Wish you all the best for treatment . Take care.