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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Decreasing Sperm Count. Testicular Biopsy Shows Incomplete Spermatocytic Arrest. Suggestions?

I am vijay,male, age 41, 9years since marriage, under treatment for 9years sperm count decreased from 20,16,12,8,4,2,0 million/ml gradually hormone normal - FSH ,prolactine cerum T4, TSH, Testosterone etc normal thyroid test.....normal sugar, pressure ,cholestrol etc normal testicular biopsy shows incomplete spermatocytic arrest clinical diagnosis : azoospermia doppler test of scrottum .... normal treatment is still going on tabs.....vitamin E, multivitamin and minerals, suhagra 100,clomphene citrate IP 25 mg,calcitrol,calsium carbonate etc
posted on Tue, 19 Mar 2013
Twitter Thu, 6 Jun 2013 Answered on
Twitter Fri, 7 Jun 2013 Last reviewed on
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OBGYN,  's  Response
Hello,
Considering your age, the reports and the continuously declining sperm counts in spite of treatment project an unhealthy picture and an unwelcome prognosis, I am sorry to say. It is a genetic defect, a possible deletion of some of the genes in the Y chromosome. TESE, testicular sperm extraction is a procedure that is being used to investigate and hopeful of providing some management. You should consult a geneticist with the guidance of your andrologist for further management. If nothing proves useful, you may have to go for donor semen. Good luck.
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Have Decreasing Sperm Count. Testicular Biopsy Shows Incomplete Spermatocytic Arrest. Suggestions?

Hello, Considering your age, the reports and the continuously declining sperm counts in spite of treatment project an unhealthy picture and an unwelcome prognosis, I am sorry to say. It is a genetic defect, a possible deletion of some of the genes in the Y chromosome. TESE, testicular sperm extraction is a procedure that is being used to investigate and hopeful of providing some management. You should consult a geneticist with the guidance of your andrologist for further management. If nothing proves useful, you may have to go for donor semen. Good luck.