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Zero on SA
kristens82 posted:
My husband and I have been seeing an infertility specialist and she came back and said that I am fine, but my husband has Zero sperm on the SA. We have to do another test to see if the sperm are going into his bladder, as she stated they did a fructose test and that came back fine so he shouldn't have any blockages. Has anyone else been in this situation, and what was your plan of treatment for this? It is heartbreaking, because I was so sure it was me, and when we found out he doesn't have anything that makes trying to conceive, well near impossible.
AmyAALC responded:
Male infertility is often treatable so hang in there and you might want to look for a fertility trained urologist in your area to treat your husband. They will evaluate any medications or lifestyle habits that may cause a decrease in sperm production. The PEU (post ejaculate urine) analysis will determine if the sperm is emptying into the bladder instead of being ejaculated. If the test finds sperm in his urine, a urination following masturbation, he can explore option to correct this problem or the sperm can be washed out of the urine and used for intrauterine insemination (IUI). If no sperm in found in the urine sample they will likely want to check his hormone levels, do a physical exam of the testicles and groin area and possibly order an ultra sound of his testicles and groin region. The blood work to check his hormone levels can be helpful in diagnosing the cause to azoospermia (no sperm in the ejaculation). Again there are options for hormone imbalances so just work closely with his urologist. The last option to find sperm would be an exploration of his testicle where they remove small amounts of tissue to see if he has any production. If sperm is found in the testicle it can be used for IVF (in vitro fertilization). Hang in there and please keep us posted on your journey.

Amy Perkins, MS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal

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