Skip to content
My WebMD Sign In, Sign Up
Last Reply:
Zero on SA
avatar
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.
1 Replies |Watch This Discussion | Report This| Share this:Zero on SAMy 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.
Reply
 
avatar
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
Report This| Share this:Zero on SAMale 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.<br /><br />Amy Perkins, MS<br />Laboratory Supervisor<br />Arizona Andrology Laboratory &amp; Cryobank<br />International Center for Vasectomy Reversal
Reply


Back to Top
Back to Top

More from WebMD related to this Discussion

Vasectomy Reversal | physical exam | masturbation | medications | infertility

See Related Trying to Conceive Communities

See All Communities

Spotlight: Member Stories

Profile
AmyAALC
My name is Amy Perkins, MS, TS and I am the Laboratory Supervisor at the Arizona Andrology Laboratory & Cryobank and the International Center for ...More
See All Posts by AmyAALC

More Members

Profile
BabyParks
Edit your story | See All Members

Popular Discussions

Start a Discussion | See All

Helpful Tips

Be the first to post a Tip!
Post a Tip

Helpful Resources

Be the first to post a Resource!
Post a Resource

Related News

Report Problems to the
Food and Drug Administration

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.