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Rennes posted:
My husband had a brain tumor as a child and had to go on Testerone. For many years he refused to take it. In his late teens and early twenties he went on the shots (cypionate) and he then went through puberty. Because he went through puberty so late and because of his case, I wonder how likely he is to have any sperm and if there is something we can do to get him producing it. We are not ready yet to have kids, but we will likely be trying within a year.
amyaalc responded:
He has a lot of factors to consider so very difficult to guess what his fertility stance would be. He can start with a semen analysis to see if he has any sperm production. This is the first step. Based on those results will lead you to the next step. No sperm then he needs to see a fertility trained urologist to see if the brain tumor disrupted his hypothalamus and pituitary which are responsible for hormone regulation.

Can he be given a treatment like GnRH to stimulate his natural testosterone and sperm production would be one thing that needs evaluated and this will depend on the hypothalamus and pituitary.

If he has sperm production but low there might be options to improve his sperm production levels for natural conception. If numbers are low but healthy sperm is present you can look into intrauterine inseminations or IVF.

Check to see if you have a urologist in your area that has a fellowship training in male factor fertility and start with an appointment.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
amyaalc replied to amyaalc's response:
treatment of HCG not GnRH can stimulate sperm production.

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