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Zero Sperm
An_206306 posted:
I've got a question. Hopefully someone can help me. My husband had a sperm analysis done twice and both times it came back zero sperm. Then he talked to his mom and found out that when he was born he had undescended testicles. They tried drugs and waited and they never dropped. So when he was 5 years old they decided to do surgery. One of his testicles was damaged during surgery and the doctor said that it probably won't work but the other one should be ok. But that was 30 years ago. So when we got back the first set of results my OBGYN told us we should see a urologist but then when I told the nurse about his situation as a child they didn't have much to say. Just told me that was not their area of expertise and that we should go see an urologist. So my question is: Is it even worth going to see a urologist or will it just be a waste of time and money? My husband has pretty much gave up and has no intention of seeing a urologist, but I just want to make sure there is nothing we can do. I've done some research and I can't find anywhere where it says yes, it's too late or no, it's not. All the research I find says that a little kid should have the surgery done before they are 1 year old. So.....was it too late??
AmyAALC responded:
He should make that appointment with a local urologist to see if sperm production can be returned. The urologist will evaluate a number of things like hormone levels. From the workups with the urologist they should be able to determine if your husband will be able to produce sperm. There is also a chance that during his surgeries when younger they caused some damage to the tubes that transport the sperm out of the testicles for ejaculation. If they find blockage it would be possible to harvest sperm from his testicles for IVF (in vitro fertilization).

Sperm production from one testicle should be plenty for normal fertility and pregnancy.

If biological children are desired he will need to see that urologist. You can also discuss the option of donor sperm.

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

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