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Zero Sperm count - Next steps
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Shooting_Blanks posted:
Blood test shows that all Hormone levels are normal, but Zero sperm count. Fluid level normal and SA been tested twice. Urologist immediately set us up with Infertility specialist for Sperm aspiration/ IVF (The doctor wants to move forward without even checking to see if there is sperm). One doctor wants to perform FNA Mapping. Aren't there any other possibilities i.e. correctable blockage? Ultrasound?
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AmyAALC responded:
With the physical exam it's likely the doctor ruled out blockage of or congenital absence of vas deferens (CAVD) which would inhibit the sperm from being ejaculated. Did you discuss genetic causes to male infertility? This might be an area to address. If you have low fertility where only a small amount of sperm is produced and the only way to recover is with a testicular biopsy you might carry have a genetic cause of this infertility and possibly pass this on to a future child. Discuss this with the fertility specialist you've been referred to see. I think you urologist has done everything he can do and now you will need to work with the specialist to explore all possible avenues.

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


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