Hi doctor iam male 38 yrs age, i got married 7 months back from that time we are planning preganency.but not successful so i want for semen analysis and surprisingly i found the result as azoospermia with all other semen parameters normal.three days later i have given on more sample in apollo hospitals even it said the same.so i almost confirmed it as azoospermia.doctor had given me all the hormonal tests which are normal (TSH,LH,FSH AND MANY MORE).color dopler scrotum and testis, it had given impression as left grade 2 vericocele, left spermatocele in epididymal head.just with one day gap i have given one more sample for analysis,culture and sensitivity in the same hospital(apollo).this time the sample was only .5ml and suprisingly the result was .1 millions/ml,rapid progressive motility 0%,slow progressive motility 60%, non progressive motility,0%,non motile sperms 40.Sperm viability: live sperms 65%,dead sperms 35%, WBC .2.so now what treatment should i take?what should i do now.shell go for vericocele correction? which method will be good?.can this count be incresed to normal by any treatment? please advice me.Thank you.
Hello In your case the situation is very delicate because you are not a case of AZZOSPERMIA rather I will call as a case of oligospermia. I will try to explain few facts about sperm production and infertility (in male) . Subfertility is seen with sperms count Now, how sperms produces and where? Sperms production happens in the Sector cells of the seminiferous tubules of the TESTIS & EPIDIDYMIS. In your case varicocele present and this is one of the most common cause of INFERTILITY in male Operation (surgery) for varicocele is indicated in patient who have .1 SPAIN & 2 SERIOUS DEPRESSION OF SPERMATOGENESIS (OLIGOSPERMIA) as in your case. I recommend you consult a surgeon and get surgery and thereafter think about fertility. Hope this information will be helpful for you.