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How can my wife conceive if my sperm count is zero?

Q: I am a 33 years old married man and we (my wife and me) have been trying to have a baby for the last 2 years. I was advised semen analysis by the doctor, which indicated azoospermia; then I was examined by a urosurgeon and diagnosed with undescended testicle, which was subsequently removed. The other problems like hernia on both the sides, varicocoele were also rectified and a biopsy of descended testicle showed foci spermatogenesis, though the surgeon said that the descended testicle was too small. Since then I am taking medicines to control high blood pressure and Coq Forte to improve spermatogenesis. My wife has not conceived yet and I am due for another semen analysis. What are my options for a baby if in case the sperm count is still zero?

A:If your semen analysis still shows azoospermia, your urologist would like to have some hormonal tests like FSH and LH done to see any evidence of sperm formation in testis. If there are any sperms in testis on further analysis, you may have a chance with assisted fertilization techniques like ICCI.


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