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Need some advice on severe oligospermia

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  1. #1
    bellydancer
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    Need some advice on severe oligospermia

    Hello everyone. I'll try to keep this short. My dh had 3 SAs done a few years ago showing a severely low sperm count. The first one showed 0, the second one the lab claimed there was no seminal fluid to analyze (not true!), and the third one showed one sperm. We took a long break from all of it to move to another state and then hubby got deployed, now that he's back, we're trying to pick back up. So he will be doing another SA next week with a different doc and hospital.

    During our first round of testing, dh's hormone levels were all normal: FSH, LH, prolactin, and testosterone. His testicles were normal, no atrophy. His transrectal ultrasound was normal, and the doctor found no problems at all, other than severely low sperm count. Dh has no history of mumps, cancer, or undescended testicles. The only test he hasn't had is a testicular biopsy. I've done a lot of research, but can't quite seem to find what the cause of the low sperm count/azoospermia could be. Does anyone have any suggestions? It seems like my husband is perfectly healthy, except for the sperm count.


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  3. #2
    wendyengel
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    belly,
    I saw your thread and it looks so similar to my dh. He went in back in july and had an sa results-none! then he went back a week later results-none. anyhow he had a few things done after that and his diagnosis was azoospermia. All of his hormone levels were great. His transrectal us went well. No abnormalities there. He has no previous history of cancer or anything that could have caused the problem. Well we found this WONDERFUL doctor in houston, texas. He is great! My dh had surgery in october and they reconstructed his epididymus to the vas deferens. I am not sure how much researching you have done on that though. Well the doc said there was a 65% chance it would take and it did! He now has a normal sperm count! The doctor said he must have been blocked from birth. There was no ryhme or reason but since they fixed him I simply do not care. If you have any questions let me know. I can let you know who to go see since I see you live in texas! I hope this helps!
    Wendy


  4. #3
    bellydancer
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    Wendy, thank you! I love hearing stories like yours. Depending on how the next SA goes, I'll let you know if I need the name of the doctor you went to. We are moving to Arizona in a couple of months, but if nothing else, maybe your dh's doctor will have some recommendations for doctors in AZ.

    Do you have to know how they figured out that your dh had a blockage?


  5. #4
    abby26
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    Hey- we have a similar story, none or next to sperm in the SAs with everything else being normal. What's even more weird is my husband has an 8 yr old from his first marriage (yes, she looks just like him!). Neither the RE, urologist or endocrinologist seems to know what has happened. We got our sperm from a testicular biopsy to use for ivf. THe RE suggested we test me for the cystic fibrosis marker, which was neg, b/c then it wouldn't matter whether he was positive or not. But I don't think it would be that since obvioudly there wasn't always a blockage. So I guess I really don't know either!!!
    abby


  6. #5
    wendyengel
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    abby,
    How weird that so many people have the same story. I know it is very rare we are just on the same forum. I did not think I would find a lot of male factor on here. My doctor tested me for cystic fibrosis and it was negative but they also tested him just to see if that was why he had a blockage from birth and he is negative too so his was unexplained! Too weird. I am not sure if you are interested but my dh had a procedure called epididymyovasostomy. This is where they reconstruct the epididymus to the vas and then you can have children the natural way! It worked for us and he now has a normal count for the most part. Our doctor is great! Let me know if you want any information on it. Our doctor was the pioneer of this procedure! He has written textbooks on it.
    Wendy
    belly,
    when we first got the sa back and he had no sperm we thought he just did not even make any. well we went to this doctor and he said since all his hormone levels were normal and the prostate us was okay then there must just be a blockage he said it was very rare that a man just did not make any. Only in instances where you had radiation done or something like that! So the doctor just made the assumption that he had sperm and that it was a blockage since everything else was okay. When he actually did the surgery he did a biopsy and found sperm and banked two vials of immarure sperm just in case the surgery did not take. When they take sperm from the testicles it is considered immature and only usable for IVF not IUI. Anyhow his surgery did end up working so now we are doing iui cause his count is not the best plus we want to try aggresively to get preg! When is his next SA? Seriously if you have any questions let me know because when we first found out it was a nightmare and I did not know about this forum! I wish I would have so you have a head start!
    Wendy


  7. #6
    hope28
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    Hi,

    My DH has the same problem. We had two SA's and they both came back 0. We went to Baltimore to John's Hopkins and all of DH's hormones and genetics testing came back normal. So we opted to do the biopsy, and it turned out being normal sperm production. We have no idea how these blockages happened. We banked like 9 vials of sperms to use but in the meantime we opted to get the blockage fixed.

    His surgery was a complete nightmare. The blockage on the right was farther down than the epididymis so that said that could not be fixed. THey went to the left side and the operating microscope broke down!!! SO the doctor said there is no way to tell if that could be fixed or not but probably it would be in the same place. There was no way we were going through the surgery again if probably it was in the same place as the other one. The only way that we can get pregnant at this point is ICSI/IVF. We have tried twice. My first being a chemical and the second being negative. We are trying our third now.

    It has been very hard but I am trying to stay positive and hope that I will someday get a baby. Good Luck, Kris
    Last edited by hope28; 02-10-2006 at 02:22 PM.
    Kris (35) DH (39) dx: male factor
    IVF #3 and #4 successful.


  8. #7
    bellydancer
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    I'm sorry that all of us have to go through this, but it does help to know we are not alone!

    Wendy, that is all really interesting, and positive too! His next test is on Tuesday. We're going through a military facility again, since we only have Tricare. I do wish we could afford to see an infertility specialist. If we get the same result as last time, I'll probably try to find out how we can go about getting dh a biopsy done through Tricare.

    Hope, I'm so very sorry that your first two IVFs didn't end better. I can't even imagine how it must feel to go through that process and then be disappointed. I wish infertility could be easier on everyone.


  9. #8
    wendyengel
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    Kris,
    My dh had the SAME problem even with where the blockage was. The doc said it was in a diff place in the epididymus than it is normally. Our doctor fixed him. I know you are probably far away but I HIGHLY reccomend our doctor. He seriously is the pioneer in this surgery. He is in Houston Texas. His name is Dr Lipshultz. The number for questions is 713-798-9139. The nurses name is amy. She is great and if she cannot answer your questions she will get someone to help. It is seriously at least worth the phone call! Good luck with everything. They told us my dh must have been blocked from birth and have no idea why but during surgery they reconstructed him and he now has an almost normal sperm count!!!

    Belly,
    Please let me know how the SA goes! If he does have a blockage then it will be zero but you really should call dr lipshultz. Let me know if you have ANY questions!
    Wendy


  10. #9
    bellydancer
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    I will Wendy, and thank you again for your help. I'm VERY nervous about the SA. Dh is pretty calm about it. He says that the worst that could happen is it's still zero or very low, and we're already dealing with that anyway. But for me, I'm not sure if I'm ready to start all the testing and whatnot again. Just waiting around for the SA has been making me stressed out!


  11. #10
    wendyengel
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    belly,
    where are you in texas?
    wendy


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