semen analysis

Hiya me and my husband have just had his semen analysis.  From the results, it does not look good at all.  Can you tell us what happens now?  Is there anything that can be done to help my husband or what are our options.  Many thanks.

Result                                                                Reference range

seminal volume 2.6ml                                          2-4ml
sperm concentration 0.0 x 10ml                            20x10ml
motile spermatozoa 0      
progressive motility 0                                             50%
rapit progression %                                                 25%

Is there any hope of us concieving naturally?

[Elaine Brown, MD]

Hi!
The first thing to do is always to repeat the test.  Whenever a test comes out "funny" its important to know that nothing went wrong with the test itself. (For example, they spilled the specimen on the floor and ran water through instead--I don't think that would really happen, but just an example)
Then, if the results are accurate, it may be that your husband has a condition called congenital absence of the vas deferens, or some other condition that prevents him from making sperm. It will be important to get a diagnosis.  A urologist would be the proper person for him to see.  You would then need to find out if the condition can be corrected.  If not, you potentially have two options.  The first and easiest/cheapest would be donor sperm. (Who really cares about the DNA?).  The other would be testicular biopsy with retrieval of sperm directly from the testicles and ICSI (intra-cytoplasmic sperm injection) which is an IVF procedure.
I think your next step is to find an excellent urologist and repeat the semen analysis.

Hope this is useful!
Good luck!
Dr B