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Urology (Expert Forum)
No Sperm. Submitted two tests.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
No Sperm. Submitted two tests.
by somewhere2007, Mar 22, 2007 12:00AM
My wife and I have been trying to have a child for years. We were continually told to keep trying and keep track of cycles and temperature and other nonsense. It turns out that I gave two samples at the lab and both tests came back as NO SPERM. I am a healthy noramal fuctioning 33 year old. Never had mumps or STDS or trauma to the region.
I am concerned because my doctor told me that when she called the urologist that the urologist said "sorry he can't do anything". They have referred me for some kind of blood test and then they will be done with me. They have yet to examine my testicles.
Is it true that there is nothing more to do?
Shouldn't the reason for no sperm be investigated?
Shouldn't I testicles be examined by the specailist?
Is there still a chance to concieve? Any treatment at all?
I am concerned because my doctor told me that when she called the urologist that the urologist said "sorry he can't do anything". They have referred me for some kind of blood test and then they will be done with me. They have yet to examine my testicles.
Is it true that there is nothing more to do?
Shouldn't the reason for no sperm be investigated?
Shouldn't I testicles be examined by the specailist?
Is there still a chance to concieve? Any treatment at all?
Doctor's Answer
by Kevin Pho, MD, Mar 23, 2007 12:00AM
, Mar 23, 2007 12:00AM
I would consider a referral to an endocrinologist or fertility specialist at thsi point.
Abnormal sperm count can be caused by a variety of disease where the hormone levels are abnormal. At minimum, the thyroid, LH, and FSH levels should be checked via blood tests.
Semen fructose should also be checked, as well as evaluation of the urine for sperm (i.e. to rule out retrograde ejaculation).
Further evaluation should be done with an ultrasound of the seminal vesicles or a testicular biopsy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Abnormal sperm count can be caused by a variety of disease where the hormone levels are abnormal. At minimum, the thyroid, LH, and FSH levels should be checked via blood tests.
Semen fructose should also be checked, as well as evaluation of the urine for sperm (i.e. to rule out retrograde ejaculation).
Further evaluation should be done with an ultrasound of the seminal vesicles or a testicular biopsy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments
by heatvent, Mar 30, 2007 12:00AM
To: Urology - General
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