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Infertility/Fertility/male infertilty azospermia


Hi. My name is adil. i am suffering from Azeosperma due undesended testis. Medical investigation/ testreoprts in detail are as under:
Test Name:


         Result          Reference Range

Volume          5 ml          2-5

Colour         Grayish White         Grayish White

Consistency   Gelatinous          Gelatinous

Liquification Time <30    min         <30

Sperm Count         Nil   mil/ml      50-150

Sperm Motality (Active) Nil  %        >60      
         (Sluggish) Glatinous          <20

Sperm Morphology   Nil          

Pus Cell          25-30      /HPF         0-5

         Red Blood Cells = 10-15/HPF

Special Chemistry
Test Name         Result      Unit   Reference Range

Testosterone    250         ng/dl   Male: 20-  49          (270-1734)

Prolactin        7.1       ng/ml         Male   (1.6-18.8)

FSH          13.9      mIU/ml         Male (0.7-11.1)

LH          5.4         mIU/ml       Male (1.0-8.0)

Testicular Examination:
Testicular Location:
Right Test:
On my first examination through ultrasound it was reveal that my right test is upper cannel and right test is dead cell. Its size was 2.1 3.1 mm, which was very small after operation it was bring down, which is still on atrophic position. I also got biopsy of the right test, which shows testis with complete sclerosis of seminiferous tubles.

Left Testis
On testicular examination of lest testis it is reveal that left testis is also smaller and the size (2.3 1.9 cm) and the testis is atrophy. There is no hydro and varicose cell.

Sir these all are the my reports i have to got marriage after 3 months so kindly suggest me best of yours opinion that what i should do. hoping for your kind quick response.

thanks bye

Hello Adil Shah from India,

I believe that the only option you have is using a sperm donor from a sperm bank.  Your testicles are not making sperm so there is no other option.  Sorry.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at if you are interested in continuous access to me.


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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