What are the signs of infertility?

Hello,

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The two semen analyses reports show entirely different semen characteristics (attachment removed to protect patient identity). The first report is entirely normal, and the person can father a child as long as his female partner is normal. The second report shows no sperms, hence the person cannot father a child. But there are few clarifications needed, whether both reports are from one person only? What were the collection methods? What was the time gap between two reports if both are from one person? What is the fructose value in the second report? What is the serum FSH (follicle stimulating hormone) value in person with the second report? what does transrectal and scrotal ultrasound show in both? If you can clarify these points, I shall be able to give still a detailed answer.

Hello,

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The two reports are precisely opposite, hence I enquired about the collection methods. It is possible that while collecting in the laboratory, he might have used condom containing spermicides to collect the semen by masturbation, thus resulting in zero sperm. Otherwise, it is highly unlikely that the two reports are exactly at two ends of the spectrum. Now coming to your questions, there is a chance that person with zero sperm in the ejaculate can impregnate his wife with his sperm provided he has an absence of sperms due to obstruction in the genital tract, which can be repaired by surgery. He can also impregnate his wife with his sperms, if his FSH (follicle stimulating hormone) levels are normal, indicating normal sperm productions in testis, when, his sperms can be aspirated from the testis, and the same can be used for impregnation using artificial insemination or IVF (in-vitro fertilization). In reality, no other medical treatment can correct this other than the two conditions mentioned above. I would love to have details of fructose values in semen, as well as FSH values in the blood, which can help me in knowing the status of the testicular function. I wish the couple speedy fertility.

Hi, Nice to hear from you again. Let me clarify regarding the reports. 1. All the reports are normal and does not help us in finding out the cause of absence of sperms in the ejaculate. 2. Normal FSH, Tesosterone and Testis suggest that the person is normally producing sperms. Hence, please get another semen analysis done after 12 weeks. Semen can be absent during one cycle of spermatogenesis ( process of sperm production) due to temporary insult and recovers during next cycle. I need to know the presence or absence of fructose in semen which can help me diagnose obstruction. Please get back to me with repeat semen analysis report. Since FSH and testes are normal, no need to initiate any treatment immediately.