My husband has Azoospermia. He is 34 yrs old. He had a testicular biopsy that shows the presence of normal numbers of germ cells within the seminiferous tubules. These germ cells are in various stages of differentiation. However, there are only a very small number of mature spermatocytes present. These features suggest the presence of an arrest in terminal spermtogenesis. There is a mild degree of fibrous thickening of the basement membranes of seminiferous tubules associated with mild degree of interstitial fibrosis. The prostate and seminal vesticles were examined in detail and there were no evidence of dilatation to suggest obstruction.
Examination - He is in no destress. Abdomen is soft and there were no masses or tenderness. Abdomen in normal. External genitalia shows both testicles are small, especially the left side. His digital rectal exam shows a normal prostate. Extremities were normal. Serum Free Testosterone, FSH, LH and Prolactin levels are all normal. No family history of infertility. No erections or ejaculation problems. Non smoker, never consumed alcohol or done any form of drugs in his life.
Is there any hope for us?
What are our chances?
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