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    Unhappy Azoospermia

    Hello everyone,
    I’m Laura (27) and Nathan (29) we have just started TTC.

    My DH gets on here more then me, since he thought there was a problem on his end. This was confirmed yesterday when he got the results from the semen sample. He was diagnosed with Azoospermia (no sperm). His very confused, upset and depressed. So I guess the next step is for us to go to the Fertility Specialist.

    We have been refered to Fertility Specialist of WA (Applecross) which we cant find any real information on. Has anyone been here?? We have read a lot on Fertility North, and even though we live in Canning Vale it might be worth going the extra distance.

    Has anyone had success with IVF where their DH has Azoospermia?
    Last edited by perthcpl; 07-10-2010 at 12:35. Reason: Font size, spelling

  2. #2
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    Hi Laura,

    My DH also has azoospermia, caused by a blockage in his epididymis. DH has sperm but it just doesn't come through the normal avenues, hence why we had to turn to ICSI to fall pregnant.

    When DH had his semen analysis, it came back twice for no sperm, and had a note on it that said azoospermia. I had no idea what that meant, so when we looked it up we both felt pretty gutted, but DH was a mess.

    We then went and saw a urologist, who performed a testicular biopsy and vasogram on DH, and found that DH does have sperm, but it doesn't come through, and said our best option was IVF/ICSI, as the problem had a very low chance of being corrected with surgery.

    Has DH had a testicular biopsy performed? If not, I would recommend to have that done ASAP. You can have this done by a urologist or by a FS at a fertility clinic.

    Our FS was able to retrieve DH's sperm via sperm aspiration (this is performed under local or general anaesthetic), and was able to inject my retrieved eggs successfully. After 4 cycles of ICSI (2 fresh, 2 frozen), we were finally successful on our latest attempt and I am 21 weeks pregnant.

    Best of luck to you and I hope I was able to answer some of your questions, let me know if you need anymore help x

  3. #3
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    Hi Laura and Nathan!

    We were in EXACTLY the same position as you in June/July and now. . . we're six weeks pregnant!

    My husband is azoospermic. . . the process to diagnosing that was he did two sperm samples both with the same result (no sperm) then we were referred to a Fertility Specialist who did an open biopsy (they cut a small section - about the size of a baby pea - from each testicle and tested it - he had a local anaesthetic and i could stay with him for the procedure) The results of which came back still azoospermic.

    The Fertility specialists policy regarding sperm donation did not suit us - so we changed clinics and went interstate where the policy and the culture was a lot more positive for us.

    Since we had put our faith in the new Fertility Specialist we asked him to give us a second opinion on the diagnosis and he said that the chance of finding any sperm was very slim - but we went ahead and had a second biopsy done (this time it was an aspiration where they take several samples of tissue from each side using a needle) and as we expected they still found no sperm.

    We are now pregnant using donor sperm through icsi. We feel as though we did ABSOLUTELY everything we could to have our own genetic child and are extremely happy about the choices that we've made.

    Initially when we decided that we would use donor sperm if necessary i thought that it would be a really bumpy road until the baby was here. I thought my husband might somehow feel disconnected from the pregnancy because of genetics but i told myself that once the baby was here everything would be fine.

    i couldn't have been more wrong about that! My husband is so unbelieveably excited! He wants to tell the whole world we are pregnant and he obsesses over hormone levels and car seats and baby products. . . AND WE'RE ONLY SIX WEEKS!!!

    Anyway, that's our story. . . i wanted to offer you both my support. Any questions i'm happy to answer them.
    I know the situation might look dark right now (if you've just been diagnosed) there is a way through that you can both be happy with and hopefully the road won't be too long for you.

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  5. #4
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    EternalOptimist is offline Never say you have failed until you have reached your last attempt; never say you have reached your last attempt until you have succeeded.
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    Hi Laura ,

    So Sorry to hear about your news.

    My DH was diagnosed with Azoospermia around 6 months ago and believe me from getting that news to where we are now has been one of the hardest journeys I have ever had. Its not all bad news though. We fell on our first attempt at IVF, although it did end in a miscarriage this had nothing to do with DH being daignosed with Azoospermia.

    Basically there are two types of Azoospermia – Obstructive (OA) and Non-Obstructive Azoospermia (NOA). OA is like the name sounds; there is a physical obstruction as to why the sperm can’t get out. In all cases of OA, sperm is still produced but it can’t physically leave the testis and is due to things such as the VAS tuve missing or a man having a vasectomy or even a man having a sporting injury where he was hit hard in that area. NOA is a little more difficult and can be caused by hormone problems, genetic abnormalities etc. From all the research I done (believe me I looked at every website that mentioned the word azoospermia) there is a lot of success after this type of diagnosis, so please don’t feel like this is the end of the word.

    There are a variety of tests to go through once you have been diagnosed with this to figure out which one you have. My DH was diagnosed with obstructive which after all the tests we had done means he carries the gene for Cystic Fibrosis and is missing the VAS tube that connects his testis up to the outside world. He still ejaculates semen but there is no sperm in it. So he had to have a procedure when I had my IVF which basically is a long needle into his testicle and the sperm are withdrawn and used to manually fertilize the eggs. It sounds more painful than what is actually involved.

    One big thing to mention as well, was this his first sample? There have been a few ladies on here who have had their DH with no sperm in their first sample and then three months later there has been some in there. This can be due to lifestyle factors more often then not. When my DH was diagnosed the Dr started him on “Menevit” straight away. It takes 3 months to make sperm so if you want to be proactive in the short term get Nathan to start taking these.

    There are a lot of ladies on here who have experienced this type of situation and believe me it’s actually a lot more common than you think.


    A really useful website i found was: http://www.maleinfertility.org/new-retrieval4.html
    It has so much info about this condition. (Some of the pics are a little full on)

    Take care of each other and keep us updated on your journey.

    BuB Hub is an amazing place to find support from people who are going through the same thing. If you even need to talk, feel free to PM me.

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    Thanks for all the helpful replies, and for showing us that there might still be light at the end of the tunnel yet

    This was DH's first test, and he has to give another sample some time in the next few weeks as well as a full blood screen. Then we'll be off to see a specialist who will hopefully organise a biopsy so we know exactly what the issue is.

    DH started taking Menevit a few days ago, so it will be interesting to see if it makes a difference.

    How much more expensive is ICSI compared to regular IVF?
    Last edited by perthcpl; 07-10-2010 at 13:35.

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    Hi Laura.. whilst my DH doesn't have the same issue as your husband, we still did ICSI anyway as I had poor quality eggs. ICSI at our clinic in Brisbane was only 400 dollars more expensive than IVF so not a great deal more in the scheme of things.. Good Luck xo

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    Hi Laura,

    My DH had the same thing happen. We had a test done late last year which had 12 mil and then another in April which came back nil. Needless to say we were both very upset. We went to see a Chinese Herbalist and after a month of herbs and another test, still nil. It was very heartbreaking and i felt so bad for DH. The herbalist recommended we keep at it but we'd already been trying for over 2 years to fall pregnant and i wasn't wasting anymore time so we booked in to see a specialist. Lucky for us the specialist booked DH in for a biopsy (fine needle which our FS did himself) the following week and i can tell you now that was the longest week and day of my life. The specialist came out after the surgery and said "it's all good, we got some so get yourself ready". It was the most amazing feeling of relief to hear that and those words will stick with me for some time.

    I knew how upset DH was about there not being any so i was very excited to tell him when he woke up. We are currently in the first week of our ICSI Cycle with some frozen sperm waiting for us.

    Tell Nathan that it is very common for this occur and not to lose hope just yet. It is a very difficult time but you need to stay positive. I know it's easier said then done because i was told the same thing but i can assure you the time goes a lot quicker when you have hope.

    I'd recommend you make an appointment with a specialist and have them do another test. I wish i had done this the first time we got our results rather than waiting until August. It's amazing how much better you feel after speaking to them and walking out knowing there are options.

    Good luck and keep us updated on your progress.

    Nik

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    Thanks for the info surfergal

    If you don't mind me asking, how did the specialist determine that you had poor egg quality? I'm now worried about myself!

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    perthcpl,

    I am so sorry to hear about your DH. My DH was also diagnosed with this 18 months ago.
    We did ICSI in August which unfortunately had to be cancelled due to no sperm being found during biopsy. My DH has had every test under the sun, but they can not find a reason as to why he doesn't produce any sperm.

    My advise to you is to make sure your DH has a biopsy before your EPU, we didn't and I had to go through the whole process for nothing.

    We are now currently looking at a donor to help us have kids.

    I hope everything goes well for you!

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    Hi

    I have been travelling this road for a while now. DH was diagnosed with azoo (Non obstructive) about 5 years ago. His sample came back with zero. We went to a FS who did a TESA (testicular aspiration) and still found nothing. FS put DH on puregon and pregnyl (drugs you will learn a lot about if you do IVF) for 3 months. After that a TESA found 5 sperm. The TESA after that was negative again. There appears to be no reason that anyone can find for DH's lack of sperm.

    After all this we realised that donor was the only way for us to proceed. We then took a break for 3 years to get ourselves sorted. I am about to start my 4th cycle this year with donor sperm and am trying to be hopefully about it all.

    As for ICSI the additional cost is only about $4-500, not a lot in the scheme of things.

    Best of luck with everything. We ended up seeing a great counsellor and I would highly recommend it. In general the boys are not too great at talking about this type of thing, so counselling really helped us.

    DJ


 

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