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I need some advice as to what direction to take. My DP had bilateral undescended testes we were directed straight away into have DI after his sperm test came back as azoospermia without any investigations into it.  We paid to see a urologist to ask whether there were any other options such as tese he seemed to suggest that we carried on with DI but we went ahead and had the blood test done which all came back within the normal ranges. We haven't been back to see the urologist since these results as everybody seems very dismissive and adamant we should use DI.  My DP has said it's either his sperm or none at all. Has anyone else had a similar experience is it usual for these specialist to be so dismissive and is it worth us persuing the TESE route.
 

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Dear Waterlily,

I'm so very sorry to hear about the lack of medical support you are getting for this problem.

My DH had one testicle removed with a tumour and was then found to be azoospermic.  The other testicle had been undescended as a child but eventually had come down with no intervention.

We were told to use Donor sperm and not to bother having a TESE. A lot of obstacles were put in our way but eventually we did and sperm was able to be incubated from a biopsy.  We were treated very badly by the NHS over the TESE and too poor to afford private treatment due to the complications from cancer.

I honesty don't know what to suggest to you as we have now had 5 failed attempts.   It was been a horrible, painful and unsuccessful journey. For us, it was the right decision because we know that we tried everything we could do.

Hope that this help.

With warmest regards
 

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Hi surely if the blood test results came back within the normal range then something can be done.  Most men with azoospermia either have abnormal levels of FSH or testosterone.  It surprises me that he did not suggest a testicular biopsy (which my DH had done)  That way you will know for sure.  We paid about £150.00 to see the urologist too (due to 2 year NHS waiting list to see the same guy!) and he advised a biopsy and by paying for the first visit managed to jump the nhs queue for the biopsy and only waited 3 months otherwise we would of had to wait 2 year for appt and then another 18 mths fo biopsy.  they only found primitive sperm cells with my DH so we are now on 4th IUI with clomid usiing Donor sperm.

Go back and pester them!!
 

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Waterlily

Definitely push for the biopsy - surely you're entitled to know for certain, and without the biopsy I don't think they can ever be certain that there's nothing there.

My DH had the biopsy and there was no sperm at all found - he was devastated, but this made the decision to use donor sperm much easier and we're now waiting to start treatment.

Good luck with whatever you decide.

Wolla
x
 
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