Our expert says:
Dear Have Nots
Since the hormone production is from a different source as the actual sperm themselves is quiet acceptable to have a normal hormone profile, an adequate testicular volume and normal sexual function despite being azoospermic. However it is sometimes also possible to have very small areas of reasonable sperm production striated within the testis and these areas may have been missed in previous biopsy. Occasionally in cases such as these it is worth a radical testicular procedure were the entire testicle is explored at one sitting to detect random areas that may contain very premature or immature sperm production cells which can be used in a fertility treatment program. Such a procedure needs to be done by a fertility specialist in conjunction with a Urologist for optimal results.
Answered by: Dr M. I. Cassim
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