Our expert says:
Based on the results I believe that it is not absolutely necessary for a biopsy to be done at this point in time I would recommend as a matter of urgency that several sperm samples be collected and frozen for future use. The importance of this is that if this condition is progressively deteriorating one may reach a point where there be no sperm production at all in the ejaculate and therefore the only alternative would be a testicular biopsy. If a testicular biopsy proves to be negative i.e. no sperm or precursors obtained then the likelihood of conception is significantly compromised. In any event, the need for the biopsy is purely one of diagnosis and will not solve a fertility problem perse. There will always be a need to do ICSI (intra cytoplasmic sperm injection) as a treatment for the fertility problem.
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