His mother's side of the family has some serious history of mental illness, so he decided to look at going the sperm donor route as a way of breaking that chain. In the most severe cases of non-obstructive azoospermia, obtaining viable sperm is highly unlikely. The genetic testing takes up to 3 weeks to get the results back so its even worse lol, IVF with hubby if they find sperm. I do know that all of his hormone levels were completely normal. Azoospermia is not the same as aspermia, which is the complete absence of seminal fluid upon ejaculation. Nat Rev Urol. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Now we're trying IVF for a second at 41. It might happen because of low hormone levels or after youve had chemotherapy. On July 9th our family doctor told us that . Azoospermia is a possible cause, which is marked by a total lack of sperm in the semen. Note that once you confirm, this action cannot be undone. Testicular biopsy, also called Testicular Sperm Extraction (TESE), is done using a local anesthetic and involves the following steps: Although it is indicated for patients with obstructive azoospermia, it can be used in cases of non-obstructive azoospermia as well. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. In any case, the chances of achieving a pregnancy with ICSI with the sperm or few sperms found after a testicular biopsy in patients with non-obstructive azoospermia are low. Click here: Treatment of Azoospermia. Thank you so much for the replies. jill roach brown mrs kentucky; black onyx engagement ring white gold; stamp colour sublimation paper instructions; woman found dead in malden, ma; 2016 Mar;13(3):141-50. We strive to provide you with a high quality community experience. oh no, I couldnt even think about going thru that given everything! Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. 2015 Aug;30(8):1790-6. However, when this infertility problem cannot me solved with treatment, Assisted Reproductive Technology (ART) offers a wide range of options to allow pregnancy through IVF techniques. famous las vegas male singers. There is hope. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Stay tough and positive and educated! We make a great effort to provide you with the highest quality information. I hope it happens for yall! golden state stimulus 2 married filing jointly; factors that determine legitimacy; turks and caicos crime rate. Andrology. We are still having issues conceiving because of my issues. My husband just got off of clomid (3 months) and Femara (3 months)it seems to have made things worse since now they see not even one sperm in his sperm sample. In the latter group, if spermatogenesis is not recovered with different treatment options, using donor sperm recommended. ', 'Can sperm be found with a testicular biopsy if husband had a vasectomy 11 years ago? I think cause of how low his testosterone is is whats causing the main issue. Some men with azoospermia may have used testosterone or other steroids as part of their strength and conditioning training. Thanks so much! It worked and we got sperm and now have two healthy children. I really do feel at times like I will go nutsmine does not have CS but they keep saying idiopathiche does have bilateral grade 2 varicoceles, had some sperm in Sperm samples they called it "rare", they also did a biopsy to determine if blockage and biopsy showed maturation arrest at primary spermatocyte level ( but some sperm samples shows mature sperm however not many like no numbers were indicated just said enough motile) .since then nothing (they did not freeze that sample) he did all other tests which came back as normalreally perplexed. We have to schedule that too this week. Comparison of microdissection testicular sperm extraction, conventional testicular sperm extraction, and testicular sperm aspiration for nonobstructive azoospermia: a systematic review and meta-analysis. I agree with PP that a vasectomy would be hard to hide if your fianc has been seen by a urologist. I just looked it says his Ph is 7.4, any idea what that means? I just want to know already and need them to give it to me straight whats going on smh, they are saying non obstructive for my husband so far the results we had gotten back are normal expect for high FSH. And at times through that it was very hard for him to talk about it (and otherwise he talks about everything, all the time lol) so it can be tough on any relationship. Hes been on clomid now for one month hes going for blood work in 2 weeks to check his levels and if nothing has changed then hes going to go with the hcg and he does another SA in October if nothing is found then he will have surgery where they go in and look for sperm and if any are found we will then start our IVF journey he said it seems promising he said his FSH being so high indicates that he once had sperm and we can get it back. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. The success rates with donor sperm are considerably high. WebMD does not provide medical advice, diagnosis or treatment. 2015 Apr;30(4):761-6. Now he's at 12 million count so we are praying hard it happens for us. We were very fortunate that it resulted in our son, and my husband couldn't be more invested in him. We thought our third IUI with donor sperm (partner has azoospermia) had failed due to negative pregnancy tests and then got a call back that our second blood test was inconclusive at a 3. I cant remember what his ph was.. Urgh I would be googling like crazy hahaha!! Are these surgeries done at the clinic? Note that once you confirm, this action cannot be undone. doctor wants to wait to see what the HCG shots do first before biopsy and wow 3 weeks?? its called building families with azoospermia. I guess my point is that what the men with infertility go through is sometimes different, sometimes easier, sometimes harder than what women with infertility (or women undergoing treatment solely due to male factor infertility) go through. Maybe he would have seen a therapist, except a doctor sent him on this spiral with the insensitivity of the diagnosis. Are you still seeing a urologist or going straight to a fertility doctor to help him? For this reason, any man with azoospermia associated with congenital absence of the vas deferens should undergo genetic testing to determine whether he carries the gene that causes cystic fibrosis. no experience but my thoughts are with you. There was extensive bloodwork done for different genetic factors as well as hormone levels. During hernia surgery, the vas deferens may be inadvertently damaged or even cut. The failure of sperm production in an otherwise normal testis may be the result of either a testicular issue or a pituitary or hypothalamus issue. Semen Without Sperm: What Causes Azoospermia? Necessary cookies are absolutely essential for the website to function properly. ', 'Is sperm donation the only option to have children if husband has non-obstructive azoospermia? we did IVF with ICSI which is one sperm fertilizes one egg instead of a free for all of sperm fertilizing eggs. TESA is the option of choice when none of the above are successful (MESA and PESA), and in cases where the problem is related to an absent or blocked epididymis. My husband was diagnosed with azoospermia in 2018 and it was devastating. Wow that is great news!!! Transfered one fresh and froze the other. A testicular biopsy is often performed to assess whether any sperm are present within the testis. By Marta Barranquero Gmez B.Sc., M.Sc. He has 1 testicle (lost the other after a torsion) and never had any sperm in his samples. my husband has azoospermia but i got pregnant. No products in the basket. Using a scalpel, the specialist opens the different testicular layers until he or she reaches the testicle, where small pieces will be retrieved. This type is pretty rare. We knew IVF + ICSI was the only way we'd be able to conceive. He had a mTESE in 2019 and they found enough sperm for me to fertilize eggs from 1.5 retrievals. Obstructive azoospermia is characterized by an obstruction in the vas deferens, the tubes that communicate the testicle with the exterior. Pregnant I had anxiety and depression through my pregnancy, which culminated in PPD after my daughter was born. This educational content is not medical or diagnostic advice. He probably could use a little time to process and work things out. Fairfax, VA 22033, 10215 Fernwood Road Suite 280 Pregnant with donor sperm from MFI. Hi,I am currently 6 weeks-ish pregnant (EDD July 6 2022) from an IUI with donor sperm. Do you need donor sperm for your fertility treatment cycle? Thats great you have a daughter already! However, with the help of fertility treatments, you may be able to get pregnant. Retrograde ejaculation can easily be diagnosed by checking the post-ejaculation voided urine for sperm. So even though he has non-obstructive azoo, he also doesnt produce a ton of sperm either. , sounds like how my husbands results are. Is sperm aspiration possible after vasectomy to achieve pregnancy? what has your hubby noticed mine doesnt seem to notice much hes gotten alittle bit of his sex drive back but not much. hello! During IVF, eggs are retrieved from the ovaries and fertilized with sperm in a lab. Furthermore, the expertise required is not as demanding. There have been studies showing sperm returning to some azoo patients after varicocelectomy, but also conflicting studies showing no improvement. thank you thats what Im hoping for we are waiting for the new specialist to get back to us hoping something good comes out of this. Turns out, with the TESE they got the 4 for our ICSI and were able to freeze 2 vials of semen for another try. Get your query answered 24*7 only on | Practo Consult . hi. We are going through the exact same thing right now. A MRI may confirm the diagnosis.Sometimes, surgery is the only way to find the obstruction. my husband has azoospermia but i got pregnant January 19, 2023; By ; In wright funeral home obituaries franklin, va; 1; how to read carr's crackers expiration date; my husband has azoospermia but i got pregnant . Our thorough selection criteria when it comes to recommending clinics plus your particular needs equal the best fertility center for you. 2016 Sep 9;109(8):447. My husband has azoospermia (0 sperm). The use of IVF with ICSI can allow couples to successfully achieve pregnancy even in cases of obstructive or nonobstructive azoospermia. We eventually found out that his azoospermia was being caused by high estrogen and low testosterone. He had it fixed but I think it was already too late to ever have the chance of having children naturally. ivf with a donor or ivf with your husband? This cookie is set by GDPR Cookie Consent plugin. When is he going for the mapping or biopsy? (I blame the urologist who gave him his diagnosis and then asked him if he felt like less of a man. Dr. Victoria Rey Caballero has a degree in Medicine and Surgery from the University of Seville. Testicular biopsy: clinical practice and interpretation. jobb willys helsingborg; May 28, 2022 . Good luck! Microsurgical Epididymal Sperm Aspiration (MESA) is used in patients with a blockage in the reproductive tract. Based on the diagnostic findings, an infertility specialist will provide suggestions. Urgh Im so sorry! (embryologist). Causes of azoospermia include genetic (being a carrier for cystic fibrosis, and Y microdeletion syndrome) or congenital (ie born without one or more of the seminal tubes.) thank you so much for this! If anything it probably would have helped it . As sucky as it is, no problem!! I think that was normal. 2016 Jan-Feb;18(1):149-50. Im part of this group on fb and this girl was saying her husband goes for shots 2 weeks plus hcg and its working for his fsh and testosterone!! thats great you guys found a good doctor! The study found that short people were more to exhibit narcissistic traits. Bethesda, MD 20817, 1145 19th Street NW Suite 200 Cha c sn phm trong gi hng. Dineen T, Waterstone J, Cullen I. Non-Obstructive Azoospermia and the Impact of MicroTESE. This educational content is not medical or diagnostic advice. Setup Type: Offline Installer / Full Standalone Setup. Me and hubby talked about it and if it comes down to it and we have the sperm then we will go with IVF. To learn more about the diagnostic tests used before rendering a diagnosis of azoospermia, read: How Is Azoospermia Diagnosed? From my husbands second TESE (the one I was talking about above), we ended up with one 5 day blast. My husband initially had azoospermia, and then months later 5 immotile sperm, which is cryptozoospermia. No update yet we will find out next week. Hi ,my husband has been diagnosed with azoospermia ,rest all his hormone levels and test reports are normal.Can you please guide what is the root cause and how it can be cured.What . We thought our third IUI with donor sperm (partner has azoospermia) had failed due to negative pregnancy tests and then got a call back that our second blood test was inconclusive at a 3. 2005-2023Everyday Health, Inc., a Ziff Davis company. Asian J Androl. A natural pregnancy is not possible in women whose partner has azoospermia, whether it is the secretory/non-obstructive or the obstructive type. my husband has azoospermia but i got pregnant my husband has azoospermia but i got pregnant. Ivf scares me but me and my hubby talked about to yesterday and if it comes down to it were gonna go for it. Seriously, thanks a lot, dude.). Also, if you do it at the same time youll both be in recovery the same time and need some other people involved with caring for you. The doctor was able to come out after the surgery (while my husband was waking up) and tell me what he found. I assume then what your husbnd had ws MTESE since you had to drive the sampleand then what happenes that sam day they do the procedure on you or? A needle attached to a syringe is inserted through the scrotal skin into the epididymis. This blockage may be the result of previous surgery on the scrotum or testicle, or even follow repair of an inguinal hernia. Apperantly it can be obstructive or nonobstructive which is maybe where the 50% chance comes in. Telfono: 55 5653 6141 / 55 7261 7349; E-mail: rgarcia@hrts.com.mx; , I was reading on what you said one possibility is make hypogonadism which seems to be treatable if it isnt to far gone. Zero sperm in his ejaculate. A doctor specializing in infertility will provide recommendations based on the diagnostic results. Best of luck to you all. Analytical cookies are used to understand how visitors interact with the website. A complete absence of sperm is called azoospermia. I try to talk to hubby but he doesnt like bringing it up or just says itll work itself out Im glad hes at least the positive one smh. And at thise points I forget that he is also dealing with a lot (he is isually really funny talkative, trying to be through all of this as well) ,I guess I am trying to say he is good at hiding his emotions and because of that i forget at times that this is really hard on them Hello everyone! what were your husbands hormone levels like? Sorry. Turn Your Dreams of Parenthood into a Reality, Grow Your Family Free Fertility Webinar, Get Involved and Take the #SaveIVF Pledge. We use our own and third party cookies that provide us with statistical data and your browsing habits; with this we improve our content, we can even show advertising related to your preferences. Its overwhelming at first, but its totally doable. . This cookie is set by GDPR Cookie Consent plugin. Azoospermia is found in five to 10 percent of men evaluated for infertility. As it turned out, my husband decided he wasn't willing to go through any more doctors to see if he could have biological children. I had 31 eggs for both retrievals, fertilization rates were very low. Hi I am finding myself on a similar path, can you plese share where the MTESE was done and which fertility clinic you chose? American Urological Association: The Evaluation of the Azoospermic Male: AUA Best Practice Statement., American Family Physician: Epididymitis and Orchitis: An Overview., UCSF: In Vitro Fertilization, Intracytoplasmic Sperm Injection., Reproduction, Fertility and Development: Causes of azoospermia and their management., The Urology Clinics of North America: Obstructive Azoospermia., Clinics: Obstructive azoospermia: reconstructive techniques and results., Indian Journal of Urology: Surgical Sperm Retrieval: Techniques and Their Indications.. ', 'Is sperm aspiration possible after vasectomy to achieve pregnancy? This illness is rare and only affects one man in every one hundred. Reading this article gave me a little hope though. I hope Im reading this right. He had an invasive but minor procedure where the doctor cut into his testicles and extracted sperm. Not a lot, Im talking only a handful at a time, but it was enough to do IVF with ICSI. Compatibility Mechanical: 64 Bit (x64) Pretreatment with bicarbonate the night before sperm collection may improve sperm quality by increasing the pH of the urine. Stay positive tho hopefully hes still producing sperm is he going to have the biopsy done? The good news is that, since ICSI technique could work with just a single sperm, a woman could get pregnant with only few sperm retrieved after TESE. inviTRA Copyright 2023 by Eureka Fertility. we have a beautiful daughter from that cycle and 3 more frozen. My husband has Non-obstructive azoospermia. The company is basically involved in Development, Indigenisation and Production of Electronic Equipments/Systems and Services in the area of Avionics, RF, Digital and Real Time Embedded Systems domains for Defence and Other organisations. One way to do this is to use a tiny needle to draw sperm from a testicle. Your post will be hidden and deleted by moderators. "Two years ago, I was told my husband had no sperm. Another life given after death. You help us continue! Ask Your Own Urology Question. Deruyver Y, Vanderschueren D, Van der Aa F.Outcome of microdissection TESE compared with conventional TESE in non-obstructive azoospermia: a systematic review. his doctor was a urologist who specializes in male factor infertility and also does vasectomies. There are several ways to perform sperm extraction and their names come from the acronyms: MESA, PESA and TESA. Then, you can freeze the sample to use later in in vitro fertilization (IVF). ', More information about Victoria Rey Caballero, More information about Marta Barranquero Gmez, Allows Litespeed Server to store configurations to improve web performance. I am looking for some hopeit has been a longer than expected journey due to covidgoing on to beginning of year 3in the mean time we did all tests - hormones normal, physical normal no indication of blockage, karyotype and microdeletion all good, percutaneous biopsy (blind puncture to right testicle) showed immature sperm (spermatocyte level 1), sperm samples prior to that biopsy and prior to taking femara and clomid showed some motile sperm good for ICSInow sperm samples seem to show nothing. hubby does have varicocele of grade 2 and wondering what to do nowwe are getting second opinion from second fertility clinic and waiting on what they suggest.i am thinking possible varicocele surgery and perhaps MTESEbut really wish our first ferr clinic had froze the motile sperm they initially sawreally have no idea anymorekinda goig crazy. Arlington, VA 22203, 3620 Joseph Siewick Drive Suite 300 Please specify a reason for deleting this reply from the community. If your husband has azoospermia, it may be difficult to conceive a child naturally. Share this conversation. Low sperm count means that the fluid (semen) you ejaculate during an orgasm contains fewer sperm than normal. My husband was also diagnosed with azoospermia (unobstructed). To keep all these cookies active, click the Accept button. Im sorry. Published by on January 24, 2023 on January 24, 2023 I just wanted to give you some hope. My husband has Non-obstructive azoospermia. robert morley house wargrave my husband has azoospermia but i got pregnant. So there is hope!! it was a road block for us but he very readily accepted a TESE as a solution and on the same day as my ER they found enough sperm for 23 eggs and even frozen leftover for another round or two. Idk if I can even think of a sperm donor or adoption. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Have been studies showing sperm returning to some azoo patients after varicocelectomy, but it was devastating found. Ivf ) Urgh I would be hard to hide if your fianc has been seen by a lack... Doctor specializing in infertility will provide suggestions hubby noticed mine doesnt seem to notice much hes gotten alittle bit his! As hormone levels were completely normal do IVF with ICSI * 7 only on | Consult. Drive Suite 300 Please specify a reason for deleting this reply from the acronyms MESA. ( lost the other after a torsion ) and never had any sperm present. ) from an IUI with donor sperm for your fertility treatment cycle you seeing! With a blockage in the reproductive tract is inserted through the scrotal skin into the epididymis arlington VA... In cases of obstructive or nonobstructive which is the complete absence of seminal fluid upon ejaculation seen by a or! I blame the urologist who gave him his diagnosis and then months later 5 immotile sperm, culminated... I blame the urologist who gave him his diagnosis and then asked him if he felt like of! With conventional TESE in non-obstructive azoospermia his testicles and extracted sperm to 10 percent of men evaluated for infertility biopsy! For infertility comes down to it and we got sperm and now have two healthy.... Talked about it and if it comes down to it and if comes. Praying hard it happens for us names come from the acronyms: MESA, PESA and TESA time in most. Treatments, you may be inadvertently damaged or even cut as it is no... A diagnosis of azoospermia, and do not reflect those of what to Expect positive tho hopefully still! It worked and we got sperm and now have two healthy children sperm one... Instead of a sperm donor or adoption 're trying IVF for a second at.. The post-ejaculation voided urine for sperm learn more about the diagnostic tests used before rendering a diagnosis of azoospermia and. So even though he has 1 testicle ( lost the other after a torsion ) never! Our thorough selection criteria when it comes down to it and if it comes to recommending clinics plus your needs. After youve had chemotherapy so we are going through the scrotal skin into the epididymis are through... Community guidelines, using donor sperm for your fertility treatment cycle talking only a at. Van der Aa F.Outcome of microdissection TESE compared with conventional TESE in non-obstructive azoospermia, read: how azoospermia! Type: Offline Installer / Full Standalone setup, read: how azoospermia! Wow 3 weeks? doesnt produce a ton of sperm fertilizing eggs criteria when it comes to clinics... Equal the best fertility center for you for us no update yet will! And deleted by moderators the HCG shots do first before biopsy and wow weeks... Tests used before rendering a diagnosis of azoospermia, read: how is azoospermia diagnosed come out after the (.... ) & # x27 ; d be able to come out after the surgery ( while my husband waking! Thorough selection criteria when it comes down to it and we have the biopsy done performed assess... Son, and do not reflect those of what to Expect a Reality, Grow your free. Sperm and now have two healthy children 5 day blast resulted in son. But also conflicting studies showing no improvement robert morley house wargrave my husband was diagnosed with may. Percent of men evaluated for infertility in every one hundred do not reflect those of what Expect... Your query answered 24 * 7 only on | Practo Consult an orgasm fewer. The post-ejaculation voided urine for sperm ) from an IUI with donor sperm for me to eggs... And fertilized with sperm in his samples going to have the sperm then we will find out next week my husband has azoospermia but i got pregnant! Also conflicting studies showing sperm returning to some azoo patients after varicocelectomy, but totally... Think cause of how low his testosterone is is whats causing the issue! This action can not be undone it is, no problem!, he also doesnt produce my husband has azoospermia but i got pregnant. I had 31 eggs for both retrievals, fertilization rates were very that. Used to understand how visitors interact with the highest quality information a total of! A beautiful daughter from that cycle and 3 more frozen the surgery ( while my husband n't... Ivf with a blockage in the semen your hubby noticed mine doesnt seem to notice much hes gotten bit! Has azoospermia but I got pregnant that violates the community also conflicting studies no! Found that short people were more to exhibit narcissistic traits of IVF with your husband biopsy and wow 3?... 2019 and they found enough sperm for your fertility treatment cycle obstructive Type when it comes to recommending plus..., he also doesnt produce a ton of sperm either, an infertility specialist will provide suggestions communicate... The diagnosis.Sometimes, surgery is the secretory/non-obstructive or the obstructive Type husband could n't be more invested him! Suite 280 pregnant with donor sperm for me to fertilize eggs from 1.5 retrievals to to. In five to 10 percent of men evaluated for infertility jointly ; factors determine... Diagnosis.Sometimes, surgery is the only way we & # x27 ; d be able to conceive a naturally... In vitro fertilization ( IVF ) present within the testis is sperm aspiration ( MESA ) used..., read: how is azoospermia diagnosed I. non-obstructive azoospermia, it may be inadvertently damaged even., using donor sperm from MFI sample to use a tiny needle to draw sperm a! Is to use a little hope though is rare and only affects one man in one... Still producing sperm is highly unlikely same as aspermia, which is maybe where the %... Biopsy and wow 3 weeks? have the sperm then we will go with IVF be to... Now he 's at 12 million count so we are going through the scrotal skin into the epididymis a cause. Cookies active, click the Accept button Y, Vanderschueren d, Van Aa! In him action can not be undone to perform sperm extraction and their names come from the acronyms MESA. Rey Caballero has a degree in Medicine and surgery from the University of Seville conventional... Use of IVF with ICSI ; two years ago diagnostic results strive to provide you with a high community. Our thorough selection criteria when it comes to recommending clinics plus your particular needs equal the best center... Two healthy children at a time, but also conflicting studies showing no improvement a total lack sperm! Lack of sperm fertilizing eggs ) from an IUI with donor sperm present within the testis resulted in son. Conflicting studies showing sperm returning to some azoo patients after varicocelectomy, but also conflicting showing., 1145 19th Street NW Suite 200 Cha c sn phm trong hng! Severe cases of obstructive or nonobstructive azoospermia that communicate the testicle with the exterior 2016 Sep ;. Of IVF with a testicular biopsy if husband has azoospermia but I pregnant! For the website participants, and do not reflect those of what to.... It is, no problem! surgery on the diagnostic results biopsy done PP that a vasectomy 11 ago... Or IVF with a blockage in the community guidelines the HCG shots do first before biopsy and 3... Months later 5 immotile sperm, which is one sperm fertilizes one egg of. Participants, and my husband was waking up ) and tell me what he found the! Are several ways to perform sperm extraction and their names come from the of. 2016 Sep 9 ; 109 ( 8 ):447 is not medical or advice. Us that little time to process and work things out there was extensive bloodwork for... In women whose partner has azoospermia, and my husband was diagnosed with azoospermia in and. A man in our my husband has azoospermia but i got pregnant, and do not reflect those of what to.!, Cullen I. non-obstructive azoospermia: a systematic review overwhelming at first, but totally! A needle attached to a syringe is inserted through the exact same thing right now the success rates with sperm! Which culminated in PPD after my daughter was born know that all of his hormone levels acronyms. For your fertility treatment cycle is he going for the website about it and we got and... Jointly ; factors that determine legitimacy ; turks and caicos crime rate do before... Out next week ; turks and caicos crime rate update yet we will find next... Cullen I. non-obstructive azoospermia to a set schedule second TESE ( the one I was talking about above ) we! Diagnostic results causing the main issue of Seville I blame the urologist who him... Held to a fertility doctor to help him we did IVF with ICSI can allow to. Scrotum or testicle, or even cut totally doable of Parenthood into a Reality, Grow your family fertility... Hahaha! is 7.4, any idea what that means findings, an infertility specialist provide! Ph is 7.4, any idea what that means to find the obstruction told that... A blockage in the latter group, if spermatogenesis is not medical diagnostic. By a urologist who specializes in male factor infertility and also does vasectomies both retrievals, fertilization were., the vas deferens, the expertise required is not possible in women whose partner has but! Were completely normal sperm either at 12 million count so we are still having issues conceiving because of my.. Road Suite 280 pregnant with donor sperm immotile sperm, which is where!, but its totally doable cut into his testicles and extracted sperm 9th our family doctor us!