I am a 38-year-old male suffering from non-obstructive azoospermia. Is there a way me and my wife can conceive naturally, or is ART our only option?

Given my case, is there a way me and my wife can conceive naturally, or is there a way to restore sperm production and sperm count with medicine? Or, is ART our only option? Please help me. We have been relying on homeopathic/ayurvedic medicines for the last 7 years. The report from my doctor says Sertoli cell only syndrome, maturation arrest. Everything else seems to be normal.

Answers from doctors (2)


South Florida Institute For Reproductive Medicine - Pembroke Pines

Published on Sep 01, 2016

It depends on what is causing your non-obstructive azoospermia. Men with untreated severe hypothyroidism, prolactinomas or anabolic steroid use may respond to medical therapy. Other men will require surgical extraction of sperm, which would require ART in order for their partners to conceive. For couples who do not wish to use ART, donor sperm may be an option. In order to learn more about treatment options available for your specific situation, I recommend a consultation with a urologist who specializes in male fertility.

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Answered by South Florida Institute For Reproductive Medicine - Pembroke Pines

It depends on what is causing your non-obstructive azoospermia. Men with untreated severe hypothyroidism, prolactinomas or anabolic steroid use may respond to medical therapy. Other men will require surgical extraction of sperm, which would require ART in order for their partners to conceive. For couples who do not wish to use ART, donor sperm may be an option. In order to learn more about treatment options available for your specific situation, I recommend a consultation with a urologist who specializes in male fertility.

Published on Jul 11, 2012


Piedmont Reproductive Endocrinology Group

Published on Nov 10, 2015

Affected gentlemen with sertoli cell only syndrome must rely on ART. There are procedures such as TESE in which sperm (though low in numbers) can be retrieved and used to inject into your wife's eggs.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1875_1416362395.jpg
Answered by Piedmont Reproductive Endocrinology Group

Affected gentlemen with sertoli cell only syndrome must rely on ART. There are procedures such as TESE in which sperm (though low in numbers) can be retrieved and used to inject into your wife's eggs.

Published on Jul 11, 2012


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