I am vijay,male, age 41, 9years since marriage, under treatment for 9years sperm count decreased from 20,16,12,8,4,2,0 million/ml gradually hormone normal - FSH ,prolactine cerum T4, TSH, Testosterone etc normal thyroid test.....normal sugar, pressure ,cholestrol etc normal testicular biopsy shows incomplete spermatocytic arrest clinical diagnosis : azoospermia doppler test of scrottum .... normal treatment is still going on tabs.....vitamin E, multivitamin and minerals, suhagra 100,clomphene citrate IP 25 mg,calcitrol,calsium carbonate etc
Hello, Considering your age, the reports and the continuously declining sperm counts in spite of treatment project an unhealthy picture and an unwelcome prognosis, I am sorry to say. It is a genetic defect, a possible deletion of some genes in the Y chromosome. THESE, testicular sperm extraction is a procedure that is being used to investigate and hopeful of providing some management. You should consult a geneticist with the guidance of your Chat Doctor.  If nothing proves useful, you may have to go for donor semen. Good luck.