Hi, Dear Doctor, My recent semen analysis report shows azoospermia. I would like to know what steps I can take next. Is a testicular biopsy beneficial in my case? I also want to mention that up until the age of 25, my sperm quantity and quality were different from what they are today. For the past 15 years, I have been on medication for schizophrenia. Could this have affected my condition? Please guide me with your suggestions. Thank you.

Answered by 1 Apollo Doctors

Dr Yusuf Mohammad

General Practitioner

MBBS
Advanced Certificate Course in Dermatology
8+ Yrs

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Azoospermia means no sperm seen in semen can be due to obstruction or low production. Testicular biopsy can help check if sperm is being produced internally. Long term medication may affect sperm health but not always permanently. Consult an andrologist for detailed fertility plan.

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Doctor, please check my semen analysis result below and tell me what I should do? I get good erections, but I ejaculate within one minute. Time of liquefaction is 30 minutes. Colour is greyish white. Consistency is thick. pH is 8.0. Volume is 2.5 ml. Total sperm count is 84 million/ml. Morphology is 55 percent normal, 15 percent head defect, 15 percent midpiece defect, and 15 percent tail defect. Motility is 15 percent active, 30 percent sluggish, 55 percent non motile. WBC is 8 to 10 per HPF.

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My husband has undergone two seminal fluid tests, one after 2 weeks and another after 2 months to check for azoospermia. I would like help interpreting these reports and understanding what the results indicate.

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