Hello,i have a varicocele grade 3 and non obstructive azoospermia with fsh 15 and my testis got shrinked too and i am planning for a child.
Please suggest should i go with micro tese or varicocele surgery first
Thanks.
Answers (1)
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Normal FSH and Normal testicular size associated with azoospermia indicates obstruction. Shrunken (atrophied) testes usually is associated with high FSH levels. Therefore the shrinking you describe may be insignificant or your diagn of non-obstructive azoosp needs review.
Varicocele Gr III too may cause azoospermia and testicular atrophy and prognosis for spermatogenesis post surgery is poor. Its a matter of luck. So, i opine that TESE-IVF may be a better option. However, I encourage you to take a second opinion from an andrologist associated with a fertility center, since it is a very expensive and stressful process.
If you and your spouse have time at your disposal, you may try brief (3-6 months) conservative treatment without expectations.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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