<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear Sir, I am married close to 2 years now and my wife didn t concieve. We underwent certain tests suggested by the doctors which showed absence of sperm in my semen I have Azoospermia . My Dr. told me to do a testis doppler 1st to see if there s damage on it. The result came as Grade I reflux causing azoospermia. Then my Dr. immediately suggested me to go for a test tube baby and said theres no other option apart from it, which we are little hesitant about due to cost factors. My semen volume is only 0.5 ml my harmones tests are all normal. I heard a microscopic surgery would cure the Grade I reflux. Is it possible to cure it through that surgery or is there an alternate waysiddha, homeo or allopathy thru medicines for me to plan for a child. Kindly suggest. Regards, Vijay  <response>: Hellothanks for writing in to Chat Doctor 1. Grade 1 reflux really does not require surgery 2 As your hormones are normal - check the semen count at least on 3 occasions to confirm azoospermia 3 Microsurgery will be of use only when you have an obstructive azoospermia - you can recheck with a urologist and confirm the type of azoospermia and plan ahead hope to have answered your query Chat Doctor. 