my husband had two semen analysis daignosed azzospermic so urologist asked us to do hormone tests and they all came out normal fsh lh prolactine and testosterone as well.He told us that we can do sperm retrieval and icsi since the problem is a blockage.But when reading on the internet i still found that men can have normal fsh and still have problems with sperm retrieval.Could my husband have spermotogenisis arrest and do we still need a biopsy and hormone tests are of no use.upon physical examination everything seemed normal as in size of testis ,fructose present in semen ph alkaline and volume 1 to 2 ml
Hi, thanks for reaching out. I understand your concern, usually there may be a few causes for azoospermia like most commonly infection of the reproductive tract like epididymitis/urethritis, injury to the genitals, obstruction in the tracts carrying sperms, genetic conditions, viral orchids, vasectomy, retrograde ejaculation, among the few. One may need a semen analysis, few diagnostic blood tests and hormonal tests, MRI to rule out obstruction, and finally genetic tests to rule out genetic conditions. Treatment is started based on the cause. Hope this helps, take care.  Chat Doctor.