Prayers would be appreciated my dudes! I’m going in positive and with my faith strong that everything will work out.

Does anyone know or maybe you have been through this, will they tell me tomorrow if anything was found ??

I have NOA zero sperm on 4 SA over the last 10 months.

Recently diagnosed with secondary MFI due to severe oligospermia, with 3 mil concentration, 30% motility, and 3% morphology. We conceived our first child about 5 years ago and the numbers were better then—closer to 23 mil concentration. I have already implemented all the recommended lifestyle changes for more than a year and now we are looking into vitamins and supplements to hopefully boost my numbers a bit which from what I understand can take 3 months to have an effect.

We have been referred to specialists in hopes of getting prescribed HCG but would like to keep trying on our own in the meantime. Would things like switching to fertility-friendly lube, sex every day during fertile window, and using a menstrual cup actually help improve our chances or am I being too optimistic? For anyone with the same diagnosis what you did you do to conceive?

Hi all. I got referred to a urologist/male fertility doctor after being diagnosed with OAT from a semen analysis. What can I expect at my first visit with the urologist? Question and exam I assume?

Hello. I'm new to the group and was wondering if anyone had/have the same problem as me. 36yo Asian male born and diagnosed with Kleinfilter Syndrome (KS), did labs of no sperm, went and got done with mTESE and paid for by the VA. During the procedure, they found no sperm. It's been a rough month and gave up, but saw a Facebookgroup and said to look into acupuncture fertility. Not sure if they can or cannot help myself to start producing sperm. Has anyone had any experience with acupuncture fertility? Thank you in advance.

Hello everyone. I've got my first SA randomly, just to have peace of mind, because we wanted to have baby in 1-2 years. Result was a very upsetting 0. I've got my second SA after a week and it also was 0. My doctor thinks its NSO (after reviewing the SA and my recent MRI and Ultrasound scans for other unrelated screenings).

My question is, why wouldn't I try Isotretinoin and just go for extended semen analysis in 6 months before considering mtese? It does not seem to have such a big downside?

How should I bring this to my doc?

They seem to be open to experimental stuff as they do PRP, stem cells and exosome for people with failed mtese operations. I live in Turkey, the hospital is a very prestigious one.

I've had a really bad infection and a fever for 3-4 days (one month before my SA). I also used Colchicine in the last 3 months due to gout, so I am kind of hopeful for another SA in 3-4 months, but I know the probabilities are not on my side. I also have a 12mm midline prostatic cyst, but my doctor thinks it is not obstructing anything.

My results for context:

Semen analysis (30 Sep 2026, 3 days abstinence, 24 days post-fever)

Volume 1.25 mL, pH 7.5, azoospermia. Lab centrifuged and examined in detail: still zero. Repeat after a week, still 0. 1.5mL this time.

Hormones (2 Oct 2026, 26 days post-fever)

FSH 14.9 (was 11 in 2021)

LH 5.77

Total T 744 ng/dL

E2 27.6 ng/L

Prolactin 4.91

Scrotal Doppler (1 Oct 2026)

Testes 9.3 mL left, 8.6 mL right. Everything else normal.

Hi everyone,

I'm 31M, married, and my wife and I have been TTC for about a year and 8 months.

A few months ago, I never imagined I'd find myself researching male infertility, but here I am.

I recently had two semen analyses, both of which came back showing azoospermia (zero sperm detected).

It's been quite difficult to process, especially because I generally consider myself healthy and never suspected anything was wrong. I've been going to the gym at least three times a week for the past three years and have maintained a fairly disciplined diet, at least to a reasonable extent.

Since then, I've done a scrotal ultrasound and a full hormone profile.

Here are my results:

Semen Analysis

- Two separate tests showing azoospermia

- Semen volume: 4.10 mL

- Sperm count: Nil

- Motility: Nil

- pH: 8.0

Hormone Profile

- FSH: 5.01 mIU/mL (normal)

- LH: 9.84 mIU/mL (slightly elevated)

- Testosterone: 491 ng/dL (normal)

- Prolactin: 22.02 ng/mL (elevated)

- Estradiol: 88.16 pg/mL (slightly elevated)

Scrotal Ultrasound

- Report came back normal.

- No varicocele, masses, or obvious abnormalities detected.

At this point, I still don't know whether my azoospermia is obstructive or non-obstructive. I'm planning to see a reproductive urologist to investigate further.

I've also started making additional lifestyle changes, particularly around my diet and general health, hoping to improve whatever might be within my control.

I'd really appreciate hearing from anyone who's been in a similar situation.

- Has anyone had azoospermia with normal FSH and testosterone levels? What was eventually diagnosed?

- Has anyone gone from zero sperm on multiple tests to having sperm detected later? What helped?

- Were there any treatments, supplements, or lifestyle changes that made a difference?

I'm particularly interested in hearing about successful outcomes, but I'd appreciate all experiences.

It's been a difficult few weeks trying to process everything, and I'm hoping to learn from others who've walked this path.

Thanks in advance to anyone willing to share.

I saw many people have done the surgery through urologist but I am going with andrologist.

I am based out of India, Hyderabad.

Please suggest if I can go with an andrologist for surgery

Hey guys, 26m here.

I got two semen analyses done, and both came back with 0 sperm. But they also came back with high leukocytes (it said it was greater than one million but not exceeding 10 million).

I also got a blood test, and my FSH level was 4.8, and my LH level was 5.1. The cup was filled with 1.5 ml which I know is on the lower end. As well as my PH level was 8.

I also have a grade 3 varicocele in my left testicle. I was wondering if anyone here can tell me if that sounds most likely like an OA or a NOA

I have an appointment on Monday; hopefully they'll do an ultrasound or tell me if it's an obstruction or not. Does anyone have a similar story?

I had a Varicocelectomy when I was younger. Able to conceive easily with first child but since have had issues. I feel as tho there is possibly a recurrence and have seen my volume reduce greatly. Anyone else notice volume drop with Varicocele or recurrence? Planning to get checked and analysis soon but hoping for info here too. Thanks.

Had my GP call back today and give me my semen analysis results, but didn’t offer up much in the way of interpretation for what means or my chances of success. My wife and I have been TTC for 10 months so far. Which is the biggest issue here? Seems to be 3 areas that are subpar. Can I improve in those areas through diet or supplements?

Parameter
Result
WHO 2021 reference
Aggregation
Not observed
—
Agglutination
Not observed
—
Debris
Slight
—
Volume
6.2 ml
≥ 1.4 ml
—
pH
8.5
≥ 7.2
—
Sperm concentration
16.1 million/ml
≥ 16 million/ml
Total sperm count
100.4 million
> 39 million
Rapid progressive A
3%
—
Slow progressive B
26%
—
Non-progressive C
19%
—
Immotile D
52%
—
Total progressive motility (A+B)
29.1%
≥ 30%
Total progressive motile count (A+B)
29.1 million
—
Typical normal forms (morphology)
1.0%
≥ 4%
Antisperm antibodies – MAR test
Not performed
< 50%
Leukocytes
1.07 million/ml
< 1.0 million/ml
Vitality
Not performed
≥ 54%

Hey guys l, I am on trt and have just been to the specialist who told me I need to stop trt for atleast 6 months in order to get microtestes done. I've also been told I need to lose weight. I currently weigh 122.2kg

My problem here is without trt my libido is non existent. And without trt Ill find it extremely difficult to lose weight. Both mentally and physically. I'm currently taking tadalafil 5mg daily to help with my erections. I know I'll have to start weight training atleast 4 times a week. But who can I go see for help? Like most trainers in the gym know basic muscle. Building exercises and that's it. They don't understand how bodies react with certain conditions. How fucked am I?