Azoospermia (No Sperm) » Southwest Fertility Center for Men

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Glossary of Terms

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Vasectomy Reversal

Azoospermia (No Sperm)

Testimonal
“We would absolutely recommend other couples to pursue IVF who face the challenge of obstructive azoospermia. Our advice for other couples considering IVF is to be mentally prepared for set backs, but good things can happen if you’re tenacious. It’s amazing to be part of this generation where medical innovations make the impossible >possible. We recommend Dr. Kuang and his staff without hesitation, YES! Dr. Kuang and his staff were genuine professionals and advocates for us through the whole journey. ”
J & E (Albuqerque, New Mexico)Azoospermia. Office sperm retrieval 01/17/07
IVF cycle 08/08
Pregnant 10 months later.
Baby born on 03/26/09

Dr. K, I have no sperm in my ejaculate. What does that mean and where do we go from here?

“Azoospermia” is the term used by many docs to describe when no sperm are seen in a man’s ejaculate. It is discovered in 5 - 10% of men who are seen in an infertility clinic.
Most couples ask whether this automatically means that there is no chance of having kids. The answer is that just because sperm are not seen in the ejaculate does NOT mean that sperm may not be found somewhere farther upstream. While azoospermia is a real reproductive challenge, a careful fertility evaluation that includes a history, a physical exam, a hormonal profile, genetic studies and possibly a biopsy will help your male fertility specialist define what your chances are of having your own biological children and the best way of helping you get there. So don’t let a semen analysis stop you from having hope and finding a male fertility specialist near you to complete this type of comprehensive fertility work-up. If you are ready to do all you can to overcome this reproductive hurdle, read on and empower yourself with education so that you can make the best decision for you and your partner.

Dr. K, they said I was azoospermic only on one semen analysis? Should I get this checked again?

Absolutely!!! If you live way out there where laboratories rarely do semen analysis or give results on parchment paper that report no numbers and just say whether there are sperm seen, you need to get yourself to another laboratory. Ideally, you want to find a laboratory that is certified to perform semen analysis. Unless you had your semen analysis done at a reputable center that does a good number of them, you definitely need to get it rechecked!

Dr. K, why do I have azoospermia? What is the cause?

Male fertility specialists will often try to categorize the azoospermia into two types: non-obstructive (a problem with the production of sperm) or obstructive (a problem with delivering the sperm out to the penis). 59% of the time, the reason for azoospermia can be traced back to a problem in producing sperm within the testicular factory. 37% of the time, it is due to an obstruction or blockage in the pipes that deliver the sperm out to your penis. Less than 5% of the time, it may be due to a specific hormonal or genetic abnormality (Jarow JP, Current Problems in Urology Vol 2, No 1, 1992.) In general, men with non-obstructive azoospermia (a problem with sperm production) may have smaller testicles and a higher FSH (the hormone from the brain that tells the testicle to make more sperm).

Testimonal
“We were excited to find out we were pregnant. It will bring more joy and will change our lives. Our advice for couples looking at IVF is be prepared. It’s not easy to do IVF but it is worth it. Yes we would absolutely recommend Dr Kuang.”

J & J (Albuquerque, New Mexico)
Vasectomy 14 years ago. Sperm Retrieval 07/09/2008.
Baby born 05/01/2009.

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While our focus is optimizing a man's reproductive capacity, we recognize how critical it is to take into consideration the needs of your partner, her reproductive timetable and background. We look forward to sitting down with you both and educating you about your options to help you make a safe and balanced decision as you build a healthy family.

What our Patients Say

"The sperm retrieval with in vitro fertilization was the best option for us because this is the only and most effective way that we can have a biological kid of… >>

"The vasectomy reversal was our best treatment option because it was the only way to reverse vasectomy. Our advice for other couples who are looking at IVF or vasectomy reversal… >>

"We decided on the IVF instead of the vasectomy reversal because my vasectomy was more than 20 years ago. The concerns we had about the vasectomy reversal was it had… >>

"Sperm retrieval with IVF was the best option for us because we have low motility in sperm after having the vasectomy reversal. The concerns we had with the vasectomy reversal… >>

"My husband had his vasectomy at 21 years old. We are both still relatively young and that's why we chose the vasectomy reversal. We felt that the vasectomy reversal would… >>

"The vasectomy reversal was the best treatment option for us because I had a vasectomy, remarried and we wanted a child naturally. The In Vitro Fertilization seemed less desirable. If… >>

"The vasectomy reversal was the best option so that we could try naturally to conceive. The concerns with the In Vitro Fertilization was too expensive and not 100% effective, (no… >>

"We were so excited to find out we were pregnant and that it happened so quickly. We are very excited to expand our family. We found out by taking a… >>

"Two vasectomy reversals didn't work (done elsewhere in Texas). We were out of sperm retrieved at the 2nd reversal so the sperm retrieval was our last option. The concerns we… >>

"It was incredibly exciting-I don't think our feet have touched the ground yet! We did a home pregnancy test at 5am! Needless to say we did not go back to… >>

"It was incredibly exciting to find out we were pregnant as my wife and I thought it would take much longer than it did. We were both amazed and grateful.… >>

"For us a vasectomy reversal was the best treatment option since IVF was out. IVF was not an option since my wife had too few follicles. Dr. Kuang is awesome!..caring… >>

"Sperm retrieval for IVF was the best option for us since it was easier than a vas reversal. My biggest concern about a vasectomy reversal was the need to have… >>

"Vasectomy Reversal was the best treatment option because the cost/success ratio was better than in vitro (IVF). The high cost/low success rate. Dr. Kuang made us feel at ease right… >>

"We were speechless to find out we were pregnant. Then ecstatic and exited about a baby we wanted so much. This will change our lives in all good ways-We cannot… >>

"Vasectomy reversal was the best treatment option for us since it has a lower risk of multiple births and is ultimatley less expesive. What concerns us about In Vitro Fertilization… >>

" Bantering with Wayne Kuang- (Good Guy) made the experience comfortable. Dr Kuang made me feel good my first visit. He is a great guy. The staff make me feel… >>

"We would absolutely recommend other couples to pursue IVF who face the challenge of obstructive azoospermia. Our advice for other couples considering IVF is to be mentally prepared for set… >>

"It was awesome to find out we were pregnant using a test. We had our vasectomy reversal on 01/16/2008 and were pregnant 6 months later. She was born on 04/17/09.… >>

"It was GREAT to find out we were pregnant. We used EPT to find out. We had our vasectomy reversal on September 5, 2007 and were pregnant 14 months later.… >>

'It was a relief to find out we were pregnant. We knew we would eventually, but it was a surprise and a blessing to happen so soon. We found out… >>

"Vasectomy Reversal changed our lives because I am now able to have kids, whereas before I couldn't. I would recommend Dr Kuang because within months of my Vasectomy Reversal, my… >>

"We have 2 children. After our sons difficult birth we had a vasectomy, 5 yrs later we feel we are prepared to go through challenges to have more children.We want… >>

"We were excited to find out we were pregnant. It will bring more joy and will change our lives. Our advice for couples looking at IVF is be prepared. It's… >>

"I decided to have a vasectomy reversal when we realized we wanted more kids. Our biggest concern was the success of the vasectomy reversal procedure. I like the guy. We… >>

"It was very exciting to find out we were pregnant! We were over joyed. We anticipate life will get busier but more fulfilling. Our advice to couples who are having… >>

"Our advice for couples is don't give up. Your life will change and bring wonderful new challenges. Dr. Kuang helped guide me throughout the entire process. Dr Kuang treated us… >>

"The vasectomy reversal changed our lives because the vasectomy reversal enabled us to become prgnant within months. Changing our life is an understatement. My wife and I can now share… >>

"The desire to start a new family helped us make the final decision to have a Vasectomy Reversal. Our biggest concerns were location, expertise and cost. We chose Dr Kuang… >>

"After having a vasectomy, we decided on a sperm retrieval for IVF. My biggest concerns were complications and pain. Dr Kuang involves confidence and eased my mind. Sonja, his fertility… >>

"Vasectomy Reversal was our best option because it was not very long after my vasectomy. It seemed like the Reversal would be our 1st and best option. Our advice for… >>

"We chose Dr. Kuang because he was recommended. After my first visit with Dr. Kuang I could tell his experience was good. I was very confident in his abilities when… >>

"My wife and I have been trying to get prgnant now for 2 yrs through sperm donor and insemination. It wasn't working, so this was the next step. We chose… >>

"My procedure involved a biopsy to see if sperm were present in order to conceive. I was concerned about price and finding a proficient doctor who performed a range of… >>

"We had much to celebrate this year thanks to Dr. Kuang. My wife and I had a baby girl on March 26. We were shocked and delighted how quickly the… >>

"We wanted to have kids. I met with some fertility doctors, but they felt more like salesmen then medical professionals. I wanted to find someone good whom I could trust.… >>

"I got married and wanted to start a family. Dr. Kuang came highly recommended. He is very personable, professional and intelligent. He doesn’t talk down to his patients. On the… >>

"We wanted to have another child. I was concerned about the percentage of success of a reversal. Dr. Kuang was very professional and kind. I would definitely recommend him for… >>

"I got re-married and really missed being a daddy. I was concerned about the cost of vasectomy reversal, the probability of a successful outcome and how extensive the procedure was.… >>

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