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azoospermia (possibly due to obstrucyion)

Sir,
I am married for 2 yrs. Recently I found I am azoospermic. I have undergone semen test two times and then testicular biopsy. Based upon biopsy report I think I have some obstruction.
Please read the report and give suggestions

My semen analysis:
volume: 2ml
liquifaction time: within 35 min.
ph: 8.0
sperm count: nil
pus cells: 2-3/HPF

Testicular biopsy report:
The specimen consists of single greyish white soft tissue piece measures 0.1cm.

Biopsy reveals only a few seminiferous tubules, lined by hyalinized thickened basement membrane. Few tubules show sclerosis.
Remaining few tubules show normal completely spermatogenesis up to the level of spermatozoa.


I hope matter is clear to you.
kindly suggest what I can do.
 
  anitesh on 2009-07-19
This is just a forum. Assume posts are not from medical professionals.
Hey seeing your report suggests some obstruction. can you explain if you had any problems in the past like mumps or measles etc in the past etc.
your age.
your details of errection, and sexual desire etc.
try answering these questions please.
Thanks.
 
Dr. Bagyavasan.k last decade
Yes. I agree. Its clear obstruction. He may have to for small surgery. Hope that may help.
There are some products available which can be exercised after surgery i.e Co-enzyme Q10. That will increase sperm quality, count and over all sperm index. (Ther are lot of Buchhers who have opened infertility clinic across the country and charge 4 to 5 lacs so be cautious in choosing a doctor) Ideally if surgery is recommended(doctor has to decide) than it may not cost more than 30,000 rs in even in metro cities also.
Hope, you may be able to find solution to gain blessing of fatherhood.
May god bless.
 
Starsolyjoy last decade
Sir,
mY age is 28yrs.
sexual desire is normal.
erection also normal.
but after ejaculation it takes time for erecting again.
I dont remember, if I had measles or mumps, may be when I was small.

I am asthamatic from young age and used to take asthallin and dexona. But noew I am normal, asthma attach is not ther for as long as 4yrs.

Once I had swollen testes (elephantisiss) may be due to mosquito bite (5yrs before). I was taking diethylcarbamazine that time after that testes become normal.

Plz suggest me after reading my case
 
anitesh last decade
Getting a clarity is difficult with this much information so kindly fill out the following case record we will get a remedy.
1.How often do you get irritated or angry?
a) very often ( )
        b) often ( )
        c) occasionally ( )
        d) never ( )

    2. Very small incidents affect me really badly:
        a) always ( )
        b) sometimes ( )
        c) never ( )

    3. Seek consolation from others for my problems:
a) always/ feel better when consoled ( )
b) never/ problems get aggravated ( )
c) makes no difference ( )
    4. Contradiction aggravates me / I don't like to be opposed:
        a) always ( )
        b) sometimes ( )
        c) never ( )
    5. I am an extrovert/ i mingle with others very easily.
        YES/NO- explain.





    6. Even minor incidents and happenings hurts me a lot.
a) very often ( )  
b) often ( )
c) occasionally ( )
d) never ( )
    7. Such incidents or happenings stays for a very long time in my mind.
YES/NO- explain.





    8. I think of some bitter happenings in my life and brood or dwell on them.
a) always ( )
        b) sometimes ( )
        c) never ( )

    9. I get resolved of my past experiences and bad feelings.
        a) on my own. ( )
        b) with the help of others/ family/ friends. (  )

    10. I am sympathetic
        a) to my own self or problems (  )
        b) to others problems and sufferings. (  )
        c) to nothing. (  )

    11. I am anxious
        a) to meet other new people. (  )
        b) before a presentation / stage performance. (  )                        
        c) during a presentation / stage performance. (  )
        d) after a presentation / stage performance. (  )
        e) for everything that i have to do. (  )
        f) every morning when i get up and think of the days duties. (  )
        g) never.(  )

    12. My appetite is
        a) good
        b) reduced
        c) poor
        d) very bad

    13.  Thirst/ how many glasses of water you drink a day?
        a) very thirsty
        b) moderate
        c) mild or nil

    14. sweat
        a) profuse
        b) little
        c) which part of the body you sweat the most-
        d) does you sweat has any odor or does it stain you clothes-

    15. Cravings: Those food items which you long for/ which you cannot resist eating.



    16. Aversions: Those food items which drives you away form them/ those which you don like at all.


    17. Disagrees: Those food items which does not agree with your body, if yes then explain what happens when you eat them?




    18. Bowel and bladder: How many times you pass stool and urine in a day? any difficulties associated with that- explain.



    19. Menstrual history:
        a) no. of days of flow:
        b) nature of flow (eg: clots) :
        c) profuse/ scanty :
        d) other aches/ pains associated with menstruation:

    20. Did you suffer form any illness like TB, Asthma, Diabetes, Hypertension, Cardiac complaints, and Jaundice.



    21. Did you undergo any surgery in the past?
        a) if s for what and how long did you stay in the hospital?

        b) Was there any blood transfusion done before, during or after the surgery?

        c) Were there any complications associated with the surgery?


    22. Please do elaborate / detail the present complaint with which you are suffering from. Like when it started, how it has progressed and when the complaint is more and how do you feel better etc.

























Note: Please be true to yourself while answering the questionnaire.
         Try to explain with 'WH' questions ( when, what , where, how and why) were ever necessary.
       
        
 
Dr. Bagyavasan.k last decade
Sir,
I am replying the questionnaire given by you by marking star mark (*) against the options.

1.How often do you get irritated or angry?
a) very often ( )
b) often (* )
c) occasionally ( )
d) never ( )

2. Very small incidents affect me really badly:
a) always ( )
b) sometimes (* )
c) never ( )

3. Seek consolation from others for my problems:
a) always/ feel better when consoled (* )
b) never/ problems get aggravated ( )
c) makes no difference ( )
4. Contradiction aggravates me / I don't like to be opposed:
a) always (* )
b) sometimes ( )
c) never ( )
5. I am an extrovert/ i mingle with others very easily.
YES/NO- explain.

NO. I am an introvert and it takes time for me to mingle with others and I like preferably the company of one against a group.



6. Even minor incidents and happenings hurts me a lot.
a) very often ( )
b) often (* )
c) occasionally ( )
d) never ( )
7. Such incidents or happenings stays for a very long time in my mind.
YES/NO- explain.

NO. Some incidents affect me but I forget it soon.



8. I think of some bitter happenings in my life and brood or dwell on them.
a) always ( )
b) sometimes (* )
c) never ( )

9. I get resolved of my past experiences and bad feelings.
a) on my own. (* )
b) with the help of others/ family/ friends. ( )

10. I am sympathetic
a) to my own self or problems ( * )
b) to others problems and sufferings. ( *)
c) to nothing. ( )

11. I am anxious
a) to meet other new people. ( )
b) before a presentation /stage performance.(*)
c) during a presentation / stage performance. ( )
d) after a presentation / stage performance. ( )
e) for everything that i have to do. ( )
f) every morning when i get up and think of the days duties. ( )
g) never.( )

12. My appetite is
a) good (*)but I feel to eat less during morning.


13. Thirst/ how many glasses of water you drink a day?
a) very thirsty
b) moderate (*)
c) mild or nil

My thirst is moderate and I drink usually during and after meals or after eating something. Otherwise I dont feel thirsty that much. Sometimes I drink water then only I come to know that I was thirsty.

14. sweat
I sweat little but I have some kind of odour in it. I sweat more around the armpits.



15. Cravings: Those food items which you long for/ which you cannot resist eating.

icecream, chocolate, non-veg, fish, chicken, sweets, mango

16. Aversions: Those food items which drives you away form them/ those which you don like at all.

sometimes sour food or fruits.
17. Disagrees: Those food items which does not agree with your body, if yes then explain what happens when you eat them?

banana and curd sometimes causes asthma attack to me.


18. Bowel and bladder: How many times you pass stool and urine in a day? any difficulties associated with that- explain.

bowel in morning only.
urine I feel more often if I consume some liquid. After half an hour breakfast I feel more urge to go toilet. There is no difficulty inbowel or urination.

19. Menstrual history:
a) no. of days of flow:
b) nature of flow (eg: clots) :
c) profuse/ scanty :
d) other aches/ pains associated with menstruation:

20. Did you suffer form any illness like TB, Asthma, Diabetes, Hypertension, Cardiac complaints, and Jaundice.

asthma from age 10 or 12 yrs

21. Did you undergo any surgery in the past?
a) if s for what and how long did you stay in the hospital?

b) Was there any blood transfusion done before, during or after the surgery?
no
c) Were there any complications associated with the surgery?
no

22. Please do elaborate / detail the present complaint with which you are suffering from. Like when it started, how it has progressed and when the complaint is more and how do you feel better etc.

A s before I told I have azoospermia (possibly obstructive).
my age 28 yrs.
married 2yrs before.
testicular biopsy shows sperms.


I hope to get a reply soon.
 
anitesh last decade
Try the following,
Silicea 200 only one dose first day early morning empty stomach.

The next day take aurum metallicum 30 one dose again the next day early morning empty stomach.

report after a weeks time. do not expect any change all of a sudden you have to wait till you get any difference.the hyalinizations in the tissue are to be reverted back to get any fruit full results, but this will not happen out of the blue. so wait patiently.
Thanks.
 
Dr. Bagyavasan.k last decade
Sir,
As you have prescribed silicea 200 single dose and aurum metallicum 30 two doses.
I want to know these that these medicines I can take from any store and moreover how many drops or globules should I take.
I should buy only for single dose or whole bottle.
Aurum metallicum 30c and 30 LM what is the difference.
 
anitesh last decade
Hey,
You can buy them any store that keeps homeo medicines, and i prefer take drops (4-6drops) early morning empty stomach, and 30 C is centismal scale, so the medicines are
Silicea 200C and aurum met 30 C both only one dose.
Let me know if you have any problem.
 
Dr. Bagyavasan.k last decade
Sir,
As you have prescribed I have taken the two medicines one dose each.

Now what should I do.
Should I go for the semen checkup
 
anitesh last decade
obstruction or hylanization will not be so easily reverted, so first take these medicine and wait for one week, then after a week take aurum met 30c one more dose, do this for 4 weeks, at the end of one month we will do the semen analysis again.
 
Dr. Bagyavasan.k last decade
Sir,
After one week should I take both medicines ( silicea and aurum met) or only aurum met.
thanks
 
anitesh last decade
only aurum met 30c should be taken.
 
Dr. Bagyavasan.k last decade
Sir,
I am in 2nd week of your prescription.
Already I have taken 2 doses of aurum.

I had two times night fall after taking the medicines. Before this I had nightfalls during the teenage days. Is it because of medicine.
 
shanti321 last decade
It goes to show that you are responding to the medicine, so go ahead with the same pattern,such night falls are showing that you are becoming active.
hold on, and keep your fingers crossed for the analysis at the end of fourth dose.
 
Dr. Bagyavasan.k last decade
Sir,
I have completed the fourth dose of aurum met 30c.
Now when should I go for the test.
Or any new medicine you want to continue.
Thanks
 
anitesh last decade
go for the test and then we will see what to do
thanks.
 
Dr. Bagyavasan.k last decade
Dear Dr. Bagyavasan.k,
I am 31 Male, being married for 5 years. I have been diagnosed being azoospermia. I am sending my sperm analysis. Please suggest me some medicine. i will be thankful to you. My case history is as below.
I had plueral effusion and took medicine to cure for approx 1 year. Other than this no major clinical history. I had semen analysis 4-5 times and it is varried 2 of the semen analysis showed good results but my last 3 results have shown zero sperm counts. I am an IT worker and oftern have head ache and stiff neck. I was adviced voren and paracitamol for this. Which i take often like 2 in a week depending on condition. My latest sperm analysis is as below.

Quantity 5.0ml
colour: greyish white
transparency: opaque
viscosity: viscous
time of liquidation: 30 min
ph: 7.5
Semen analysis
fructose: positive
wbc's: 01
rbc's: 00

There is no further details in sperm analysis
comments by the doctor are: on initial slide there is no spermatozoa seen in 100 fields suggestive of azoospermia, test is confirmed by spin down method.

Dear doctor, I have sometimes high blood pressure, i dont eat much vegitables, and smoke about 20 cigarettes a day. Now a days i am having problem with erection and my sexual desires are decreasing. Cannot get erection until 48 hours after sexual intercourse.
Please help me, I will be much thankful to you
Best Regards
 
yasirhameed last decade
Hey, yasir ahemed,
I think you will have to start a new thread instead of placing your problem in some others thread.
so kindly do that. to start with the treatment you will need to give more details of your complaints to us, before we sort it out take nux vomica 30 4 drops in the morning and 4 at night and then start a new thread.
Thanks.
 
Dr. Bagyavasan.k last decade
Sir,
after taking medicines for 1 month as prescribed by you I had semen test but e result was same , no sperms. now what should I do.
 
anitesh last decade
Please take one dose of Thuja 10M one dose and report after you have taken it.
 
Dr. Bagyavasan.k last decade
Sir,
I have to take thuja for one month or single dose.
 
anitesh last decade
just a single dose
 
Dr. Bagyavasan.k last decade
Is there any progress in this case? or its in same status without being cured?
 
vkkaustralia last decade

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