Patient's question:
Detailed medical condition and consultation purpose: Doctor, my brother's situation is as follows: The conclusion of the semen and sperm quality analysis report is that no sperm were found. The color Doppler ultrasound diagnosis showed no prostatitis: size 3.62.62.2cm, clear outline, reduced internal echo, and uneven distribution. Testicles: Left testicle size 2.21.0cm, right testicle size 2.11.0cm, with homogeneous internal echo. Epididymis: Left epididymal head size 0.70.6cm, right epididymal head size 0.80.7cm, with reduced echo in both epididymal heads. Is it still possible to get pregnant like this? How should it be treated? Thank youDoctor's answer:
Hello, if the semen analysis shows no sperm, it is recommended that you undergo a testicular biopsy to determine if sperm production is present in the testicles. If no sperm production is detected, you may need to consider artificial insemination with donor sperm or adoption. If sperm production is present in the testicles, you can undergo intracytoplasmic sperm injection (ICSI), which may still allow you to have your own child. If the testicular biopsy also shows no sperm production, you will only have the option of artificial insemination with donor sperm from a sperm bank. Medications are not effective for male infertility issues, so it is advised not to take medication.