Q: My partner has Azoospermia (absence of sperm in ejaculate). What should our next step be when trying to get pregnant?
A: Many doctors will do genetic testing with this diagnosis, because there is a possibility of abnormal chromosomes, such as in Klinefelter's syndrome (47, XXY), and so-called autosomal translocations. If genetic abnormalities are found, genetic counseling is suggested because there is a potential of transmitting the chromosome problem to the baby.
One way to get pregnant with azoospermia is to surgically remove sperm from the testes and do IVF and ICSI.
- Testicular Fine Needle Aspiration (TFNA)
- Percutaneous Epididymal Sperm Aspiration (PESA)
- Percutaneous biopsy of the testis (PercBiopsy)
- Microsurgical Epididymal Sperm Aspiration (MESA)