Trying to conceive, partner suffering with astenozoospermia, no improvement with medicines. Best treatment?
Patient: Hello doctors, I am from bangalore I am 29 years old and my husband is 32 years old we have been married for 7+ years now and trying for baby from past 3-4 yrs. My husband is diagnosed with astenozoospermia problem, His Analysis shows that sperm count=65 mill/ml, a+b=0.7%, c=1.5% and d=97 % and in his resent analysis shows that there are 1-3 motale sperms. Back in 2006 he had kidney stones while investigating further we came to know that he is having single kidney by birth and his seminal vesicle is blocked. We have met 2 doctors till now one suggeted to go for ICSI this doctor had put him under medication like Natoz,HIQ + and profert-M there were no much changes in the analysis and another has suggested for TESE with ICSI. Kindly suggest which procedure is best for us. Doctor: Hello, Thanks for the query,  Asthenospermia refers to motility defects in sperm. This could be due to problem in sperm production., malnutrition, testicular injury, overheating,genetic, smoking.  In your husband's case best treatment option would be: A transrectal ultrasound (TRUS) in order to confirm the presence or absence of ejaculatory duct obstruction, Presence of a cyst or calcification at the ejaculatory duct,  The size of the seminal vesicles will be measured to determine whether there is any significant  obstruction.  Following which last resort would be ICSI, TESA, PESA.  Wish you good luck.  regards, Dr Nilofer