Any suggestion for having azoospermia, fsh 20.4, lh 6.4, testosterone 1.9?
Patient: i am a man of 43yrs,11months ago i was diagonised to have severe oligospermia,4 months later it became cryptozospermia.my fsh 20.4ng,lh 10.6 testoterone 2.1. ecosonography revealed  small testis,with cyst  and calsification at head,tail and body of left epididymis,and small cyst at the head of the right one.i stopped all medications and after 3months result read azospermia,fsh 20.4,lh 6.4,testosterone 1.9,csyst increased in size.am confused and we are trying to concieve.what your humble suggestion pls Doctor: HelloThanks for query .Based on the facts that you have stated your Azospermia is not related to FSH or Testosterone levels .It is basically due to pathology of the both the testicles and epididymis .In a given situation there is no ray of hope to improve  quantity of sperms in semen and having normal and natural conception .You need to consult qualified Infertility specialist for clinical assessment and to confirm whether testicles are producing sperms or not?If there is production of sperms by testicles he may suggest you to go for In Vitro Fertilization (IVF) or ICSI by using sperm being aspirated (Sperm Aspiration) directly from the  testis .Dr.Patil.