Male infertility issues

I have a quick question... is there any truth to the claim that 90% of men become unable to have children after undergoing surgery on their testicles?

So, what kind of surgery are we actually talking about here?

Harold Booth68 said:So, what kind of surgery was it exactly?

😕..I can only recall that back when he was little, he had some sort of fall or injury, something like that... and he ended up needing surgery on one of his testicles, so there is a scar.

The test is 2, not 1

Larry Walker24 said:there are two testicles, not just one

well, only one was actually operated on

Look, surgery on the testicles can also involve descending them, so I believe there's still a chance for fertility—unless, of course, there was a tumor in an advanced stage, in which case that wouldn't be possible...

Someone with more specialized expertise will be able to give you a more precise answer...

Harold Booth68 said:Well, look, a testicular surgery might just be an orchidopexy—basically repositioning things—so I truly believe fertility can still be preserved. It’s only if there was a tumor in a more advanced stage that you’d have to worry about that...

I suppose someone with more medical expertise could provide a more precise explanation...

Oh my goodness, I am being such a klutz! I wrote earlier that it had dropped, but that isn't quite right at all... it was actually an undescended testicle, and he went in for surgery. So, what is the actual prognosis now?

What kind of "clean"? Unless we're talking about undescended testicles—cryptorchidism, if you want to be technical—we’re just guessing here. We don't actually know the specifics of his situation. I'm speaking hypothetically, but if even one of his testicles is healthy, he can still have kids.

Back when I was just a toddler, my parents had a procedure done to move one of my testicles down—the right one, I think—around the same time they fixed a Hernia. Everything turned out totally fine, and there hasn't been any issues with fluid or sperm counts at all🙂, so I guess you really shouldn't worry too much about it, since most people say that the other side stays perfectly healthy and does all the work nature intended.😁
If you’re feeling a bit anxious and want some extra peace of mind, maybe you could always just go get a semen analysis just so you can sleep better at night..

best,

Greetings,
Does anyone here have firsthand experience dealing with blocked vas deferens? Is there any way to resolve this without going under the knife? I want to know if the procedure is grueling and what the actual success rate looks like.

Hello everyone!

Let me jump straight into the heart of the matter. I am 30 years old and married.
The issue is that I am completely sterile—essentially, my testes don't produce any ejaculate or sperm at all.
Has anyone here dealt with a similar situation? I was born with a genital anomaly, which led to thirteen different surgeries, so everything is interconnected—but I suppose I have to wonder, is there any possibility for sperm or ejaculate to eventually appear? Perhaps through hormone therapy or something else?

Thanks in advance

Noah Perez44 said:Hey everyone!

I'll just jump straight into the deep end here. I'm 30 years old and married.
The deal is, I'm completely sterile—basically, my body doesn't produce any ejaculate or sperm at all.
Has anyone else dealt with something like this? I’ve actually had 13 surgeries since birth due to some congenital issues with my anatomy, which is where everything stems from, but I'm wondering if there's any way to get things moving again? Like, maybe through hormone therapy or something?

Thanks in advance

Man, you really gotta talk to a specialist about this so they can run a bunch of tests and figure out if there's even anything left to work with.
Honestly, I'm skeptical because it's hard to jumpstart something that's basically shut down or totally non-functional.
Also, for guys who aren't in this situation, I've heard you really need to stay active sexually, otherwise you might run into issues with erectile dysfunction.

Checking in after quite a long time away. We finally started our fertility treatments, and I just got my hormone results back. Everything looks fine except for the FSH—the normal range goes up to 12, but mine is sitting at 60. My specialist was pretty blunt, telling me straight up that there’s no point in trying egg retrieval, biopsies, or hormone stimulation to jumpstart sperm production. However, my wife came across a family post from a woman who mentioned her husband had that exact same FSH level of 60; apparently, they managed to find one swimmer through retrieval and are now expecting a baby. Honestly, I would give anything if we could get even a little bit of that luck. Has anyone here dealt with something similar? I’d really appreciate some serious responses. Thanks in advance.

Noah Perez44 said:Checking in after quite a while—I guess it's been some time. We finally started our IVF journey, and I just got my hormone results back. Everything seems fine except for my FSH levels; apparently, a normal range is up to 12, but mine hit 60. My specialist was pretty blunt, saying there's basically no chance with things like micro-TESE or hormonal stimulation helping sperm production at this stage. However, my wife stumbled upon a family post from a woman who mentioned her husband had the exact same FSH level of 60, and after a biopsy, they found one single swimmer—yet now they're just waiting on their little boy. God, I would give anything if we were that lucky. Has anyone here dealt with something similar? I’d really appreciate some serious responses. Thanks in advance.

Hey everyone, is there anyone else out there facing this same situation, or unfortunately, the exact same thing? Thanks.

By now, you really should have moved into serious IVF territory. For cases involving azoospermia or high FSH levels, this method actually works quite well at retrieving sperm.
https://www.mayoclinic.org/medical-p...e/mac-20532220

placidviper12 said:By now, you really should have been more proactive regarding MPO procedures—especially if dealing with azoospermia or elevated FSH levels—since this method actually works quite well for retrieving sperm.
I was reading through some Mayo Clinic research regarding hernia complications—it’s quite a lot to digest, I suppose—and it seems there are several ways things can go sideways during recovery. It makes you realize how much the small details matter, maybe even more than we think.

Hi placidviper12. Thanks for reaching out. I recently went through a TESE procedure—it was an incredibly rough recovery, to be honest—but unfortunately, it didn't yield any results. They told me there were essentially no sperm production sites to find, so they had nothing to retrieve, though I still held onto a sliver of hope. Before that, we tried IVF with Dr. Lucinger, who looked at the initial tests and immediately suggested we look into using a donor, which is just a devastating thought for us. Right now, we’re working through some diagnostics with Professor Miroslav Dumić, who is arguably the top endocrinologist in the country—he's really our last shot at this. If this doesn't work, I don't know how I'll face the reality of being unable to help my wife conceive because of my infertility. I’m still holding onto faith, though... maybe hormonal therapies could change things. I guess I'm just wondering if anyone else here has dealt with something similar. Thanks.

Hi there—has anyone else dealt with something similar, or maybe even found themselves in this exact same spot? Thanks.

LH (1) 30.6 H IU/L 1.7 to 8.6
FSH (1) 70.2 H IU/L 1.5 to 12.4
Total Testosterone (1) 11.2 nmol/L 8.6 to 29
Adults: 25 to 325 S Inhibin B (9) 24 pg/mL

So, these are the latest results—and they look pretty bad, I guess. Has anyone else dealt with something similar, or maybe tried hormone replacement therapies?

Noah Perez44 said:LH (1) 30.6 H IU/L (ref: 1.7 to 8.6)
FSH (1) 70.2 H IU/L (ref: 1.5 to 12.4)
Total Testosterone (1) 11.2 nmol/L (ref: 8.6 to 29)
Adults: 25 to 325; Inhibin B (9) 24 pg/mL

These are my latest results, and they look pretty bad. Has anyone dealt with something similar or tried hormone therapy...

This looks like primary hypogonadism, given that LH and FSH are spiked while testosterone remains low.

How's your cholesterol looking? Any other labs? Also, have you had any issues regarding testicular health...

I’d definitely suggest finding a solid endocrinologist, especially if fertility treatment is on the table...

restlessdriver said:It looks like primary hypogonadism—since the LH and FSH levels are maxed out while testosterone remains low.

How's the cholesterol looking? Any other lab results to report? I was also wondering if there's been any damage to the testicles—did you run into any issues there?

I’d suggest finding a really solid endocrinologist—especially if you're looking into fertility treatments. It might be worth taking the extra time to find the right specialist.

Hello. I was born with bilateral cryptorchidism and perineal hypospadias. I ended up undergoing nine surgeries here in the States and three more in Mexico. It’s pretty clear that things are damaged at this point, but my wife and I decided to consult with Professor Dumić—who is definitely the top endocrinologist around. I haven't really kept an eye on my cholesterol levels... I guess you have to wonder if there's any hope of balancing things out through hormone therapy so the testes might start producing sperm normally?