I'm Aimee (25) and DH is Adam (25), we've been ttc #1 for 11 months now. DH just got the results of his s/a and the doctor said there were zero sperm in the sample. I ovulate regularly and have clear tubes according to my HSG, I am currently on 50 mg of Clomid, just to strengthen my O in case that was our problem (obviously it's not).

Here come the questions... My dr. wants DH to do another s/a to see if it was a "bad sample", does anybody here know what the odds are he will even have a low sperm count in the next s/a? I'm not very optimistic and what I've found online is not very helpful. DH said, even the day he gave his sample, that it seemed weird. He said it didn't look like it normally does and there wasn't as much. I think he is very hopeful it was a bad sample and I know he was very stressed about doing it at the hospital. He wants to do the next one at home and take it there, do you guys think that could actually have made a difference?

I'm going to be Oing this weekend and I am thinking instead of doing the every other day BD like my dr had originally suggested, before the s/a results, that we will BD tonight, since we haven't since last cycle due to the HSG and then only the day I O. I know that as it stands right now 0 sperm= 0 chance of getting pg, but maybe if there's even a few in there does that sound like a plan that may work? I have no idea how often you are supposed to BD if the count is low, this weekend I am going to hope that there is maybe something there, we don't go to the doctor until next Weds and my dr said just to try like normal since I'm about to O, but I don't think every other day is a good idea.

I've read online that there are a lot of reasons that could cause a zero sperm count, but does anybody have any experience with a zero sperm count and is there any way to "fix" anything that could be causing it? I guess I'm just looking for something to hope it is, right now it seems like we have no chance of making a baby. We are not ready to think about donor sperm or adoption, we would like to do anything we can to have a baby that is "ours", but is that even possible with a zero sperm count?

[BeckyM]

Hi, Aimee and to our board here! We're a small group, and we don't always check in every day, so I apologize for not responding sooner. I'm Becky (35), DH is Tony (35). We started our TTC journey back in December 2007 and found out this year that along with my PCOS, we're dealing with severe MFI. My DH's 1st s/a also showed zero sperm and it was a shock to deal with. I felt like I just got sucker punched. The RE ordered another s/a on him, and unfortunately for us, it too showed zero sperm. From that point, we were referred to a urologist to get more information. Having zero sperm in the s/a could be caused by a number of factors, so try not to stress about it too much at this point. And I completely know that is easier said then done, but please try. Some of the reasons for zero sperm showing in the s/a are fixable or treatable, and there is a a chance you can have a biological child from both of you. But you won't know this yet until you get the results from the 2nd s/a and you will probably have to see a urologist as well. I know a few ladies here, their DH/SO have undergone various surguries/procedures to treat/fix the issue. This may be what's needed for you. There are also several ladies here, who've their DH/SO have had the spermies retrieved directly from the testees and they proceeded with IVF. Each case is so different for each of us.

It is different for everyone, so please don't think my story will be the case for you, as there can be multiple reasons for zero sperm in your DH's s/a as well as hopefully there being multiple options for treatment/fixing the problem. For us though, there is no treatment for my DH's MFI and it's not able to be fixed. The urologist ordered a lot of additional bloodwork, did a physical exam, and recommended a biopsy of the testees. They had the blood results for us, when DH went in for the biopsy, and we were devastated to find out that DH had been born with an extra chromosome and our chances were very slim of him having any spermies. The biopsy showed zero sperm anywhere, so we have no chance now of having a child connected biologically to both of us.

And just as there are different reasons for MFI, different treatments, etc., each couple has to choose what they are comfortable with in proceeding with TTC. In our case, DH & I took several months off TTC to deal with this emotionally (which I strongly recommend doing). Our decision is to proceed using donor sperm. This is my 2nd cycle.

I'm keeping all my crossables crossed that your DH's 2nd s/a has much better results!! Keep us posted!!

[Hoosier Kitty]

I'm sorry you didn't get the result you wanted. I recommend your DH to get 2nd SA and go from there.. if same result... bloodwork, biopsy of testes would be your best shot to find out if there's ANY sperm in his testes.
I often am like you.... I Ovulate regularly and we BD around O time and I always think there is a CHANCE because it only takes 1% to get pregnant... but we have been TTC for the past 3 years and my hopes of conceiving naturally are slimming and beginning to accept we may need additional help. But I am NOT giving up! You shouldn't give up either. Miracle do happen. I've seen it happen.
If you ever need talk, PM me.

[adnelg775]

My DH also has a zero count, and we are doing IVF, after sperm retrieval. I second what the other gals are saying. You are not alone!

This website seems to give a good overview of azoospermia

Azoospermia | Causes, Symptoms, Treatment | PDRHealth