u/Mother-Document-4897

First consultation with Professor Jonathan Ramsay

I thought I'd give an update on my azoospermia journey.

In February this year I did my first SA after me and my partner have been TTC for circa 2 years.

After getting nowhere with the NHS (slow, seemingly uninterested, in limbo), I booked a private consultation with Professor Jonathan Ramsay at the Beaconsfield Clinic.

I have today had the consultation, and I can't recommend this highly enough to anyone in the UK going through this.

Prior to the appointment I provided Mr Ramsay with my hormone results, SA result, and other medical history.

From start to finish it took 2.5 hours.

For starters I had a 45 minute consultation in which Mr Ramsay spoke with myself and my partner regarding our history and the NHS test results this far and what they could indicate. He went through what tests he would suggest I do and the reasons why.

I did a Karyotype and Y deletion blood test, an ultrasound, and an SA.

The consultation was £350 and the tests totaled £959.

Once I had done all of the tests we had another discussion with Mr Ramsay in which he reviewed the ultrasound and the SA. The amazing thing is that they found 3 sperm in the SA, meaning that I now have Cryptozoospermia and not Azoospermia.

Mr Ramsay suggested that this suggests an Obstruction (60% chance).

He has prescribed 1mg of Anastrozole (to increase testosterone, decrease estrogen and increase sperm production).

He will see us again in June to review the Karyotype and Y deletion blood test results, to do another SA, and arrange an operation depending on the results. He even said that he may be able to remove the blockage so that sperm return to Semen in much greater number, although he says this is only successful in 30% of cases. But if so we wouldn't need to do IVF ICSI.

Over the moon and can't recommend highly enough.

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u/Mother-Document-4897 — 3 days ago