r/maleinfertility

Just got results in today, first time getting tested. The results aren’t fantastic but has anyone here conceived naturally with scores like this? This was about 2.5 days abstinence if it matters.

Volume: 1.9ml
Concentration: 28.7M/ml
Total sperm count: 54.53 million
Total motility: 53%
Progressive motility: 28.5%
Normal morphology: 1%
Total motile count: 28.9 million

Obviously the morphology is concerning and progressive motility isn’t great.

My lifestyle the last few weeks has definitely been high stress, minimal eating, excessive drinking so I’m hoping that played a role here. I understand I should’ve waited for another time to take the test but it was a time sensitive matter.

I intend to make lifestyle changes on all counts, just hoping to get some perspective.

Editing to add it just occurred to me my cat sits on my lap most days and is a little baked potato. So that could be playing a part too.

Hey guys l, I am on trt and have just been to the specialist who told me I need to stop trt for atleast 6 months in order to get microtestes done. I've also been told I need to lose weight. I currently weigh 122.2kg

My problem here is without trt my libido is non existent. And without trt Ill find it extremely difficult to lose weight. Both mentally and physically. I'm currently taking tadalafil 5mg daily to help with my erections. I know I'll have to start weight training atleast 4 times a week. But who can I go see for help? Like most trainers in the gym know basic muscle. Building exercises and that's it. They don't understand how bodies react with certain conditions. How fucked am I?

the motility is 24 the DNA F was 27 Teratospermia were 98% he also has a 2nd degree Varicocele with a reflux.
Did anyone succeeded being pregnant with these results? He is taking supplemets now .he has a 2nd degree Varicocele . He says he is too busy these days to do the Varicocele procedure. I have done 3 failed rounds of IVF . I think I can’t make any more IVF rounds with my husbands problems. Any advice or similar experience? I’m in my late thirties and my husband is around 42

Hello everyone!

I went to urologist last week just for checkup, and mentioned we were thinking of having a baby in two years. Me and my wife (28F) never tried to conceive and always protected. Doctor told me I could take a spermiogram just to have peace of mind. I did and the results came back as azoospermia. We are devastated for the last several days with my partner.

Looking for anyone whose case overlaps with mine, especially on the fever timing, colchicine, or the cyst. Full numbers below.

My questions:

Anyone whose first SA happened to fall 3–6 weeks after a significant fever and came back azoospermic? What did the 3-month recheck show?

Anyone with azoospermia who was on colchicine (gout, FMF, Behçet's) and stopped? Any change at the 3- or 6-month SA? Google is not helpful, but the andrologist told me it could be contributing significantly.

History

Bilateral undescended testes as a child, treated with a short course of hCG injections at age 5–6. They came down after 10 shots. Gout since 19 (father has it too). Using Colchicine flare-only for 12 years, never daily, but frequent flares and heavy use over the summer.

Stopped after azoospermia result (at the recommendation of the doctor).

I also had 39 °C fever with rigors on 6 Sep 2026 and had to go ER. It was a pretty bad cold and resolved after one week of antibiotics.

31M, 83 kg, no smoking, no alcohol, no prior surgery.

Semen analysis (30 Sep 2026, 3 days abstinence, 24 days post-fever)

Volume 1.25 mL, pH 7.5, azoospermia. Lab centrifuged and examined in detail: still zero. Repeat scheduled 8 Oct.

Hormones (2 Oct 2026, 26 days post-fever)

FSH 14.9 (was 11 in 2021)

LH 5.77

Total T 744 ng/dL

E2 27.6 ng/L

Prolactin 4.91

Scrotal Doppler (1 Oct 2026)

Testes 9.3 mL left, 8.6 mL right. Everything normal.

The cyst

I have a "Midline prostatic cyst" at the base of the prostate, first seen incidentally on MRI in 2019 at 12 mm ("ejaculatory duct cyst?" note by radiologist), but after seeing the results the andrologist told me it is most probably not the cyst.

Pending: karyotype, Y-microdeletion, repeat SA this week, clean SA in January. Micro-TESE after that if still zero.

Follow-up on my main thread : https://www.reddit.com/r/maleinfertility/s/M0L15zHflb

I owe this community an update because a lot of you have followed my journey, answered questions, shared your own experiences, challenged me when I was going down rabbit holes, and honestly kept me going when things looked pretty bad.
Quick background for anyone new:
37M, NOA, biopsy-confirmed Sertoli-cell-only syndrome. Prior conventional TESE/biopsy found no sperm and no germ cells. Repeated semen analyses were azoospermic. My FSH has been very high, testosterone relatively preserved, and my recent inhibin B was <10. I also did an ESSM with Maze and they found nothing in two extensively searched samples.
Based on all of that, I went into today’s bilateral micro-TESE at Stanford with Dr. Michael Eisenberg knowing the odds were not great.
Today they sampled extensively from both testes. The right side was negative. On the left side they found a very small focal area and confirmed 5 sperm.
Five.
I know that is not a huge number,
Dr. Eisenberg told me the sperm heads looked somewhat abnormal, so I still have a lot of questions about morphology and usability. The sample containing the sperm has been frozen. He also explained that when the frozen testicular sample is later processed/thawed, sometimes the embryology team can identify additional sperm that were not seen during the initial search.
Separate biopsies from both testes were also sent to pathology. That report should come back in about a week and may give us a better idea of what is actually happening inside the tissue and how focal the spermatogenesis is. I will keep everyone posted

Five sperm is a very limited retrieval, and we still need to know how many are viable/usable after thaw, whether more are found in the stored tissue, and ultimately whether we can get fertilization and embryos.

For anyone with NOA/SCOS reading this after getting a negative semen analysis, negative ESSM, high FSH, very low inhibin B, or even a prior biopsy showing SCOS, my result does not mean micro-TESE will work for everyone. I do not want to give anyone false hope.
But it does show why a negative ejaculate search or a previous biopsy cannot always tell you what is happening in every microscopic area of the testis.
Thank you to everyone here who has supported me through this. I know I have asked a ridiculous number of questions over the last year. A lot of you told me to come back and update the group after surgery, so here I am.
Micro-TESE positive. 5 abnormal sperm confirmed. Left testis only. Frozen. Pathology pending. IVF/ICSI next.
I will update again when the pathology and embryology details come back