OH went for his consultation today, he has to get his FSH levels test and genetic testing, turns out he has an Inguinal Hernia and has to get that pain relieved first, if FSH is level 10 doctor wont do a biopsy. Also testicles are smaller than normal and are different sizes. Has anyone ever heard of this? If the FSH is high we need to consider donor sperm.
Hey,
My DH had an ingunial hernia as well. They said it was an emergency and did the surgery to correct it back in August of 2014. When they went in, they found a hydrocele as well which had to be operated on. Now, 4 months later, his testicle is still swollen. Turns out there's accumulation of blood in his scrotum (called a hematocele) that will reabsorb on its own, but it makes TESE more difficult, but still doable. A little background, my DH has one undescended testicle, and one "normal" testicle. But he has been diagnosed with cryptozoospermia. He had a few hidden sperm in his ejaculation, but only 2 to 5 total. So TESE with IVF and ICSI is our only option. His FSH is also elevated, but all genetics and other hormones are normal (including his testosterone). So doc says it's unexplained, but seems confident enough he'll find sperm with TESE for ICSI and IVF.
Our stories are somewhat similar. Have you had a second opinion from another urologist? There's something called sperm mapping too, where they can try to determine which parts of the testicle are producing sperm before operating. Maybe something you can look into?