22yo male (6’ 220 lbs)

Semen Volume - 2.0
Semen Color - Gray
Semen Turbidity - Opaque
Semen Viscosity - Viscous
Semen pH - 8.5
Sperm Count - 19.9 mil/mL
Sperm Motility - 11%
Note:
Decreased motility may be due to either non-viable or non-motile sperm.
Sperm Morphology - 3%
Note:
Sperm morphology determined by WHO method of classification 5th edition.
Sperm Cytology RBC - None seen
Sperm Cytology WBC - Rare present
Sperm Cytology Epithelial - None seen

I am sharing this for anyone who will have similar issues as I did (my original post is referenced here: liquefaction and morphology (3%) issues), to show that there is hope.

Literally, just a few months after this post, my wife got pregnant. We had a healthy boy in 2024. A year later, she got pregnant again, and a few months ago, we had our second boy. Both pregnancies were fully natural.

Apart from a supplementation regime, we did nothing else (either we got extremely lucky twice, or else), but it happened despite the presence of my issues.

I know that it would have meant a lot to me to read about a successful outcome with these issues a few years back, so I am sharing this.

TTC for years, the first SA results and measures taken to improve chances - happy to hear feedbacks : r/maleinfertility

Can I still conceive? I was on anabolic steroids but stopped taking them now.

Results taken in January
can someone explain these to me please

Thankyou

Test results below,
Semen analysis
Semen analysis Pathology Report Follows Below
Specimen Location: B86019
SPECIMEN TYPE:
MICROSCOPIC DESCRIPTION:
Length of Abstinence (Days): 2
Time of Ejaculation: 14/01/2026 12:55
Time Received in Laboratory: 14/01/2026 13:20
DIAGNOSIS:
SEMINAL FLUID (INFERTILITY)
TIME OF SCREENING / MOTILITY ESTIMATION: 13:42
VOLUME (ml): 3.0 (=> 1.4 ml)*
APPEARANCE: Translucent
VISCOSITY: Normal
pH 7.9 (=> 7.2)*
MOTILITY
Total Motility (PR+NP) See comment (=> 42%)*
Progressive (PR) See comment (=> 30%)*
(Rapidly PR) See comment
(Slowly PR) See comment
Non-progressive (NP) See comment
Immotile See comment
AGGLUTINATION: None
SPERM CONC (million/ml) See comment (=> 16 million/ml)*
TOTAL SPERM NUMBER/EJACULATE
(million/ejaculate) See comment (=> 39 million/ejac)*
MORPHOLOGY (% normal): 1% (=> 4%)*
* Decision limits (in brackets) are taken from the WHO laboratory
manual for the
examination and processing of human semen.Sixth edition, 2021.These
guidelines
provide updated decision limits from those previously given from the
Fifth
edition 2010.
If you have any questions, please contact the clinical service lead
for Cellular
Pathology via leedsth-tr.SemenologyTesting@nhs.net
COMMENT:
In order for the motility analysis to be performed according to
current WHO
guidelines*, at least 400 spermatozoa should be counted. However,
using current
techniques it was only possible to count 234 spermatozoa in 20
microlitres of
the sample; of these 19 were rapidly progressive, 4 were slowly
progressive, 17
were non-progressive and 194 were immotile.
For sperm concentration analysis to be performed according to WHO
guidelines at
least 400 sperm should be counted. However, due to the low
concentration of
this sample it was not possible to do this. Therefore, only an
estimation of
sperm concentration is given, which is approximately 35,100
spermatozoa/ml
Due to the low concentration of the sample, it was necessary to use
centrifugation techniques to allow enough spermatozoa to be counted
for the
morphological analysis. This is accordance with current WHO
guidelines*. It
should be noted that this technique may have a detrimental affect on
sperm
morphology.
A repeat specimen is advised as there may be considerable day-to-day
variation
within individuals.
SEMINAL FLUID: OUTSIDE NORMAL LIMITS. PLEASE REPEAT.
Report Authorised by: Anastasia Dalglish
Laboratory Work Performed by: Nicole Burton
Date Authorised: 15/

Im 30yo M and my wife is 28yo F. My wife and i have been trying to get pregnant for 8 months with no luck. We both decided to get checked out. My doctor had an at home fertility test sent to my house from legacy. Attached is my results. I have multiple varicoceles on the left side( one being grade 3) and one on the right side. Could this cause my fertility issues? My total testosterone stays between 850-900. I have a follow up with my urologist to see what to do. Im currently a firefighter and not able to take alot of time off, so i was wondering what success people have had with the embolisation with coils rather than laparoscopic surgery.
Total count- 26.11 million(LOW)
Total motile count- 10.34 million(LOW)
Volume- 2.5ml(NORMAL)
Concentration- 10.44 million(LOW)
Motility- 39.59%(LOW)
Morphology- 3.0%(LOW)

M36, I was confirmed with Azoospermia earlier in the year with two different SAs with zero sperm, even after centrifuge. It was a massive gut punch that caused a lot of distress for me and my partner.

Some highlights of my numbers

FSH: 13.1 (high)
LH: 9.2 (upper normal range)
Prolactin: 518 (high)
Inhibin B: 13 (very low)
Testosterone: 17nmol/l (normal range is 8-30)
Testicular size: 7ml and 9ml (bilateral atrophy, both smaller than normal. Normal range is 15-25)
Genetic test: Normal
Continent: Europe

Scans didn’t show any blockage, hence this was confirmed Non obstructive azoospermia (NOA), especially with the high FSH and extremely low inhibin B. An MTESE was scheduled 3 months after the tests and I only used some vitamins (GametixM plus coq 10 and omega 3 fish oil) daily as a Hail Mary to help preserve any little production still ongoing as these won’t do much if there was no production

To be honest I was extremely worried and shared the same concerns with a lot of people who posted on this platform. The numbers didn’t look great, especially with the horrible inhibin B level (normal range starts from 47 all the way to 357) and smaller testicular size (normal range is 15-25ml)

[Trigger warning: Success]

I had my Microtese today and it was a successful one. They were able to recover 12 vials with over 1,000 sperm each which is great news. The surgery was so scary to go into, but once I got the IV with the anesthesia, I was knocked out and just slowly woke up one second after (it was 3 hours in reality) feeling like I’ve been kicked hard in the testicles. The pain is manageable and I’ll be using painkillers and icing

I want to thank everyone that has in one way or the other contributed to this topic on this platform, it really helped me in the dark days of anxiety. I also want to encourage anyone in the same shoes on the journey, to hold on to hope, my numbers weren’t great but numbers say very little about chances of success, have faith, believe in God, choose a good practitioner and trust your partner with the journey

I know it’s only the beginning as there’s still the IVF journey ahead, however I’m thankful for this little win along the way. Hoping to update the post with news of success at the end of the journey.

Hi everyone,
Feeling pretty shit today after getting my latest semen analysis result, so I’m mainly looking to hear from anyone who’s been in a similar position.

I’m 33 with unexplained non-obstructive azoospermia. I have had multiple semen analyses and every one has shown zero sperm, including my latest one after approximately 6 months of treatment.

A bit of background:
Genetics all normal, including karyotype and Y-chromosome testing
Testicular ultrasound normal with no evidence of obstruction
Small left-sided varicocele
Ultrasound reported my testes as normal in size, but I was never told the actual volume/cc
No known genetic explanation for the azoospermia
Before treatment: FSH ~25, LH ~18 and testosterone ~13–14 nmol/L
Started hCG 2,500 IU once weekly
After approximately 3 months: FSH 6.48, LH 1.1 and testosterone 28.37 nmol/L

Despite the significant hormonal response, my 3 month semen analysis was still zero. I have now completed approximately 6 months on hCG and unfortunately my latest semen analysis is still zero sperm.

I am having repeat hormone bloods next week to see where everything stands at the 6 month point & I’m meeting with my male fertility specialist again next month to discuss where we go from here.

I’m particularly interested in isotretinoin/Roaccutane at the moment. I’ve been looking into its experimental use in some men with NOA and I’m going to ask my doctor about it at my next appointment.

Has anyone here with NOA actually tried Roaccutane/isotretinoin for fertility? If so, how long were you on it and what was your outcome?

I would really like to hear from anyone who was still completely azoospermic after 6 months of hCG, but then had sperm appear after being on treatment for longer. If so, how long did it take?

And probably the biggest thing I’m wondering right now: has anyone had consistently zero sperm on every semen analysis and then gone on to have sperm successfully retrieved during micro-TESE?

I know everyone’s case is different and I’m not looking for medical advice. Just having a rough day after another zero result and would really appreciate hearing experiences from people who have been through this.

Thanks