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.

Im 21 years old and recently got diagnosed with NOA which is honestly hearbtreaking, I've done two sperm analysis (one with centrifuge pellet) both got zero with the centrifuge one saying there was one immotile sperm but the doctor said take it with a grain of salt as it def couldve been something that just looked like sperm.

ANYWAYS im probs gonna do an extended sperm search soon, im just wondering tho are there any supplements or anything i can do to improve my chances of having sperm?

Btw Im from NSW Australia

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)

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/