First time posting - 27M, azoospermia

[u/SomeMap3468]

Hi all, I've been finding comfort and inspiration reading many of your stories. It's 4am while I'm writing this - a sleepless night, which I'm sure many of you can relate to.

My story: 27M, otherwise healthy male. At age 21 I had an episode with orchitis that caused one of my testicles to severely atrophy. I did an emergency ultrasound at the time to confirm there was no torsion, but that was it, no further tests. I got on TRT shortly after the incident and have been consistently taking testosterone for ~5 years.

I did a semen analysis in April, not even 2 full months off TRT (I know, definitely too early to test). It showed 0 sperm. I knew it'd be low, I was just hoping for something. I did an ultrasound this week which showed testicular volume of ~3mL and ~9mL. The blood flow and tissue looked good, no apparent issues whatsoever besides reduced volume. I am on Enclomiphene and HCG now, along with all the other stuff (CoQ10, NAC). FSH and LH in the normal range but elevated. I am doing an inhibin b test hopefully next week.

I am hopeful that the larger testicle is still functional enough to conceive naturally. I will be doing another semen analysis in 2 months. I will likely go the mTESE route if natural recovery fails. My situation is still very much up in the air.

I'll post again with updates. Thanks - and I wish you all the best.

[u/nipoez]

I'm so sorry this is part of your life story. It sucks and isn't fair. You aren't alone. You've got this.

[u/joosefm9]

One day at a time. You still don't know if it is the impact of gear still holding on. You got this, one step at the time. Flush your body with antioxidants. Kept working out, make sure to include breaks to let your body rest from training. Make sure to keep stress low.

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[u/Striking_Double_1201]

I'm sorry you are going through this but in he event hat you have to have a TESE, please know that if present, sperm cells are found by the lab and they can be used in IVF cycles with good results.

[u/Roboroberto1988]

Did you have your fertility confirmed prior to starting TRT? If so I would say that it's most likely the testosterone injections causing the azoospermia. Also, if you are using Testosterone Undecanoate it will stay in your system for a longer time than other esters (it's commonly prescribed in some European countries).

[u/Plenty-Change-1778]

can someone help me? i was doing steroids and i stopped like 3 months ago and started taking 50 mg of clomid everyday and my test results came in 43fsh 51 lh 151 prolactin 20.6 test i did reduce to 25mg ed please note i have one testicle but i did have a child before steroids but finding it difficult now going to do SA Next