Dear Doctor, My husband is 40-year-old and we have married for 10 years.  His report shows he has azoospermia and we consulted a urologist and he examined him with varicocele and his FNAC report shows smear studied from the right testis is cellular and shows sertoli cells with germ cells exhibiting maturation to spermatozoa. Sertoli index is 60%. SSmear studied from the left testis is sparsely cellular and shows sertoli cells with germ cells exhibiting maturation to late spermatids. Sertoli intex is 70%. Smears are negative for atypical cells or granulomas.  Impression- Normal spermatogenesis right testis.  Hypospermatogenesis left testis.  Please suggest us what measures or treatment can help us to become parents as soon as possible.
HelloWelcome to ChatDoctorSince the right side sample of the testes shows a positive pathology report with mature sperms please go ahead with immediate treatment of IVF + CSI (intro cytoplasmic sperm injection) of the mature sperms or spermatidsThis will help to get your wife pregnant using your gametes. As your age is also 40 years you should work on this Sopwith you all the best Chat Doctor.