Help/advice needed I’m so devastated what this means for us!
A bit of background:
My husband and I (both 33) together for 10 years and have been trying to conceive since September 2020. I have had all tests and everything is fine, general health good and all womanly aspects in line with my age etc.
My husband had his Semen Analysis (SA) results back and the doctor advised that there was no/zero sperm in his sample. They asked him to repeat the test and the results were the same and showed “azoospermia”. He also has type 1 diabetes.
Fertility tests:
We began the fertility journey by having all tests done. These included all genetic testing (klinefelters , chromosomal abnormalities etc) and full hormone profile (Fsh, LH, testosterone, prolactin etc) A scrotal Ultrasound was also performed and they found no blockages. So at this point, all tests were absolutely fine and no indication why this was happening.
A separate thyroid test was done and husband had slightly high TSH, the clinic said they would not do surgical sperm retrieval (SSR) until it was in the ideal range. Off we went for approx 7 months on medication to get within range.
Surgical sperm retrieval:
Nearly a year later, we were finally booked in for a retrieval which was today!
The clinic we’re at did PESA and TESE today. My husband was in there for over an hour and I just knew with it taking that long that something was not right. I finally got into the recovery room to see my poor dazed husband to then be told that they had thoroughly looked and unfortunately found no sperm at all. We are both so devastated.
They said there is another operation MicroTESE which could be considered as next steps but it is more invasive. I’ve heard this is the best procedure for non obstructive azoospermia as we understand it is that type rather than obstructive azoospermia.
My husband is against sperm donors, adoption etc but I honestly don’t know if I can accept not having children but I love him dearly and I can’t imagine my life without him!
I’m finding this so difficult to deal with, he also doesn’t want anyone to know and he hardly talks about it so I feel like I’m holding it all in and dealing with it myself. I don’t think I’ve stopped crying today so any friendly advice is welcome!
Does anyone have any success stories with this or advice after failed PESA/TESE?
Should we go for the microTESE? Or is it pointless?l He's already struggling today after the procedures and it has been incredibly stressful on both of us. 