Azoospermia Puns

Hi all. Posted below are my husband's analysis results.

We've gone to see a urologist and I wasn't able to go in with him but he stated that he's to do another analysis and blood test. The Dr. also asked for a urine sample. The Dr. did palpate his junk and said it's likely not a blockage/obstructive.

Just want to know what our next steps are, besides providing blood and sperm sample.

Also would like to ask what I can do to make him feel better about this. It has put a strain on our marriage since we found out 4 months ago... He's practically shut me out, and even mentioned I should leave him. It has been especially hard on me this past holidays when the parents would ask for grandchildren.

Thanks everyone.

https://preview.redd.it/7bf6zodsxka81.png?width=1140&format=png&auto=webp&s=47ebff54090a02e17b67753f4c93732b81b5712f

My sperm analysis came back with zero sperm and white blood cells. Went to a urologist and he directly suggested doing a biopsy of the testis. Are there any other ways of finding if it’s obstructive azoospermia without a biopsy? I asked about ultrasound, he said it’s difficult to find the blockage. I asked about tese, he said it would be inconclusive? Do I need to see another doctor? FSH 7.20 LH 6.18

My partner has an initial SA showing zero sperm. The fertility clinic set him up with a urologist and we asked for blood work prior to the appointment. What should we be asking/expecting the urologist to do at this first appointment? I want to ask for a second SA, but idk how long to wait for that, any advice would be great. Also I would appreciate hearing about any treatment you’ve pursued. Thank you!

Hi all my husband (35 male) and I (32 female)were trying for kids with no luck for over a year and after both going through fertility testing we found out my results were all normal and after two SA he was diagnosed with NOA. He had all the genetic testing done which all came back normal, he is a very active and in shape, doesn’t drink, smoke or do drugs and has had no past trauma or issues that we can pinpoint as a cause. All hormones were normal besides high FSH. He does have a varicocele but the doctors do not believe that to be a cause (basically framed it as probably not helping but not the cause of 0 count). We were told our only option would be MTESE with IVF and ICSi and we have a 50% of finding sperm with the surgery. His doctor also said there’s nothing we can really do prior to surgery to improve chances. I’m looking for any advice on doctors, things to try to improve chances, supplements, alternative ideas or treatments ANYTHING to give maybe a little Hope and at least help us feel like we are exploring all options. We are located in CO but even willing to travel within the US if needed. We know donor and adoption are options but for right now want to exhaust our shot at a biological child before we go down that road. Thanks so much in advance.

I'm 27 yearsold male, I had an SA last week and found out that my sperm count is zero but the volume is fine so probably NOA. I got an ultrasound which showed I'm perfectly normal, I also tested my hormones which turned out I have slight increase in Testosterone at 9.56 ng/ml and the reference range is 1.3-7.7 ng/ml. I'm thinking about redoing the SA again but I feel it won't be different. What do you think my options are? And do I have OA or NOA?

My husband was just diagnosed with a blockage in his epididymis. They believe he produces sperm (can’t be 100% of course but everything else looks perfect hormonal/lifestyle wise). First SA showed zero, second showed 8 sperm but they believe solely due to the blockage. One doctor said we should go forward with the surgery to open things up and said it was a 50-60% chance of being successful and they will do a biopsy at the same time to identify sperm quality and count. 3-6 months to heal and then if it isn’t successful go straight to IVF.

The second doctor said the surgery is only 30% chance of success he will ejaculate sperm after due to this issue and he recommended going straight to IVF.

The surgery is covered where we live and we can get it done fairly quickly while still waiting for our future IVF. I’m 30 years old so we have sometime.

Can anyone who has had this surgery done and been successful or not successful comment on their journey?

Recommendations?

Truly appreciate it.

I am 23 years old, diagnosed with azoospermia. Hormones were all normal. Did TESE (multiple pieces taken) and nothing was found, we didn't do histological analysis but I guess I have Sertoli-Cell only syndrome? If you do TESE and find nothing does that mean you have SCO syndrome?

Also, as I am only planning to conceive when I am about 33 and all, is there any hope with Stem Cell therapy in the future? I heard many things with MSC transplant in northern Cyprus. Would love to hear some opinions.

I posted here earlier in the year and now I'm following up. Brief history: My (M38) spouse underwent microsurgical repair for bilateral varicocele in February. His SA before the surgery showed zero sperm. Unfortunately he's had 2 followup SAs at 6 and 9 months after the surgery and he's still azoospermic (nonobstructive).

We have conceived 4 times (1LC, 3 losses) in the past so at one point he made sperm. His hormone panel before the surgery and a repeat hormone panel done earlier this month were pretty much the same: normal everything including FSH and LH, except slightly low T. He had genetic testing done and his results came back normal.

We consulted with a reproductive urologist/male fertility specialist we found through the resources on this subreddit. To paraphrase the doctor, everything indicates my spouse should be making sperm--he just isn't. In our initial consult we discussed clomid as a possibility, but at my spouse's second appointment the Dr didn't seem optimistic that clomid could do anything for him.

According to the dr our options now are donor sperm or biopsy/possibly mTESE. I wanted to consult the hivemind here to see if there are any other possible treatments we should be pursuing or have missed, or if anyone has some literature on the success rates of mTESE, especially if there are success rates more specific to secondary infertility. I guess we're leaning towards donor sperm, but I also don't want my spouse to feel like we left any stones unturned.

Last October after 4 years of trying we finally did testing. All my tests came back normal, my husband came back with a big fat zero.

He’s been on Clomid, and a vitamins cocktail for a year and had an unsuccessful MTese last Tuesday. To say we’re devastated and crushed is a huge understatement. He has no brothers and we don’t like the idea of sperm donor for us. We are working towards embryo adoption and potentially asking his twin sister and my brother to have the chance at a semi biological child.

We are so confused right now because the only reason we’re getting is that he was probably born with it. His testosterone was low mid 100s but is now in the upper 400s his genetic testing all came back normal. He had a kinda high at 15.8 but his doctor believed it was because his body was trying to produce sperm. So really the “he’s probably just born like this” isn’t cutting it.

We’ve had thoughts that it’s potentially an issue with his pituitary gland because his temp is unusually low (like 94-95 is his average temp). We know this is most likely the end of our journey to biological children, but I’m just curious of people in similar boats who may have recovered sperm production.

Maybe I just need to vent and get it out, but any insight would be awesome.

My husband has bilateral varicoceles. I believe one of them is a grade 2 to 3. We've been doing IVF trying to conceive (no luck yet). His last sperm analysis was about 10 months ago and at that time his sperm count was low and around 2 million. When we first started fertility treatments, it had been one time 6 million or so and a then a repeat one was a bit higher at around 12 million or so. I'm worried of his declining sperm count. Has anyone had a varicocele that eventually caused them to have zero sperm (azoospermia)? He is very reluctant to get treated for it as he feels no symptoms from it

Hello everyone,

This is my first post here. I am really astonished by the fact that so many of people has the problem with fertility. I am 26 yesrs old and assumed that i will never have to think about it (felt so far away from such problems).

Unfortunately, after more than half year of trying for a baby with my wife we started to worry. We started to do some medical checkups. My wife is 100% okay. I was diagnosed with azoospermia. After that I decided to do open testicle biopsy. In the end the result was negative and that I have no material to use. Doctors say that there is nothing more i can do. I gues thats true, but wanted to ask you for some false hope maybe…

mTESE found nothing. Wife wants kids and now I will become the human equivalent to a cuckoo bird. The universe is a cruel b*tch. How did any of you ever become ok with this? I usually don't allow myself to feel emotions too strongly in any direction so this will subside, but damn does life suck sometimes. If any of you went through this, I am wondering what sort of way you felt towards your wife's children once she had them? Did you just numb that part of your brain and learn to play the part of father?

On the one hand it sucks the I am a dead end for ~3.5 billion years of evolution; on the other hand every one of my genes exists in other members of our species, so what I am made of won't actually be lost, it'll just be less... concentrated.

There are children that will never get to grow up. People who live with debilitating diseases. Here I am a 31 yr old healthy male living in a 1st world country working in a well paid STEM career that will probably live a full life. Who am I to complain?

This is a classic case of emotions being in conflict with logic and I don't like it. Its probably just too fresh.

Sorry for the rambling stream of nonsense. Just know, azoo reader, I share your pain.

Hi any one experience both of them? I am on antibiotics now. Doctor is suggesting testicular biopsy after 2 weeks of antibiotics.

I did the semen sample last week and the doctor called today. He said it was Azoospermia. I guess he was expecting me to take the news harder, but I like to think life could always be worse, and try to roll with whatever issue comes up. I don't know if it's from primary hypogonadism, and if it is if it would be primary or secondary, but my guess would be if it is, it'd be primary, because that's just how things work out for me. *sigh*

Apparently, the next step is a second sample, but he said he'd be inclined to take the results as real results based on my letting him know that about 25 years ago I tried donating sperm and the issue was present then. At the time, I didn't care, I wasn't trying to have kids, and it worked out as an alternative birth control. Now, my wife of nearly 8 years, and I would like to have a child. After the second sample, I would apparently need to see a urologist who would need to do a laparoscopic procedure to retrieve whatever sperm are present directly. I'm no even sure if that's possible if it is primary hypogonadism.

Assuming it is possible, would IUI with any sperm they retrieve from me be an option? My wife does want a baby, but does not want to do injections of hormones. I'm not sure how all of this works.

Hi everyone,

Few months ago I have made 4 SA test from multiple labs and all of them was returned with a comment “Azoospermia” 💔

I made another tests

FSH: 9.68 Ref 12.4 - 1.5

LH: 3.64 Ref 12.07 - 0.57

Prolactin: 142 Ref 407 - 73

Testosterone: 27.04 Refe 30.19 - 8.33

And i was diagnosed with:

Grade II-III bilateral varicocele

I made the surgery for varicocele 3 months ago and was success💃🏻

The doctor described me some vitamins And forbid me form eating chickens 😅 And some medicine called arimidex 1mg

And now

My FSH: 15.66 Testosterone: 51.56

And my last SA test

last SA test results

My last visit the doctor asked me to stop using the arimidex 1mg and added more vitamins to take

And told me to come back after 3 months

I hope the surgery and the vitamins will be enough 🙏🏻

I have recently turned 32, no known fertility issues. Husband is 38, diagnosed with obstructive azoospermia due to the absence of vas deferens.

We did two rounds of IVF with frozen microTESE sperm, both times got 1-3 top quality blasts, but none ever implanted (4 in total). The clinic said we are just unlucky and should keep trying.

I had doubts about that frozen sperm, as it seemed it was very little of it after thaw. The clinic used 2 vials to fertilise 4 eggs in 1 round.

So we moved a clinic, totally changed my protocol and put my husband through PESA & TESA to get fresh sperm.

6 eggs fertilised, but they are all poor quality on day 3, severely fragmented, between 2-6 cells. This has never happened before. We never had fragmented embryos and we always had some 8 cell ones on day 3.

Looks like the transfer tomorrow will be cancelled.

Any thoughts on why this may have happened?

It it because PESA sperm, even though more mature, was probably fragmented from sitting there without ejaculation?

Also, RE changed my protocol to get more eggs (got double the number the old clinic got for us). Could this have compromised the quality?

We are shattered and truly don’t know if we can keep trying.

Hey All, I haven’t posted in this group since last fall but I this group was truly my go to when we first got the news.

After 3 years of trying we did a test through a private lab just to see, my results came back fine, my husbands came 0. To say the world stopped spinning is an understatement. Our hearts and plans were shattered and still to this day the grief is real.

I wanted to provide insight and what we’ve learned as well as get input as we make our way to MTese in November.

My husband has NOA, all normal genetic testing, with 5 0 SAs over 6 months. He was on Clomid, 200mg CoQ10 and Ester C for 3 months with no change. Our doctor strongly advised against testicle icing and said it could cause more harm then good(do what you’re comfortable with and ask your doctor). Feb 1st 2021 we were finally faced with MTese being our next step, we love our urologist but his fellow, not so much. He chose to use the term “flip of coin” when referring to our chances of success. While we know it’s 50/50 we didn’t need that. We took 3 months off and he started his treatments ago May 2021.

We have had a major life style shift, cutting out alcohol, greatly reducing weed consumption (half a 2.5mg pill he takes maybe 2 times a week for muscle pains), better diet, and walks. And we are headed towards MTese November 2021. Should the surgery not work we are pursuing embryo adoption, we agreed early on we don’t want to use a sperm donor, our baby is both or neither.

If you’re in this boat, you’re not alone, feel the grief, be mad, be sad, it’s valid.

For those past the MTese point, what can I do to be the best partner during his recovery? I will be working from home for the first week and had a onesie made for him should it work. He blames himself a lot and I want to be the support he needs.

Hello folks, I'm coming back after ten months to provide an update and see if I can get some guidance from you folks. My first thread is here with more info of my condition: https://www.reddit.com/r/maleinfertility/comments/jgh7n4/have_you_seen_this_bad

Basically after my first SA with 0 results I took another SA 3 months later and it came out the same. My urologist said I could try doubling the Menopur (FSH) dosage and see what happens after 3 months. That was the maximum I could take he said. After 3 months still nothing. Then we bubbled the idea of biopsy and see if we can find anything there. We honestly did it so my wife and I had no regrets if we decided to move on in our lives without kids. I was unhopeful anyways anything was going to be found. After surgery my urologist came out and told my wife he found like 6 sperm and maybe half were somewhat viable. When he sent it off to the lab to see what we're looking exactly he called us a week later to tell us the next step would be mTESE and see if we can find anything else and that the sperm he found were a "very weak" plan B if at all. I would be doubling up again on Menopur until the mTESE.

We decided to first do genetic testing to see if there is anything preventing me genetically from producing and/or passing on to a possible kid. We're waiting on results before we decide if we should proceed with mTESE and IVF.

Anyways, due to my pituitary tumor a decade ago and taking HCG all those years is there still a chance to get something viable through mTESE here? Àny input would be much appreciated. Thank you

I have non obstructive azoo (genetic tests normal) and been on anastrozole for two months (1mg daily). Blood test shows an increase FSH (from 10.8 to 22) and T (2.75 to 6.4) but still no sperm in SA. Will there be a possibility of sperm in ejaculate after 3 months on the drug, assuming I had no sperm production before?

I had my first SA last month with 0 sperm. My T is a little low so they put me on clomid. I had an ultrasound yesterday on the testes and everything looks fine to the doctor.

I have been on sertraline 25mg for a little under 10 years. I am wondering if this has anything to do with my null sperm count.

Next step is another SA after 6 weeks on clomid. Then a biopsy.

Thinking about tapering off sertraline as a last resort if all above are unsuccessful and trying another SA but wanted to see if anyone out there had a similar experience.

Thanks!

Hi all. I looked for this in the wiki but couldn't find anything specific. In our attempts to get pregnant, after all my tests came.out ok (blood draws, HSg, ultrasound, etc.) an SA was ordered for my husband that found, "only nine sperm total"in the sample so we were referred to a urologist. After a lot of scheduling and referral nonsense, he now has an appointment in the beginning of October.

My question is - what should he expect at this appointment? Will it be a physical exam or just a chat and ordering some further tests? Does anyone with azoo have some stories to share about how the first visit went? Thank you.

30M, married. Unobstructive azoospermia. 3 SAs with 0 sperm. Found out in April. Mapping procedure scheduled for first week of September.

Two questions for those who have been through this, gone through this.

1. What lifestyle changes after you found out did you make that you found most helpful ( to your mood / vitality ) and how did you make the change ?

2. My testosterone levels are at 106 ng/dL - after the TESE and we’re ready to move on the doctors are recommending that I start TRT - for those that started TRT - what was it like ? Any pointers ? Was it life changing ?

Thanks everyone. Male infertility sucks, but this sub is great.

Today am writing this post and I really don't know if its the right place to share my story , July 2021 I got the text message from the lab and my SA showed no sperms detected , for about a minute I guess I couldn't breath cause I didn't see this coming I was having a great vacation with my lovely wife when I received this message , and the time stopped at this moment I really didn't realize the pain at this moment , I returned to my hometown and made some blood test as per lab recommendation, and all FSH ,LH and Free T was normal , I scheduled appointment with the doctor and went on time hopping that he will tell me its kind of error in the SA or the sample might be inaccurate , the doctor didn't ask me for another SA and he told me that he will start giving me vitamins and some hormones meds to see what things will end up , I really couldn't hold it so I started the meds and began to do SA on weekly basis ( I know its sick ) hoping to see any swimmer but the 0 appeared in every single SA , that was not the hardest for me , but knowing that I may be the reason that my wife could not be pregnant as she was very excited once we started TTC was kind of a rope around my kick although she was very supportive and stood by my side every and all moment but this didn't stop the pain I was feeling and the guilt feeling , that guilt feeling is just haunting me , how unlucky this women to end up like this ??!! why could this happen to her ? feeling this guilt didn't give me the enough space to grief on my own loss , I try to move all my feelings a side to be able to feel guilt and shame , I know there is still hope doing mTESE and other trails and I will go to every procedure to try to give her the child she wished for , but what I really want is just have time to feel sad about me , about the possibility that I will never be a father of my own biological child , till now all I feel is guilt and sorry for my wife .

Thank you for your time to read this boring and long post , your prayer will always be needed and please forgive me for any language mistakes English is not my first language .

My husband got diagnosed with NOA in May. We have been doing hormone injections for three months and his hormones are currently all in a normal range.

He just did an extended sperm search (which they said is fairly new procedure and had a 44% chance of finding sperm) and they found none.

Next step is MTESE. We have been told between 40-60% chance with MTESE, however, none (to our knowledge) of the studies have conducted an extended sperm search on the patients prior to the MTESE. So our thinking is that the 44% of these men in these studies would have found a sperm in a search prior to MTESE if checked and seeing we had none in our extended search our chances are lower than those quoted to us.

Has anyone got any success stories of failing an extended sperm search and then finding sperm in an MTESE? We are not sure whether to progress with the surgery (this whole process has us sad and pessimistic).

Thanks!

So we have non obstructive azoospermia. He was offered surgery but honestly, he just switched jobs, works manual labor, and the time off just isn’t available. (Another factor I carry insurance and we just changed carriers January 1 and no longer have any infertility coverage, so all our savings would likely be wiped out before getting to ICSI-IVF)

Labs were normal with the exception of mildly elevated FSH. Ultrasound and exams normal. Genetic testing normal. He’s 6 feet, 190 lbs, runs or lifts 6 days a week. Doesn’t drink or smoke, follows his macros

Any thoughts or experiences trying meds only? HCG, clomid, etc?

Hi All,

I am 27 years old and have been diagnosed with azoospermia. To confirm this result I need to do a second spermogram. I wanted to know what are the chances of finding spermatozoides in a second SA when there are none in the first one? Can factors such as sports, alcohol, smoking really affect this type of test? Are there people who had a first SA with 0 spermatozoids found and then a second "normal" SA?

Thank you for your answers.

Had a 4 day abstinence. 1st SA said less than 2 million while second had 0. Anybody else ever see any changes from this?

I had an orchiopexy on my right testicle at age 7 and moderate varicocele in my left currently. Just feeling very defeated.

Results: http://imgur.com/a/qCjylTS

Tried to have children for 1 year with my spouse with no success and started tests.

Here’s the results of testing.

• 0 sperm (3 tests)
• FSH 127.1 (3 tests)
• LH 82.57 (3 tests)
• Prolactin 23.2 3 (3 tests)
• Total testosterone 116 (3 tests)
• Karyotype negative
• Y-microdeletion negative
• No structural damage or Varicocele
• I had a normal puberty and my testicles are normal sized (according to urologist).
• I am non-smoker and drink 1-2 alcoholic beverages per week
• Endocrinologist ruled out hormonal problems based on test results.

Doctors diagnosed hypogonadism / unobstructed azoospermia and it’s been two months since the first SA

• Urologist A is recommending we schedule a TESE at same time as wife’s IVF cycle
• Urologist B is recommending a mapping surgery and then TESE (alongside wife IVF) if results are promising
• Both Urologists agree that the chance of finding sperm is low - roughly 30% chance.
• I just started anastrozole.

This whole process has been incredibly incredibly difficult to process. Hearing the news that I was the reason my wife and I couldn’t conceive was devastating. Since then I’ve been experiencing motivation issues when it comes to work, I’ve had on and off days of intense sadness / crying ( I rarely ever cried in the past), feel very guilty when my wife gets worried by how this news is affecting me, and I just don’t enjoy things as much anymore.

My main question is -

Does anyone have any advice on how to cope / emotionally recover from this ? What is the rest of the journey like ?

I don’t even know how to begin talking about this with anyone and the few people I’ve chatted with don’t understand.

I’m overwhelmed by all this and finding this subreddit has been very helpful. Thank you to everyone who contributes to the community.

Hey everyone, I’ve posted many times about my azoo. I got the TESE and MTESE. At the same time in February. Zero.

But I got away from even thinking about it: why, how, can it change.

I am now, talking with my wife about it. Has anyone go further after the procedures and found the reason for their azoo? I’ve been listening to Joe rogan podcast and he had a doctor on his show talking about what is causing infertility and low sperm count in men and fertility for women.

We are still going to have a donor, and we are waiting for our IVF to be approved by my insurance. (Blue cross) just so curious, bought a book to maybe get some answers.

(I may post my results from the blood and sperm analysis, because maybe we are not fully understanding it)

My partner was diagnosed with azoospermia, he’s been on clomid for about three months now, his total testosterone went from 285 to 728! 😳 not too sure how this stuff works but is that a good thing?

Hi everyone, My wife, 36, and I have been TTC for a few years. Our family doctor referred us to a reproductive specialist in April and we have started our work up. My first SA revealed that that I have zero sperm. Needless to say, it’s been difficult to process this, what’s harder is that we waited so long to see a specialist.

I submitted my second SA earlier this week, we probably will have our follow up appointment with our specialist mid-Sept.

In the meantime, I was wondering if anyone could shed some light on what a proposed treatment (if any) could look like for someone with my results?

Test results: Testosterone, total: 8.9 nmol/L LH: 5.2 iu/L FSH: 3 iu/L Estradiol: 122 pmol/L Prolactin: 14 ug/L

Karyotype test complete, no issues found Y-deletion and CF carrier tests are processing. Scrotum/testes ultrasound complete: results unknown at the moment Testes size: normal size, according to sonographer.
Semen volume is a bit below average.

Thank you to all contributors in this subreddit for their support and kindness.

I (24m) was diagnosed yesterday with azoospermia and have been referred to a specialist with the NHS. I haven’t been trying to conceive, and am not currently in a relationship/ wishing to do so, however the news is quite distressing as I’ve always wanted to start a family when I am ready. I was wondering if anyone had any advice going forward?

I have read about treatments for azoospermia, but won’t know what the cause is until I see the specialist, but I want to know what I’m in for/ if there is a decent success rate following treatment

I've had PCOS since puberty and I've known for years that I would need help with conceiving. We started the process and learned my husband has Azoospermia, and surgery hasn't rectified his issue. Has anyone conceived with IVF ICSI and sperm retrieval?

There are several studies that indicate increased risk of cancer, cardiovascular diseases and increased mortality for men with low sperm counts and azoospermia. After being told I have azoospermia this is something that I'm worried about. Is anyone else concerned and/or taking extra precautions?

Hi...My(26F) boyfriend (27M) of one year has been diagnosed with Non Obstructive Azoospermia (Zero sperm count) three months ago. We are from India. We were planning to get engaged in June 2021, due to my mom's health condition(Stage 4 uterine cancer) the engagement has been preponed to next week. We are freaking out now. My parents do not know about this.

We talked to almost 10 infertility experts in our country who suggested that Natural conception is not possible but we can try TESE-ICSI(IVF). Its starting to look like a deal-breaker for me and many articles suggest that IVF/ICSI may cause cancer(with my history of mom's cancer and my pcos I am obviously scared) to the woman and there is a fair chance that we may end up childless if the IVF/ICSI cycles fail.

He underwent TESE last month but because of improper surgery, the sperms were not saved. He has gone into depression. I know its not his fault and I am trying to support him as much as I can. But its very difficult for me to cope up with the situation because its starting to feel like a deal breaker. I feel shallow to think that way but that is how I feel.

The doctors have suggested for a repeat TESE procedure because there is good chance of finding sperms in testis. We are not ready for adoption or donor sperms. I suggested that we tell my parents and postpone the engagement until we deal with this issue and resolve it, but he is afraid that they will not agree for marriage if we tell them that he has this problem. Please advise guys. Our relationship is hanging by a thread.

TL:DR; Boyfriend diagnosed with Zero sperm count, Engagement needs to be postponed. Should we tell my parents about his condition (Terminally ill mom) ? Please refrain from Moral lectures.

Husband (37) has been diagnosed with obstructive azoospermia due to missing vas deferens. All genetic tests came back normal, hormones normal. Did microTESE and received 6 vials of frozen sperm. We were told it was good quality sperm with twitching spermatozoa (non-progressive motility). IVF resulted in 3x AA blasts, but none implanted, so we have to restart the process. I am 31 without any known fertility or health problems. Feeling demotivated. Why didn’t it work? Is it likely that testicular sperm is not good enough? Or is this a matter of trying more times?