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What are the treatment options of male infertility?

When there are no sperm in the ejaculate (azoospermia) it may be possible to offer reconstructive surgery though such men require careful investigation often with exploratory surgery.
It is important that such surgery is performed by a surgeon who can perform microsurgical reconstructive surgery should this be necessary. In some cases reconstructive surgery is not possible, or desired, and in those cases an alternative approach is to surgically retrieve sperm from the man for use in an assisted conception cycle (“test tube baby”). 
This can either be performed at the same time as eggs are retrieved from the woman or in advance and the sperm frozen for future use. It is possible to combine reconstructive surgery with sperm retrieval. Clearly these various permutations require detailed consideration and discussion between the couple and clinicians with experience of all forms of treatment
Talk to a specialist about treatment and options

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