A 32-year-old member asked:
I have had hypogonadism since i was 26 .i've not been able to get my wife pregnant and my testicles use to hang down, now there in me or barley out?
2 doctor answers • 6 doctors weighed in

Dr. Matthew Thomanswered
Urology 17 years experience
See urologist: You need to have a fertility evaluation by a urologist. This typically includes semen analysis (usually 2 samples) and blood tests for testosterone, lh, fsh, prolactin. With this information, your urologist will be able to make a diagnosis and hopefully offer treatment.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago

Dr. Matthew Thom commented
Urology 17 years experience
Provided original answer
Please let me know if have any other questions
Jan 20, 2012

Dr. Michael Opsahl commented
Fertility Medicine 45 years experience
If you are on testosterone, then it may suppress your sperm production. You need gonadotropins and HCG to stimulate sperm production. I do not have all your records, but yu need to consult a male fertility expert to make sure you have the correct hormones to stimulate sperm rather than just testosterone replacement.
Jan 28, 2012

Dr. Michael Opsahlanswered
Fertility Medicine 45 years experience
Hormone Blues: If you are hypo gonadal then hormone replacement can help you to produce sperm. I assume you have had treatment since you imply failed attempts. Having sperm is not the same as having functional sperm. You may have poor quality sperm that cannot fertilize an egg. Ivf with icsi (sperm injection into the egg) is very effective if hormone therapy alone is not. See specialist for details.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
Last updated Oct 24, 2017
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