Patient: Married for one and a half years, ready to have a child in February this year, semen examination without sperm August 6 in the reproductive hospital of Shanda University confirmed obstructive azoospermia epididymal puncture can be seen 5-10 / hpbcd level sperm August 10 in the reproductive hospital of Shanda University confirmed obstructive azoospermia, asked about the obstruction, the doctor said only IVF this way, there is no other way, do not die on August 11 (this morning) to go to the Qilu Hospital to see Dr. Meng Fan great. I went to Qilu Hospital to see Dr. Meng Fanda. The diagnosis: the head of both epididymis is full, nodules are palpable at both tails, and both spermatic cords and vas deferens exist. But there is no condition to do anastomosis in the province, and it is generally recommended to do IVF directly, and said that your side is the authority if domestic surgery, and recommended you here, not wanting to do IVF, not wanting my daughter-in-law to suffer from tossing and turning. I have decided to seek your treatment for the surgery? Is this situation suitable for anastomosis? What is the success rate? How can I make an appointment with you? Peng Jing, Department of Male Medicine, Peking University First Hospital: The diagnosis of obstructive azoospermia should be valid, and surgery can be considered. If the conditions are good, the success rate is quite high. The first thing I want to do is to make an appointment with you on the 4th or 11th of next month, and if the conditions are right, can you then arrange the surgery? Peng Jing of Peking University First Hospital: It is best to come on Mondays or Fridays, because these two times may be able to accommodate patients on the same day because they are discharged from the hospital, but at other times there is no guarantee that a bed will be available on the same day. The general hospitalization time is 5-7 days. Patient: What time do you work? I see that your referral appointment is on Tuesday (September 4), can I find you at other times to give treatment, and can I get a number if I don’t make an appointment for an additional number? Dr. Peng Jing of Peking University First Hospital: I am available on Monday, Tuesday and Friday mornings, so you don’t have to make a referral appointment to come in and register, but you can get an extra number if you don’t have one. Patient: Dr. Peng, on September 14, you performed anastomosis on my husband and checked his semen 35 days after the surgery. I was only prescribed one month of medication (Zogui Pill, Jinshui Bao, etc.) because of the distance. Also we thank you very much. Patient: Recuperation after successful epididymal anastomosis Disease: Obstructive azoospermia Hospital Department: Peking University Hospital Men’s Department Examination and laboratory tests: Dr. Peng, on September 14, you performed anastomosis on my husband. We were in the hospital in bed 1, do you remember the treatment: 35 days after the operation, we checked the semen, there are sperm, b grade accounted for 33% d grade accounted for 67% total sperm 4 million. The minimum value of 20 million was not reached. Medical history: obstructive azoospermia at that time because of the long distance, only let you prescribed a month of medicine (Zuo Gui Wan, Jin Shui Bao, etc.), now has finished eating, next need to take any medicine? When can I have a baby? The sperm activity rate is 33%, with more d-grade sperm and a sperm density of 8 million. The sperm density is 8 million. It is better than the one checked on October 25, when the sperm density was 4 million. Treatment: Medical history: Can I prepare for pregnancy now? I am monitoring ovulation because I have irregular periods with a cycle of about 45-53 days. What are the chances of getting pregnant in this case? I ran out of my husband’s medication and there are so many medications we can’t buy locally. Now I’m taking Liu Wei Di Huang Wan, Wu Zi Yan Zong Wan and Fu Fang Xuan Ju Tablets, is it okay? Do I still need to adjust it? Peng Jing, Department of Men’s Medicine, Peking University First Hospital: This situation may have less chance of pregnancy because the semen quality is not good. You need to continue to use the medicine to adjust the semen treatment. Patient: Hello Dr. Peng, yesterday I rechecked my husband’s sperm, the data: density 13.6, class a 14%, class b 22%, class c 14.6%, class d 48.78% a+b=36.59%, sperm activity 51.22%. The data has increased from 4 to 8 and 9, and the quality of the sperm is from non-a sperm to the current situation. I said that I would go to your side to review and adjust the medication, but because of the nature of my work, I have not had time to do so. I think the western medicine is faster, you have done the surgery for half a year, thank you very much. The first hospital of Peking University, male department Peng Jing: Thank you! Happy New Year! Happy New Year!