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CASE REPORT
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 31-33

Diagnostic dilemmas in the management of a case of azoospermia due to adult onset hypogonadotropic hypogonadism along with posttubercular epididymal obstruction


Jindal IVF and Sant Memorial Nursing Home, Chandigarh, India

Correspondence Address:
Bharti Sharma
Jindal IVF and Sant Memorial Nursing Home, Sector 20 D, Chandigarh 160 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fsr.fsr_21_16

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Adult-onset idiopathic hypogonadotropic hypogonadism (HH) is one of the rare but reversible cause of male infertility. It is one of the few causes of non-obstructive azoospermia (OA). In very rare situations, obstructive azoosperima is also seen along with non-OA. We report our experience with the management of such a case of male infertility − a case of adult-onset HH with posttubercular epididymal obstruction. Index case was a 33-year-old male diagnosed with adult-onset HH. He had persistent azoospermia after 6 months of gonadotropins therapy. On further evaluation, he was also found to have OA (posttubercular epididymal obstruction). The in vitro fertilization (IVF)-Embryo Transfer (ET) with percutaneous epididymal sperm aspiration was successful in achieving a pregnancy.


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