Conversation: The conversation between human and AI assistant.
[|Human|] am azospermic doc.my doc says i do vasogram to check  for blocked vas.if blocked,al have to undrergo a surgery.another doc advices me not to do vasogram but take on herbal medicine coz of two reasons1-the med will unblock the vas if blocked and  2-the med wil stimulate the testicular cells to start producing sperms if there werent any.am caught between two.please advice.
[|AI|]  Hi.... For your query.... Two semen analysis would confirm azoospermia ...then we go for a work up ....LH FSH levels Testosterone levels.... If LH FSH low .it could be hypothalamus / pituitary cause... If LH FSH are normal.it could be obstruction/ no obstruction. . .testis biopsy .to confirm Normal sperm production....it.gives us clue to testicular failure(no sperm production.)......if you find sperms then it is obstructive zoo.....transrectal ultrasound helps to see the was, ejaculatory duct, seminal vesicles....THUS guided seminal medical aspiration has replaced seismography........seismography done at same time of reconstruction...would tell if there are exact point of blockade in genital tract. (Epididymis;Va's or ejaculatory duct)