After 30 years of infertility issues, including erectile dysfunction and zero sperm due to total hormone suppression, can you recommend an effective solution?
Severe infertility with zero sperm after long-term hormone suppression usually requires evaluation by an andrologist/urologist to see if sperm production can recover. Options include stopping suppressive hormones, hormone stimulation therapy, or surgical sperm retrieval if any sperm remain. In many long-term cases, donor sperm becomes the most reliable option.