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Abstract
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.
Published Version
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