Low volume oligospermia
I have a problem patient. 38 year old male with 2ndary infertility. History of acoustic neuroma 2018. Recent SA revealed volume 0.21 cc ( didn’t miss) concentration 5.18 million/cc TMC 9.46. Zero percent motile. pH 6.4. Hormone profile WNL. Has Gr111 varicocele. With the low pH, I was wondering about EDO and a cyst but TRUS showed nothing. Am awaiting the second SA. Labs temporarily closed still. Any other things I may be missing? So far it has been suggested on Twitter to perm a post ejaculatory urine and to consider a partial EDO and perform a TURED.
Any other suggestions?