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Prostate Cancer
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Posted 7/19/2016 10:04 AM (GMT -5)
Long story short, my husband did not have prostate cancer. But due to a weird blood infection he had to get his prostate mostly removed. I am 21 and he is 22. We still want to have kids and I'm reading mixed things on the internet because he didnt exactly have cancer, and unfortunately we were long distance when all of this happened so I was not there to ask the doctor myself.

He does not ejaculate at all. He still orgasms. Is it possible that he still produces sperm even with little to no prostate left? Like is IVF an option for us, where they cut him open and take sperm out to put in me? Or is there no hope at all for us to have biological children?
I dont really understand how it works.

Please any help would be appreciated. I know we need to see our own doctor but we just PCS'd and we have some other stuff going on, I am just trying to do some research to best prepare myself.
Posted 7/19/2016 10:24 AM (GMT -5)
Hello kalasaurus,

Wow, that's devastating. So sorry to hear about your situation. I'm not exactly sure how they would do it...but I'd think IVF would be a possibility. To understand, bear with me for a short male anatomy lesson. Sperm cells are produced in the testes and travel through the vas deferens to the seminal vesicles where they are mixed with the ejaculate, which is produced in the prostate. So, most likely, he is not sterile in the sense that he is still producing sperm cells. Problem is, without ejaculate, they don't have any way to get out.

I would think a fertility specialist would be best able to answer your question, I'm sure there is a way to extract his sperm cells and use them. The process will probably not be pleasant at all for him, but I think it should be possible.
Posted 7/19/2016 10:25 AM (GMT -5)
I have heard that the sperm can be extracted from the testes. The prostate provided the fluid for the sperm to swim in.
Posted 7/19/2016 11:08 AM (GMT -5)
It's theoretically possible, but you'll need a specialist and I have no idea how effective it might be.

Andrew
Posted 7/19/2016 2:36 PM (GMT -5)
Testicular sperm aspiration

Basically a needle biopsy of a testicle.

http://www.froedtert.com/fertility/male-infertility/sperm-retrieval

It hurt just reading that. That's the last time I do that.
Posted 7/19/2016 4:57 PM (GMT -5)
A tiny needle is used to remove sperm directly from each testicle. The sperm is then used to fertilize your eggs in a laboratory by using IVF.
Posted 7/20/2016 5:09 PM (GMT -5)
I have had IVF. Yes it is possible, although a little more complex than standard IVF. They have to aspirate sperm directly from his testes using a needle and then inject the best looking sperm into your egg. It is done in instances where the man has low fertility or in cases like your partners.
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