Sɔntɛm yu nɔr dɔn yɛri bɔt di mɛrɛsin wɔd Azoospermia bifo. Bɔt, we yu de drim fɔ gɛt pikin, we na wan pan di op dɛn we yu go gladi pas ɔl na yu layf, ɛn dɔktɔ tɛl yu se nɔ sperm nɔ de na yu swɛlin... imajin aw i go briŋ bɔku lod ɛn shɔk na yu at. I kin tan lɛk se yu wan ol wɔl dɔn fɔdɔm wantɛm wantɛm.
Bɔt nɔ wɔri, nɔ fred. Dis nɔto prɔblɛm we pɔsin nɔ go ebul fɔ ɔndastand ɔ sɔlv. Lɛ wi tɔk bɔt dis sik (Azoospermia), de kɔz, ɛn tritmɛnt dɛm na simpul we wae yu kin ɔndastand.
Wetin na Azoospermia?
Fɔ tɔk am simpul wan,
Azoospermia min se yu sεmεn, di wata we de kכmכt we yu de du mami ɛn dadi biznɛs, nɔ gɛt di sperm we yu kin mɛzhɔ. Dis kin apin bikɔs yu tɛstikul dɛn tan lɛk faktri usay dɛn de mek swɛlin. di sεl dεm we de mek de travul tru difrεn tכb dεm na yu rεprכdaktiv sistεm εn i de kam togεda wit sεvεra כda wata dεm fכ mek sεmεn. So, man we gɛt Azoospermia kin ejaculate, bɔt i nɔ kin gɛt sperm. Sɔm pipul dɛn kin kɔl dis bak "no sperm count." Dis kin bi sɔntin we sɔm pipul dɛn kin bɔn wit. Dat min se dɛn kin gɛt dis sik frɔm we dɛn bɔn dɛn. Fɔ ɔda pipul dɛn, dis sik (Azoospermia) kin kam we dɛn yɔŋ ɔ leta we dɛn big. De impɔtant tin na dat nɔr to ɔlman wae gɛt dis sik nɔr kin ebul fɔ bɔn pikin.
Bɔrku tɛm, dɛn kin sɔlv am wit di rayt mɛrɛsin ɛn advays. So nɔ giv ɔp fɔ gɛt op.
Difrɛn kayn Azospermia de?
Yes, (Azoospermia) kin sheb to tri men kayn. Jɔs lɛk aw fɔ mek wata kɔmɔt na pɔt, wata fɔ de na di tank, di paip nɔ fɔ lɔk, ɛn di tap fɔ de wok fayn. Lɛ wi si wetin na dɛn kayn dɛn de.
1. di azoospermia we de afta di tεstikul (biכs fכ di tin we de apin afta di tεstikul dεm) .
Dis na
di kayn Azospermia we kin bɔku pas ɔl. pan dis kכndishכn, yu tεstikul dεm de prodyuz sεl dεm fayn fayn wan. Dat min se, no prɔblɛm nɔ de wit di say we dɛn de mek di swɛt.
כltu, blכk כ lכs kכnεkshכn de sכmsay na di rod we di sεl we dεn prodyuz de kכmכt wit di sεmεn. I tan lɛk se wata paip de brok na midul, ɔ sɔntin dɔti de stɔp insay ɛn stɔp di wata fɔ flɔ. Dɔktɔ dɛn kin kɔl dis bak ``obstructive azoospermia``. Na lɛk 40% pan di pipul dɛm wae gɛt Azospermia kin gɛt dis kayn sik.
2. Bikɔs ɔf di prɔblɛm dɛn we de na di tɛstikul (Tɛstikul azoospermia) .
insay dis kayn, di prכblεm nכ de wit di sεl dεm in rod.
na ya, wik, damej, כ sik de na di strכkchכ כ fכnshכn fכ yu tεstikul dεm we de mek di sεl prodakshכn dכn bכku כ stכp כlsay.Dat min se sɔm prɔblɛm de na di swɛt we dɛn de mek insɛf. dis dεn kכl am bak ``nonobstructive azoospermia''. insay dis, nכ tin we de ambɔg di rod we di sεl dεm de kכmכt.
3. bikoz fכ prכblεm bifo di tεstikul dεm (Pretesticular azoospermia) .
Dis na tin we difrɛn smɔl. na ya, yu tεstikul dεm εn di sεl dεm kin tan lεk nכmal εn hεlty.
כltu, prכblεm de wit di כmon dεm we de tεl di tεstikul dεm fכ "mek sεl dεm." Fɔ ɛgzampul, di faktri de insay gud kɔndishɔn, di rod fɔ transpɔt di guds fayn, bɔt di faktri nɔ de gɛt di signal fɔ bigin wok. Dis kכndyushכn kin apun sכmtεm afta dεn dכn strכng tritmεnt lεk kεmothεrapi fכ sik dεm lεk kεnsar, כ bikoz fכ sכm כmon imbalans. dis de fכl bak insay di kεtכgrεf we dεn kכl "nonobstructive azoospermia." כlsay, stεdi sho se di kכndyushכn (Azoospermia) de afekt bכt 1% pan di man pipul dεm.
Wetin na di sayn dɛm wae kin sho se yu gɛt Azospermia?
Na dis na wetin de mek bɔku pipul dɛn sɔprayz.
Bɔrku tɛm, pɔrsin wae gɛt Azospermia nɔr kin gɛt ɛni patikyula sayn. Yu nɔ go notis ɛni difrɛns ɔ yu nɔ go fil fayn. Bɔku pipul dɛn kin lan bɔt dis sik we dɛn ɛn dɛn patna de tray fɔ gɛt bɛlɛ, ɛn we dɛn tray nɔ kin wok, dɛn kin go to dɔktɔ. Bɔt sɔm pipul dɛn kin sho sɔm sayn dɛm wae gɛt fɔ du wit di ɔndalayn kɔz fɔ Azoospermia. Fɔ ɛgzampul:
Bɔt mɛmba se, Azoospermia kin de ivin if dɛn sayn ya nɔ de.
Wetin mek dis (Azoospermia) kin apin? Wetin na di tin dɛn we kin mek i apin?
di tin dεm we de mek azoospermia dεn kin sheb am to tu men kεtכgrεf: di tin dεm we de mek i de ambɔg εn di wan dεm we nכ de ambɔg.
1. biכs fכ di sεl kכd we de ambɔg (Post-testicular / Obstructive Azoospermia) .
wetin kin apin insay dis kes na dat pan ɔl we di sεl dεm fכm fayn fayn wan, blכk de sכmsay we dεn de kכmכt. Dɛn blɔk ya kin apin mɔ na dɛn ples ya:
- Epididymis : dis na sכm sכm tכb we kכyl we kכnekt to di tεstikul dεm, usay di sεl dεm de machכ.
- Vas diferens: Na di men tiub we de kɛr di sεl dεm.
- di ejaculatory duct: di tכb we de nia usay di sεl dεm, wit כda wata dεm we de insay di sεminal fכluid de kכmכt na di penis.
Bɔku rizin dɛn de we mek dɛn kayn blɔk ya kin apin:
- Trauma ɔ injuri na di tɛstikul dɛn.
- Infεkshכn: fכ egzampl, infεkshכn na di skrotum (epididymitis).
- Swɛl .
- Retrograde ejaculation: Dis na we di sεmεn de travul bak insay di blad insted fכ kכmכt na di penis, bכt i de mek difrεn prכblεm pas Azoospermia. Bɔt sɔm tɛm dɛn de, prɔblɛm dɛn kin apin.
- Dɛn kin du ɔpreshɔn pan di bɛlɛ ɔ di say we di bɔdi de na di bɛlɛ. Sɔm ɔpreshɔn dɛn kin ambɔg di spermatic kɔd bay aksidɛnt.
- Sist ɔ di tin dɛn we de gro.
- Vasectomy: Dis na famili planin prosidur we dɛn kin kɔt ɛn tay di vas diferens. Afta dis, di sεl dεm nכ go kכmכt na di nכmal tin.
- Sistik fibrosis jin mכtεshכn: Dis na jεnεtik kכndishכn. dis kin mek sכmtεm di vas difrεns nכ de we dεn bכn am, כ tik tik sekreshכn dεm kin bכlכp insay di vas difεrεns, we de blכk di pasεj fכ di sεl dεm.
2. Bikɔs ɔf di tin dɛn we nɔ de ambɔg (Pretesticular ɛn Testicular / Nonobstructive Azoospermia) .
insay dis kayn we, nכ blכk de na di sεl dεm. Di prɔblɛm de pan di we aw dɛn de mek di swɛlin ɔ di ɔmon sistɛm we de ɛp am. Bɔku rizin dɛn de fɔ dis:
- Sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks: Fɔ ɛgzampul, di sik we dɛn kɔl Kallmann syndrome, Klinefelter’s syndrome, ɔ Y kromozom we dɛn kin pul. dis kin afekt di divεlכpmεnt fכ di tεstikul dεm εn di sεl dεm we de mek di sεl dεm.
- di hכmon imbalans εn εndokrin dizכrd: fכ egzampl, di tεstostεron lεvεl dεm we de lכw, di haypa prolaktinεmia (di prolaktin lεvεl de go כp), εn prכblεm dεm we de fכm di androgen.
- Varicocele: Na di vein dεm we de rawnd di tεstikul dεm de swel. dis kin mek di tεmprachכ na di tεstikul dεm go כp εn i kin afekt di sεl dεm we de mek di sεl dεm.
- di riakshכn to sכm mεdikeshכn dεm: sכm mεdikeshכn dεm (e.g., sכm antikansa dεm, sכm antifεngal dεm, sכm hεy blכd prεshכn dεm) kin afekt di sperm prodakshכn bad bad wan.
- Redyushɔn tritmɛnt, kemotɛrapi, ɔ fɔ gɛt ebi ebi mɛtal ɛn pɔyzin.
- di tεstikul dεm we nכ de (we dεn bכn am) כ di tεstikul dεm we nכ dכn dכn.
- Ɔkaytis: Bɔku tɛm i kin apin as kɔmplikeshɔn fɔ vayral infɛkshɔn lɛk mɔmp.
- Sɔm layf we yu kin pik: fɔ tek drɔgs ɔ drink pasmak, fɔ spɛn bɔku tɛm na sawna ɔ hot tub, ɛn fɔ put di tɛstikul dɛn na say we di ples wam pasmak.
Aw dɔktɔ dɛn kin no se pɔsin gɛt Azospermia?
If yu ɛn yu patna dɔn de tray fɔ gɛt bɛlɛ fɔ lɔng tɛm (bɔku tɛm na lɛk wan ia) we yu nɔ gɛt ɛni bɔn kɔntrol ɛn yu nɔ bin ebul fɔ du am, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. If yu tink se yu gɛt Azoospermia, di dɔktɔ go fala dɛn step ya: Fɔs, dɛn kin du
wan sɛmen analisis . insay dis, dεn de egzamin wan sεmpl fכ yu sεmεn כnda maykroskכp fכ si if sεl dεm de, כl di sεm dεm de, aw dεn de muv, εn aw dεn shep. fכ mek yu no se yu gεt Azoospermia,
yu nכ fכ fכn nכ sεl dεm na at le tu sεmεn tεst dεm. Dɔn, di dɔktɔ go aks yu bɔku kwɛstyɔn fɔ no wetin mek yu gɛt Azoospermia. Dɛn kɔl dis fɔ tek
wan kɔmplit mɛdikal istri . Da tɛm de, dɛn kin aks yu tin dɛn lɛk:
- Ilɛksɛf yu dɔn bɔn pikin bifo ɔ yu nɔ bɔn am.
- Yu dɔn gɛt ɛni aksidɛnt, injuri, ɔ ɔpreshɔn na yu pelvik eria?
- Yu dɔn gɛt ɛni urinary tract infection (UTI) ɔ sexually transmitted infection (STI) bifo?
- Us mɛrɛsin yu de yuz naw ɛn yu dɔn yuz am trade?
- Yu de yuz rɔm, marijuana (kanaba), ɔ ɔda drɔgs?
- Yu kin du tin dɛn we kin mek yu tɛstikul dɛn wam pasmak? (e.g. sauna, wok na hot envairoment)
- Yu tink se ɛnibɔdi na yu famili gɛt prɔblɛm wit pikin we i bɔn, sik dɛn lɛk sistik fibrosis, ɔ we nɔ ebul fɔ bɔn pikin?
Na di sem tɛm, di dɔktɔ go du
wan kɔmplit ɛgzam fɔ yu bɔdi , mɔ fɔ chɛk yu tɛstikul ɛn di say we de rawnd dɛn. Sɔntɛnde dɛn kin du rɛktal ɛgzam bak.
Us ɔda tɛst dɛn dɛn kin du?
Fɔ no mɔ bɔt di rizin, di dɔktɔ kin ɔda bak fɔ du ɔda tɛst dɛn lɛk:
- Blɔd tɛst: Dɛn tin ya kin chɛk mɔ di ɔmon lɛvɛl lɛk tɛstostɛron ɛn fɔlikul-stimulating ɔmon (FSH). dεn כmon dεm ya rili imכtant fכ mek di sεl dεm.
- Tɛst fɔ di jɛnɛtiks:Dɛn kin du dɛn tɛst ya fɔ chɛk fɔ sɔm jɛnɛtik kɔndishɔn dɛn we kin mek pɔsin gɛt Azoospermia.
- εks-ray כ כltra saund skan fכ di tεstikul dεm: dεn ya de εp fכ no tin dεm lεk di strכkchכ fכ di tεstikul dεm εn di blכk dεm na di tכb dεm we de kכri sεl dεm.
- MRI (Magnetic Resonance Imaging) skan fɔ di bren: na sɔm pat dɛn na di bren lɛk di haypothalamus ɔ di pituitary gland de kɔntrol di ɔmon dɛn. So, dεn kin du dis tεst if dεn de saspek se Azoospermia na כmon prכblεm de kכz am.
Wetin na di tritmɛnt dɛm fɔ Azoospermia?
Di tritmɛnt fɔ Azoospermia dipen
pan di ɔndalayn kɔz. Na dat mek i rili impɔtant fɔ no fɔs di rayt tin we mek i apin. Jɛnɛtik tɛst ɛn kɔyl we gɛt fɔ du wit am na impɔtant pat bak fɔ ɔndastand ɛn trit di kɔndishɔn fɔ Azoospermia. Sɔm pan di men tritmɛnt dɛn we yu kin gɛt na:
- כpεrayshכn: If di kכz fכ Azoospermia na we di sεl dεm blכk, dεn kin du כpεrayshכn fכ pul di blכk כ fכ kכnekt bak di tכb dεm we dεn dכn dכn/mis. If dis wok fayn, di sεl dεm go bigin fכ kכmכt bak.
- Ɔmon tritmɛnt: If di tin we kin mek pɔsin gɛt azoospermia na we di ɔmon lɛvɛl nɔ bɔku, di ɔmon mɛrɛsin dɛn we dɔktɔ gi kin mek pɔsin mek di swɛlin.
- di sεl dεm we de kכmכt dairekt frכm di tεstikul dεm: insay sכm kes dεm (especially in nonobstructive azoospermia), di sεl dεm nכ kin de na di sεmεn, bכt sכm sεl dεm kin kכmכt na di tεstikul dεm. insay dεn kayn kes dεm ya, dεn kin pul di sεl dεm dayrekt frכm di tεstikul dεm bay we dεn yuz wan rili fayn nidul (tεstikul sεl aspirashכn - TESA) כ sכm sכm כpεrayshכn (tεstikul sεl εkstrakshכn - TESE).
dεn kin yuz di sεl dεm we dεn gεt dis we fכ εp fכ bεlε pikin bay we dεn de yuz εsiste riprodaktiv tεknכlכji (ART) . di we dεm we dεn kin yuz mכst na in vitro fεtilayzεshכn (IVF) εn intrasaytoplasmik sεl injεkshכn (ICSI) . ICSI involv fכ injεkt wan sεl dεm dairekt insay eg.
If di tin we kin mek yu gɛt azoospermia na bikɔs ɔf yu jɛnɛtiks, yu dɔktɔ kin rifer yu
fɔ gɛt kɔyl fɔ yu jɛnɛtiks, bikɔs i kin pas to yu pikin dɛn.
di sperm kin kam bak afta Azospermia?
Yɛs, yu kin ebul! Bɔt i
dipen pan di kayn Azospermia we yu gɛt ɛn di kɔz.fכ egzampl, if di sεl dεm nכ de biכs fכ wan blכk na di sεminal vεsikul dεm, i posibul se di sεl go apia bak na yu sεmεn afta dεn dכn כpכt di blכk.
Yu tink se Azospermia kin wɛl ɔltogɛda?
Dis na di sem tin wit di kwɛstyɔn we wi bin dɔn aks.
Sɔm tin dɛm wae kin mek pɔrsin gɛt Azoospermia kin wɛl ɔl ɔr kin rivεs. Bɔt sɔm tin dɛn we kin mek i apin (espɛshali sɔm tin dɛn we kin apin to di bɔdi ɔ we kin pwɛl di tɛstikul dɛn bad bad wan) nɔ kin mɛn. Bɔt ivin da tɛm de, lɛk aw wi bin dɔn tɔk, yu kin tray fɔ bɔn pikin bay we yu de gɛda di swɛlin frɔm di tɛstikul dɛn.
Yu tink se we dɛn de fɔ mek yu nɔ gɛt Azospermia?
Wi nɔ kin ebul fɔ stɔp sɔm jenɛtik kɔndishɔn dɛn we kin mek pɔsin gɛt Azospermia. Na tin dɛn we kin kam wit wi. Bɔt if yu Azoospermia nɔr gɛt prɔblɛm wit yu jɛnɛtik, fɔ du dɛn tin ya kin ɛp fɔ ridyus di risk to sɔm mak:
- Nɔ du tin dɛn we go ambɔg yu bɔdi we yu de bɔn pikin. Ɔ, wɛr bɛlɛ gad / kɔp we yu de ple spɔt (e.g. kriket, baysbɔl).
- Nɔ put yusɛf pan raytin ɛnitɛm we i pɔsibul.
- Yu fɔ no di mɛrɛsin dɛn we kin ambɔg di we aw dɛn de mek di swɛlin. We dɔktɔ gi yu mɛrɛsin, tɔk bɔt di bɛnifit ɛn prɔblɛm dɛn we yu go gɛt.
- Nɔ put yu tɛstikul dɛn pan ɔt pasmak fɔ lɔng tɛm (e.g., fɔ de sawna bɔku tɛm , fɔ was ɔt, ɛn fɔ wɛr tayt ɔndawea).
Wetin na de lukin-grɔn fɔ di wan dɛn we gɛt Azoospermia? (Autluk) .
di prכgnosis fכ כl di kכz dεm fכ azoospermia nכ de di sem, εn i de difrεn.
Di bɛst tin na dat, dɛn kin trit bɔku pan di tin dɛn we kin mek pɔsin gɛt azoospermia ɛn dɛn kin rivɛns di sik. Yu ɛn yu mɛdikal tim go wok togɛda fɔ no wetin mek yu gɛt azoospermia ɛn di bɛst tritmɛnt fɔ am. כltεm dεn kin trit azoospermia, if na fכ di כmon prכblεm כ di blכk na di sεl kכd. Gud chans de bak fɔ mek di pikin bɔn bak. ivin if di kכz na di tεstikul kכndishכn, lεk aw wi bin dכn tכk, dεn kin yuz atifishal inseminεshכn mεtכd dεm lεk IVF fכ pul layf sεl dεm frכm di tεstikul dεm.
So, i rili impɔtant fɔ mek wi kɔntinyu fɔ gɛt op. If mi man geht Azospermia, wi no kin geht pikin natura?
Dis na kwɛstyɔn we bɔku uman dɛn kin aks. Yɛs, sɔntɛnde yu kin ebul fɔ gɛt bɛlɛ fɔ pikin lɛk aw yu kin gɛt bɛlɛ.
I dipen ɔltogɛda pan us kayn Azoospermia yu patna gɛt ɛn if dɛn kin trit am. Yu dɔktɔ na di bɛst pɔsin fɔ advays yu bɔt dis. Tɔk opin wan wit am bɔt di tritmɛnt opshɔn dɛm ɛn famili planin.
Na IVF na di onli opshɔn fɔ pɔsin we gɛt Azoospermia fɔ bɔn pikin?
Nɔ, nɔto so i bi.
I dipen bak pan di tin we de mek di Azoospermia de. If di kɔz na tɛstikul prɔblɛm ɛn dɛn nid fɔ du ɔpreshɔn fɔ pul di swɛt, den bɔku tɛm na IVF ɔ ICSI na di opshɔn. Bɔt if dɛn kin trit ɛn mɛn di Azoospermia (e.g., fɔ pul wan blɔk, ɔmon tɛrapi), den man ɛn in wɛf kin tray fɔ bɔn pikin natin nɔ de we dɛn nɔ de yuz IVF.
Aw a go tek kia ɔf misɛf if a kam fɔ no se a gɛt Azoospermia?
Fɔ no frɔm dɔktɔ se yu gɛt Azoospermia kin rili ambɔg yu filin ɛn bɔdi. Na tin we rili sɛnsitiv.
"Sɔmtin de rɔng wit mi sperm... A nɔ go ɛva ebul fɔ bi papa?" Na nɔmal tin fɔ gɛt tin dɛn lɛk dis. I kin mek pɔsin fil difrɛn we, lɛk fɔ fil bad, fɔ vɛks, fɔ nɔ gɛt op, ɛn fɔ fil gilti.
Di tin we impɔtant pas ɔl na fɔ ɔndastand se nɔto yu wan de dis tɛm.- Trust yu dɔktɔ in no ɛn advays. Fɔ fala wetin i tɔk ɛksaktɔli.
- Stay togɛda wit yu patna pan dis joyn. Tɔk bɔt dis togɛda, sɔpɔt unasɛf.
- Tɔk to yu patna, yu fambul, ɔ yu padi we yu kin abop pan bɔt aw yu de tink ɛn aw yu de fil. Nɔ kip am bɔtul insay.
- Na nɔmal tin fɔ fil bad we yu gɛt prɔblɛm lɛk dis. Bɔt nɔ giv ɔp di op kpatakpata. Bɔrku pipul dɛm wae gɛt azoospermia dɔn bi mama ɛn papa fɔ dɛn yone pikin dɛm. Mɛmba dat.
- If nid de, nɔ shem fɔ aks pɔsin we de advays yu fɔ ɛp yu.
Ustɛm a fɔ go to dɔktɔ?
If yu ɛn yu patna
dɔn du mami ɛn dadi biznɛs ɔltɛm, we nɔ gɛt protɛkshɔn fɔ 12 mɔnt (wan ia) ɛn nɔ gɛt bɛlɛ, go to dɔktɔ wantɛm wantɛm. Ɔ, if yu gɛt ɛnitin we de mɔna yu ɔ kwɛstyɔn bɔt aw yu go ebul fɔ bɔn pikin, go to dɔktɔ fɔ tɔk bɔt am. Bɔku tɛm dis na di fɔs sayn we de sho se prɔblɛm de wit di we aw dɛn de mek di swɛlin. Yu dɔktɔ kin tɛl yu fɔs fɔ tɛst yu swɛlin fɔ chɛk yu sperm kɔnt.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
i nכmal fכ gεt bכku kכwεshכn we yu fכnכt se nכ sperm de na yu sεmεn. Nɔ fred ɔ shem fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin na di tin dɛn we kin mek pɔsin in sperm lɔs? Wetin kin de mek a gɛt dis sik?
- Us tɛst dɛn a fɔ du fɔ no di rayt tin we mek i apin?
- A go ebul fɔ adopt mi yon pikin?
- Us tritmɛnt yu kin kɔmɛnt fɔ mi? Aw i kin gɛt sakrifays?
- Aw lɔng dɛn tritmɛnt ya go tek? Us sayd ɛfɛkt dɛn kin apin?
- I pɔsibul se mi pikin dɛn go gɛt dis sik?
We yu aks kwɛstyɔn dɛn lɛk dis, dat go ɛp yu fɔ ɔndastand di tin we de apin klia wan, no bɔt di nɛks tin dɛn we yu fɔ du, ɛn rɛdi yusɛf na yu maynd.
## Fɔ dɔn, di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message)
A ɔndastand aw i kin mek yu at pwɛl fɔ no se sɔntin de blok yu drim fɔ bigin famili ɛn bɔn pikin. We yu yɛri se nɔ sperm nɔ de na yu swɛlin, yu kin fil wan tawzin filin dɛn. Bɔt tray fɔ peshɛnt we yu dɔktɔ de no di tin we mek i apin.
If yu nɔ gɛt sperm kɔnt nɔ min se yu nɔ go ɛva ebul fɔ bɔn pikin.
Yu dɔktɔ kin ɛp yu fɔ rich yu drim bay we i de yuz we dɛn lɛk IVF, lɛk fɔ pul di sperm frɔm di tɛstikul dɛn. Tɔk wit yu dɔktɔ opin wan bɔt ɔl yu dawt, kwɛstyɔn dɛn, ɛn di tritmɛnt dɛn we yu kin gɛt.
Mek yu gɛt di trɛnk fɔ win dis prɔblɛm wit di rayt no, di rayt tritmɛnt, ɛn op we nɔ de shek!
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