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The biopsy or TESE is not a treatment for azoospermia, often times men with azoospermia have sperm in their testes, but for various reasons it is not present in their ejaculate. It all depends on your husband's etiology, like whether he has absence of the vas deferens, or if he possibly has sertoli-only cell like syndrome, varicocole, etc. It sounds like you both should really go sit down and talk with a reproductive endocrinologist who will be able to fully educate you on your options and what all the procedures are and what they cost. And speaking of cost, if that is something you are worried about, it should be noted that adoption is often MORE expensive than an IVF cycle (not that I am discouraging adoption, it is a wonderful thing and is something I would never rule out).
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