Can hormone levels show whether Prolistem is working?
In men with non-obstructive azoospermia, hormones such as FSH, LH, and testosterone help us understand testicular function but they do not determine success or failure by themselves.
Men with elevated FSH may experience fluctuations during the Prolistem program, a temporary increase followed by a decrease can indicate some activity and recovery.
Men whose hormone levels are normal may show little or no change in their blood tests, even though blood hormones cannot directly reveal what is happening within small areas of the testes.
The outcomes that matter most are whether sperm appear in a carefully examined semen sample or can be retrieved through microTESE.
Even before microTESE, FSH cannot reliably predict whether sperm will be found. High FSH does not eliminate the possibility of finding small areas of sperm production.
Hormones provide useful clues but they do not tell the whole story
