Couple with primary infetility, female cause of infeility is ruled out. Semen analysis shows volume of 0.8 ml, azoospermia, fructose is absent what is the net line of management?
This is probably a case of obstructive azoospermia. In this condition we need to know the site and nature of blockage. Among the given options ultrasound is the best. Vasogram can also be done. Shaw's Textbook of Gynaecology 16th edition page no 247.
Infertility
Testicular FNAC
Ultrasound for obstruction
Local palpation of vas
Karyotyping
Ultrasound for obstruction