Hi frugal, I am not sure. My understanding so far is that he is thinking about doing a biopsy first to identify the reason for the azoospermia. We are still waiting on the blood test results, which also include a genetic test. We only talked to him on the phone about it and it didn't sound like the biopsy is such a "big thing". Of course it isn't nice for DH, but he said that DH would not need to be admitted to hospital and that it would be done as an outpatient surgery. He even would be able to go to work the next day. My understanding is that with a biopsy they can find out whether or not DH is producing any sperm. It's all so confusing. Have you already got any results back from your DH? What other tests did your DH so? What was the reasoning of your FS to NOT do the biopsy before ivf?