When Mr. Murat initially visited our clinic, he had previously undergone a micro-TESE operation. Their choice to seek our clinic's help was influenced by positive conversations circulating among women online. Yet, some of the details he revealed stirred a sense of discomfort within me, both professionally and as a compassionate individual. He recounted a disheartening encounter with a urology professor who, after initially offering a 50% chance, later diagnosed him with Sertoli cell-only syndrome, claiming it was incurable and that he would never be able to have children. Those words seemed to have left a deep impact on him, as he yearned for a more positive outlook from me.

Upon meeting Mr. Murat, who appeared much younger than his age, lacking facial and body hair, he appeared to have underdeveloped testicles. His test results were remarkably severe: FSH at 108, testosterone at 0.6, and ultrasound showing his testicles to be around 0.5 cm, with inhibin B levels below 5. It was an unparalleled case in my experience. I informed him that although it resembled hypopituitarism cases, it was a more intricate situation that commenced during his fetal stage, and we pledged our best efforts. About 1.5 years later, during the COVID period, he began showing spermatid releases. His FSH levels dropped to 10, testosterone increased, and his body hair began to grow. Additionally, he disclosed being a severe combined immunodeficiency patient since birth, receiving IVIG intravenously every month. Despite this, he had mild encounters with COVID, contrary to the severe illnesses he was accustomed to. His testicular volume multiplied tenfold to 5 cm, inhibin B levels rose to 200, and, most importantly, sperm started appearing.

In retrospect, it became apparent that Mr. Murat's condition was not one of atrophy but rather hypoplasia. His body showed a positive response to hormonal therapy. During the third IVF attempt, his wife became pregnant, and they were blessed with a son named Muhammed Alparslan. Praise be to God, we were able to play a role in transforming their story from one with little initial hope to a joyous family now cherishing their wonderful son, rather than being perpetually disheartened. Perhaps it would have been better to convey that a solution wasn't available with current knowledge but that we'd eagerly explore any new information that might emerge. Families dealing with azoospermia already face immense psychological burdens; why should a medical professional contribute to their distress?

Another aspect of providing hope is avoiding the error of falsely promising a guaranteed 100% chance. Patients might even pressurize you for such promises. Let's all be patients and doctors; in due course, we'll unearth the truths. Therefore, the essence for humanity is in seeking solutions and exerting efforts. Creation and appreciation are solely within Allah's domain. He alone holds the knowledge of the future. Sometimes, when my patients inquire about their outcomes, I jest, saying, "Let me call Allah and ask," to encourage them to approach the situation with the right mindset. However, after a brief pause, they might ask the same question again.

Let's extend compassion to these individuals who struggle to express themselves due to their helpless situation. Let's avoid providing false hope or causing disappointment. Let's abstain from making definitive judgments on matters we don't fully understand. This misperception has deeply entrenched itself in our minds. Curiously, such expressions don't befit even older individuals, let alone younger students, who often unknowingly repeat these erroneous sentences to patients, which is a profoundly incorrect approach.

In essence, it's inappropriate for human beings, even those considered knowledgeable, to assertively speculate about what God knows. Our responsibility is solely to convey the truth. However, don't be disheartened if people don't readily believe you, as guidance and healing are bestowed solely by Allah. A crucial reminder is that attempting to forcefully instill belief holds no merit, neither from individuals nor from God.