
Episode #197
What To Do When You Are Told There Is No Sperm: The STAR System Explained
If you or someone you love has been told there is no sperm, this episode is for you. In this episode of the Building Your Family podcast, Lisa talks with Dr. Eric Forman of Columbia University Fertility Center about STAR, Sperm Tracking and Recovery, an AI powered system that can find ultra rare sperm that human embryologists may miss entirely. What you will learn in this episode: What STAR is and how it works — scanning millions of images in under two hours to find sperm hidden among debris and other cells The difference between obstructive and non-obstructive azoospermia and why it matters for your treatment path What STAR can and cannot do — it finds sperm that are nearly impossible to see, but it does not create sperm or improve sperm quality How STAR works alongside surgery, IVF and ICSI rather than replacing them The Klinefelter syndrome case where STAR helped find sperm after surgery and led to a healthy birth Why a reproductive urology consultation still matters even when your clinic is focused on IVF What causes sperm problems — testosterone use, anatomical issues, genetic conditions and more How available STAR is today and how to access it This is one of the most important conversations about male infertility and what is now possible for men who have been told they have no sperm. Free Resources: Take the free quiz: familybuilding.net/welcome-quiz Lisa Schuman LCSW is the founder of The Center for Family Building, author of Building Your Family: The Complete Guide to Donor Conception, and host of the Building Your Family podcast. Your feelings deserve attention. And your decisions deserve clarity. Episode Resources: Time article: https://time.com/collections/best-inventions-2025/7318439/columbia-university-star-method/ Website: https://www.columbiadoctors.org/specialties/obstetrics-gynecology/our-services/columbia-university-fertility-center/our-services/sperm-tracking-and-recovery-star

