Azoospermia

A condition called Azoospermia is when there is no sperm within semen. 1% of all men, and 10%-15% of men suffering from infertility around the world have azoospermia.

Azoospermia is classified into two subsections:

Even though there is semen in the testicles, it cannot come out due to a blockage in the tubes or testicles.

The main source of this issue might be because of the fact that the tubes do not exist congenitally or there were some infections on the genital. It is possible for men to get this condition as they get older.

This type is derived from genetics or hormonal disorders by birth. For example, retractile testicles may be counted as a reason. Even though it is rare, radiation can also be one of the reasons.

The biggest factor, which should be taken into consideration while diagnosing azoospermia, is to not mistake it with oligospermia. In heavy oligospermia conditions, it is possible that there is a small number of sperm in the semen, and it can be used for microinjection. In that case, the need for additional tests can be prevented. The World Health Organization announced that “azoospermia can only be used if no spermatozoa are found in the sediment of a centrifuged sample.”

 

Before starting the treatment, the correct diagnosis is very important. If the patient suffers from azoospermia due to a blockage, the blockage can be opened via surgical operation, which allows for sperm to come out. The natural fertility process is observed.

In other situations, sperm is obtained from testicles or canals via a surgical operation. After the diagnosis, the micro-TESE approach is applied, which is known to be the best biopsy technique. This technique gathers tissues from certain points, where sperm can be found from eggs via a microscope. In exceptions, if there is no sperm found, the gathered tissue is sent to the pathological diagnosis. Depending on the results, after the treatment which will be provided by the doctor, the micro-TESE technique is repeated to collect sperm.