A condition called Azoospermia is the situation when there is no sperm in the semen. 1% of men , and between 10% to 15% of the men with infertility problems around the world suffer from “azoospermia” condition.

It is classified into two subsections;

It means even though there is semen in man’s testicles, it does not come out due to a blockage in the tubes or testicles.

The main source of that kind of problem 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 kind is derived from genetics or hormonal disorders by birth. For example: retractile testicles can be counted as a reason. Even though it is rare, radiation can be one of the reasons.

The biggest factor, which should be taken into consideration while diagnosing “azoospermia”, is not to mistake it with “oligospermia”. In heavy “oligospermia”, 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. 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 blockage, the blockage can be opened via surgical operation, which enables sperm to come out. The natural fertility process is observed.

In other situations, sperm is obtained from testicles or canals via surgical operation. After the diagnosis, micro-TESE approach is applied, which is known as the best biopsy technique. This technique enables to gather tissues from the points, where the sperm can be found, of the eggs via 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, micro-TESE technique is repeated to collect sperm.