Doctor insights on:
Symptoms Of Azoospermia
I have azoospermia. My FSH level is 7.74, LH is 7.73 and testosterone total is 2.13. Is this symptom for pri or sec hypogonadism. Sam taken at 7:30 am?
Azoospermia: In males with azoospermia it is important to rule out obstructive versus non-obstructive azoospermia. This can be accomplished by looking at the ejaculate volume, ph, and the presence or absence of fructose. A history and physical examination with appropriate lab testing is important. In this case i would repeat the testosterone in the A.M. (in our lab 2.13 is low) and this would be secondary. ...Read more
No sperm in semen: Azoospermia means there is no sperm in a man's ejaculate. This can either be from obstruction or lack of production. A urologist with fertility training can make that diagnosis and provide treatment options. Often, men that have no sperm in semen make a small amount of sperm that can be retrieved from the testicle for in vitro fertilization. ...Read more
Depends on what kind: When azoospermia (no ejaculated sperm) is due to obstruction, the obstruction may be fixable with surgery. If it is due to a poorly functioning testicle, it rarely is curable but in most cases it is 'treatable' (i.E you can have kids.' read more at: azoospermia-sample-causes-no-sperm-count-success-stories. ...Read more
Answered?: Two causes for no sperm in semen: Complete blockage of transportation by vasectomy or inborn vasa atresia; no sperm production by germ cell or testicular failure such as Sertoli cell-only symdrome, poor germ cell stimulating hormone (LH), etc. How to resolve it? None, but if obstruction is identifiable such as post-vasectomy or obstruction at ejaculatory ducts, surgical release of obstruction can. ...Read more
No good home test: Azoospermia should be diagnosed by an andrology lab at a fertility clinic or urology clinic. More than one semen analysis is needed to confirm the diagnosis. If we see a semen sample with no sperm we use a centrifuge to 'spin down' the specimen so that we can find very low numbers of sperm. See a fertility md. Even if you have a microscope at home i don't recommend home testing for this condition. ...Read more
Azoospermai: It depends upon the cause of the condition. If it is due to a production problem ie. low FSH and low LH it can be corrected with hormones. If it is due to a failure of the sperm generating cells there is little than can be done. I suggest that you go recognized male infertility specialist.. Initially you need a blood test of the gonadotropics (FSH/LH), and testosterone. ...Read more
Perhaps: A man would only know of his defective spermatozoa if there was an issue raised in the past and he had this tested. With azoospermia comes infertility, an important issue with his partner or marital partner if offspring are a goal. Ethically this should be discussed with the partner if in fact it is known to the man. ...Read more
Two Main Pathways: A total lack of sperm results from either obstruction of flow or failure to produce. Blood testing for low hormones is always done. If the brain hormones and semen volume are normal, a testicle biopsy can evaluate for any sperm production as well as get a few sperm. Obstruction can occur from absence of the vasa or blockage/scarring of the tubes. If not fixable, sperm harvesting can be done. ...Read more
Depends on diagnosis: Azoospermia can be caused by many things. Blockage from prior infection, surgery, chemotherapy or radiation damage, hormonal issues or simply, the testicle running out of sperm producing cells. The last cause is the most difficult because there is no treatment. Sometimes even though there are no sperm in the ejaculate, we can find sperm in the testicle that can be used with ivf/ icsi. Evaluation. ...Read more
Death of sperm cells: Sperm is created from a very early sperm forming cell. All sperm comes from the duplication and then splitting of these early sperm cells. They then grow for the next 90 days to become what is ejaculated. Chemotherapy kills these early cells which then prevents any further sperm to be made. By killing the early progenitor cells it prevents the growth of mature sperm. ...Read more
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