Doctor insights on:
What Is Azoospermia
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
Unblock vas: Azoospermia may be due to a blockage. Might be correctable and thus curable. Please see a urologist specializing in infertility for a work up. You might be candidate for sperm aspiration or direct sperm extraction from testis followed by invitro fertilization (ivf) or intra-cellular sperm injection (icsi). ...Read moreSee 2 more doctor answers
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
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
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