Blog

All About Azoospermia And Its Treatment

What Is Azoospermia And What To Do About It

It’s surprising to think that almost 1% of all males suffer from Azoospermia. Of the numerous cases of male infertility 15-20% are caused due to Azoospermia. Here we have an opportunity to look at all the different kinds of Azoospermia, what causes it and how to treat it using different ART methods.

What Is Azoospermia;

Azoospermia is the lack of sperm in the male ejaculate. If there is a deficiency of sperm in at least 2 ejaculate samples provided by the male it can be considered as a case of Azoospermia. Azoospermia can be diagnosed only after a complete physical exam, hormone report as well as genetic counselling. There are several kinds of Azoospermia such as Obstructive Azoospermia as well as Non-Obstructive Azoospermia which have different treatment methods.

Azoospermia  Classifications

Obstuctive and Non-Obstuctive Azoospermia are further classified into the following kind

Pre-testicular Azoospermia:

A type of Non-Obstructive Azoospermia which can be seen in almost 2% cases of all Azoospermia instances. It is usually characterized by insufficient stimulation of regular testicles and the genital path. Hypogonadotropic FSH levels lead to an insufficient stimulation of the testes to generate sperm.

Testicular Azoospermia:

Testicular Azoospermia is also another type of non-obstructive azoospermia. Testicular azoospermia is characterized by anomalous, atrophic, or even missing testes leading to disruption or lack of sperm generation. Testicular malfunction consists of a lower generation and even maturation seizing of sperm through the procedure of spermatogenesis.The problem is observed in 49–93% of adult males with Azoospermia. To properly diagnose the issue the male will have to undergo a chromosomal testing.

Post – Testicular Azoospermia:

A type of obstructive Azoospermia, post-testicular is classified by the production of sperm that does not get released. Typically affects about 7-51% of all males with Azoospermia. It is caused due to a physiological blockage of the genital tracts. The causes of Post- Testicular Azoospermia could be caused due to a large number of factors including surgical or congenital. Blockages could be caused in the tracts due to an infection, contamination or agenesis of the vas deferens.

Azoospermia Diagnosis:

Azoospermia is not easy to diagnose without a test. Physical study of the process consists of a comprehensive assessment of the scrotum, however it will hardly provide conclusive evidence of a lack of sperm in the semen. You need to do several fertility tests, including a semen analysis to understand the root cause of the problem.

Obstruction in your sperm ducts or an issue with the vas deferens can be established with the help of a transrectal ultrasound (TRUS) Transrectal ultrasound may also evaluate Azoospermia due to blockage, or even anomalies associated with blockage of the ejaculatory duct, like irregularities within the duct in itself, a median cyst of the prostate (suggesting a use for cyst aspiration), or perhaps an disability of the seminal vesicles to grow to be enlarged or simply emptied.

ART Assistance – Treatment For Azoospermia (IVF, ICSI)

Pre and post testicular azoospermia are usually treatable, testicular azoospermia is however everlasting. If Azoospermia is caused due to blockages then there can be surgical methods to remove the blockages for the male participant to be able to conceive naturally.

In recent developments men suffering from Azoospermia have been able to father children through the combination of IVF and ICSI ART processes. Here sperms are directly extracted from Testis or Vas difference or epidydymis  by using various male infertility treatment techniques like TESA, TESE, MESA and PESA. If these techniques are not feasible than IUI by donor sperm is a viable option .For more information on the best process to father children for men suffering from Azoospermia get in touch with your infertility specialist today.

Shrikhande IVF and Surrogacy Center in Nagpur, India is the leading fertility clinic for the treatment of male related infertility issues as they have inhouse andrologist Dr Anil Shrikhande with a vast experience of 30 years. The equipment and procedures used by Shrikhande IVF are among the best in the country providing you with a better opportunity to conceive using artificial reproduction techniques.

Tags: Azoospermia, Low sperm count, low sperm count treatment, Male Infertility treatment, Non-Obstructive Azoospermia, Obstructive Azoospermia, Sperm Count, Sperm Mobility, Sperm Motility