Azoospermia

Azoospermia = No sperm in semen

Vankkam, namaste & welcome to Dr. Shahs Clinic, if you have been diagnosed with azoospermia and are looking for an azoospermia treatment in chennai, you have come to the right spot. In this short article lets quickly go through about azoospermia and its management.

‘Azoospermia is the one thing every man fears. It means ‘No sperm count’

What is Azoospermia?

Azoospermia literally means ‘no sperm in semen’. Azoospermia is one of the leading causes of male infertility and is frequently the cause of infertility in at least 10% of males who present to our andrology hospital in Chennai

A patient is diagnosed with azoospermia if at least 2 semen reports done shows the lack of spermatozoa both in the neat sample as well as the centrifuged resuspended sperm pellet.

What are Azoospermia Symptoms?

Azoospermia is suspected in a man when he presents to the male infertility clinic with the following signs and symptoms

  1. He is unable to father a child even after one year of regular unprotected sexual intercourse.
  2. He is Obese and fat, and also has poor and sparse hair density
  3. His testis size is small and also feels soft
  4. His semen appears watery in nature
  5. He produces very little semen
  6. He suffers from lot of stress and pressure to conceive

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How is Azoospermia diagnosed?

A diagnosis of Azoospermia is usually made by looking at atleast two semen analysis. What is also important is that semen has to be centrifuged and the pellet thus formed should also not contain sperm. If the pellet contains sperm this is not Azoospermia but rather a severe form of oligozoospermia (very low sperm count)

What is Obstructive Azoospermia?

Azoospermia is of two types mainly. Obstructive Azoospermia is a type of Azoospermia were there is some sort of block to sperm transport and thus the sperm is not seen in the semen. Obstructive Azoospermia can be caused due to

  1. Blocks in the vas (the tube that transports sperm for ejaculation)
  2. Block in the ejaculatory duct (the tube that mixes sperm with other reproductive glands)
  3. Block within the testis (the site where sperm is produced)
  4. Block in the epididymis (the structure where sperm is stored just above the testis)

Some causes of Obstructive Azoospermia include

  1. Infections
  2. Mumps infection that affects the testis
  3. Testis Injuries
  4. Genetic problems were the vasa is absent from birth
  5. Some surgeries done on the prostate can also cause Obstructive Azoospermia
  6. Vasectomies

Treatment options for Obstructive Azoospermia

When you visit an infertility specialist he choice of treatment will depend on the cause of azoospermia.

Some forms of Obstructive Azoospermia can be surgically corrected while some forms cannot be. Whether a surgical correction of the obstruction is possible clearly depends on the site of the obstruction. In patients were a surgical correction of the obstruction is not possible the following techniques can be used to obtain sperm from the testis.

  1. PESA (Aspirating sperm from the epididymis)
  2. TESE (Extracting sperm directly from the testis)

The sperm thus obtained can then be used for treating male infertility by IVF/ICSI.

What is non-obstructive Azoospermia?

In non-obstructive Azoospermia there is no obstruction that is leading to no sperm in the ejaculate..

Instead, the testis is in failure thus leading to very low sperm output and hence the sperms do not appear in the ejaculate. The causes of testicular failure are numerous as listed below

  1. Genetic causes like Y-chromosome Microdeletion
  2. Klinefelter’s Syndrome
  3. Mumps orchitis
  4. Hypogonadotrophic Hypogonadism
  5. Testicular trauma
  6. Testicular torsion
  7. Undescended testes
  8. Radiation
  9. Chemotherapy
  10. Medications

Treatment options for Non-obstructive Azoospermia

Non-obstructive Azoospermia leads to severe form of male infertility and the best way to treat it is surgically retrieving sperms directly from the testis (TESE). Although a few new male infertility treatment options can be tried.

Except for men with hypogonadotropic hypogonadism were hormone injections can be given to bring the sperm output, most of the time TESE is the way to go.

Interestingly, TESE, if done right, can give a success rate if 50%, thus allowing many men with azoospermia to father their own biological children.

Can Azoospermia be treated?

Our ability to treat Azoospermia clearly depends on the cause of Azoospermia. A surgically correctable cause requires surgical correction, a hormonal deficit needs hormonal supplementation. Other causes require other complex management strategies.

At our clinic, the management decisions for treating Azoospermia depends purely on the individual patient’s clinical work.

If you are suffering from Azoospermia the best thing to do would be is to visit an Andrologist for proper workup.

Looking for an Azoospermia treatment in Chennai? Get in touch with us below

Suffering from Azoospermia?. Confused about which azoospermia treatment in chennai to choose? Do not worry. Get in touch with us below.

Dr. Shah’s Clinic for Male Infertility & Sexual Health
No 5, Hindi Prachar Saba Rd, Parthasarathi Puram, T. Nagar, Chennai, Tamil Nadu 600017
Ph: +91-9789843856

Meet Dr. Shah at the Male Infertility & Sexual Health Clinic

Dr. Shah is Consultant Andrologist and Sexologist in Chennai. His passion for helping men facing infertility issues stems from the fact that “Men never ever get the care they deserve as far as fertility treatments are concerned”

References

https://academic.oup.com/humrep/article-abstract/10/6/1457/643732

https://link.springer.com/chapter/10.1007/978-3-030-32300-4_57

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