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Azoospermia - Male Infertility Condition

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Azoospermia is one condition that can cause male infertility. With azoospermia, a man produces no sperm, or very little sperm in his ejaculate, giving him a zero sperm count. Azoospermia can result from a problem with sperm production or sperm delivery.

While this may seem like it would prohibit a man from fathering a child, there are treatment options that may help a man with azoospermia deliver sperm correctly or produce more sperm.

Rates of Azoospermia

The American Society of Reproductive Medicine estimates that azoospermia affects about 1 percent of all men. For men seeking treatment for infertility, the number jumps to 10-15 percent.

Types of Azoospermia

There are two types of azoospermia. Non-obstructive azoospermia results from abnormal sperm production. Obstructive azoospermia is caused by an obstruction or blockage that prevents or harms sperm delivery into the ejaculate.

Diagnosing Azoospermia

Azoospermia is diagnosed initially when no sperm can be detected under a high-powered microscope on two separate occasions.

Subsequent diagnostics will focus on determining the cause of azoospermia, which can help your doctor recommend treatment options. Your initial evaluation will include a complete medical history, physical examination, and tests of selected hormones. Your doctor will ask questions about your prior fertility, childhood illnesses or disorders, such as undescended testicles, genital trauma, infections, exposure to toxins, and family history of reproductive problems and other disorders.

Your doctor will then do a physical examination, taking into account things like testis size, secondary sex characteristics, and presence of varicoceles, which aer varicose veins in the scrotum.

An initial endocrine evaluation will also be done. You may be tested for measurements of serum total testosterone and follicle-stimulating hormone (FSH). Elevated levels of FSH may indicate that your testicles are not adequately producing sperm.

Other tests may include a transrectal ultrasound, urinalysis, or testicular biopsy.


Comments (13)

Hi my result of sperm test is zero, but three month ago my sperm account was 20ml and viscosity was grade 3, motility sperm short short tail, what happens now to have no sperm at all

Hi there,

You should consult a male fertility specialist or urologist for an evaluation.


I became pregnant after 10 yrs. My husband had Azoospermia so i was unable to get pregnant. But after taking Ayurveda medicine his sperm count increased. I would like to share my story too. I would like every one suffering from male infertility to know that Ayurveda medicine can help them. Please visit my blog thanks

Hi. My age is 24. Having both indescended testis now according to semen I hv azospermia Fsh was 26 two months back now I checked it was 18.7. What should I do surgery or is thr a chance of getting fertility?

Hi Doctor I got married 2 years ago. Just recently find out due undecended testicle I got no sperm in semen analysis. We would like have own baby. Is there any medicine. We are in ivf process. They said I have to do surgery to bring testicles down to scotrum and have to wait another 2 years if there is chance to get sperm in semen. Would you suggest anything? Pls reply

Hi San, I am not a doctor, but from what I understand, you could have a sperm aspiration procedure done to remove sperm from the testicles to be used in IVF. If you do have surgery to bring the testicles down, there is still a chance that you will not have sperm there. It seems like aspiration would be the best option for you. Good luck! Kim

Hi doctor , I am 34 yrs of age and got married before 9 months . My genital organ size and testies are normal in size . My wife conceived before 5 months which was weak positive . I conducted semen analysis which was declared poor. Pls suggest

Hi Jan, It is best for you to consult a urologist or fertility doctor for both you and your wife to have your fertility tested. Give us a call at 1-855-955-BABY (2229) to learn more about fertility doctors in your area. Best, Kim

May testies size is very small and zero sperm count

Hi Arjun, You would have the best luck consulting with a fertility doctor who would let you know if sperm can be retrieved from the testicular tissue. Give us a call at 1-855-955-BABY (2229) or email Best, Kim

there is big chance for men with azoospremia becouse there many ways to resolve

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