Post Date April, 15 2023
In China, the word "descendants" means the generation after generation of descendants, the inheritance of blood lines, and the prosperity of surnames and clans... The ancients said, "There are three ways to be unfilial, and no descendants are great.". Therefore, for Chinese men, the pain and helplessness hidden behind the word "empress less" is beyond the imagination of men in other countries.
In the past, men with azoospermia ultimately had to rely on adopting children to solve the problem of "no offspring"; But now, through the treatment of seminal tract reconstruction or in vitro fertilization, such unfortunate patients can often have their own babies smoothly.
People with azoospermia also have fertility prospects
"Doctor, if you don't save me, I'll jump directly off the roof of this building!"
In the Sun Yat sen Memorial Hospital of Sun Yat sen University, Shen Changli, the deputy chief physician of the Reproductive Center, once performed such an amazing scene. A middle-aged woman burst into tears, which made everyone present feel heartbroken.
It turned out that Mr. and Mrs. Wang had been unable to conceive a child after 8 years of marriage, seeking medical advice everywhere, and spending a lot of money, but they were still unable to successfully conceive. "We have used all kinds of methods, including folk remedies and local remedies, and many doctors have prescribed a large amount of drugs, but they just can't. If this goes on like this, I really don't want to live anymore!" Mrs. Wang was disheartened at the thought of the pressure brought on her by society and family. Seeing that her marriage was also in jeopardy, she held her husband to the reproductive center with the last hint of hope.
"Don't worry. Infertility and infertility are not necessarily a matter for your daughter. When you come here, both husband and wife need to undergo an examination to determine who has the problem, find the cause, and then apply the appropriate medicine to the case to see how you can solve your fertility problem." Shen Changli comforted Mrs. Wang, who couldn't help crying, and began examining their husband and wife.
Finally, the examination results showed that Mrs. Wang was in good physical condition. Although she was over 35 years old, the egg quality was still good; After semen analysis and examination, it was found that there was not a single sperm in Mr. Wang's semen. The doctor checked that Mr. Wang's testicles were normal in size, but he could not touch two vas deferens. Finally, through B-ultrasound and other imaging studies, it was confirmed that Mr. Wang had a congenital absence of vas deferens leading to obstruction of the seminal tract, which is known as "obstructive azoospermia.".
Shen Changli told Mr. Wang that male infertility requires a clear diagnosis and treatment based on the cause of the disease is ideal. If you suffer from this disease, whether you go to a small clinic to take a lot of drugs or find a prescription, it is futile. Only by removing the obstruction of the seminal tract through surgery or puncturing the epididymis through surgery, and taking sperm from the testicles for a test tube baby can you realize your dream of procreation.
After treatment, Mrs. Wang gave birth to a pair of twins, and they were finally lucky to have the children they had dreamed of.
Sperm blocked in the body
Azospermia, as the name suggests, is the inability to detect sperm in a man's semen after multiple tests. Azospermia is divided into obstructive azoospermia and non obstructive azoospermia.
Obstructive azoospermia refers to a condition in which the testicle can produce normal sperm, but there is a problem with the delivery path, such as the epididymis, vas deferens, and ejaculatory ducts, causing obstruction, causing normal sperm to be obstructed within the testicle, epididymis, or vas deferens and not ejected outside the body.
Shen Changli introduced that there are many reasons for obstructive azoospermia, first of all, congenital malformations such as absence of vas deferens, absence of seminal vesicles, congenital obstruction of ejaculatory ducts, Mullerian duct cysts, and such patients are primary azoospermia. The second is azoospermia secondary to inflammatory lesions, tumors, trauma, and other diseases. This type of patient has sperm before suffering from the above diseases, and gradually reduces sperm to no sperm at all.
Non obstructive azoospermia belongs to testicular spermatogenesis dysfunction, which is caused by congenital gonadal dysgenesis, chromosomal lesions, or unknown causes, such as testicular dysplasia, bilateral testicular atrophy, which accounts for about 60% of azoospermia and 10% of male infertility. Currently, there is no particularly good treatment for this group of patients, as most patients have difficulty producing normal sperm in their own bodies. The main method of treatment is to use sperm from a sperm bank to assist in artificial reproduction or adoption of a child. At present, new research has found that among these patients, testicular microscopic sperm extraction methods have been used, and it has been found that there may be localized spermatogenic regions in the testicles of patients to varying degrees. As long as sperm can be found for in vitro fertilization, there is a possibility of fertility. There have been reports of successful cases abroad.
