Post Date December, 03 2023
The birth of a baby is a beautiful combination of male sperm and female eggs, but if a man does not have sperm and the egg cannot wait for her Romeo, he can only die alone and naturally cannot conceive a lovely baby. In the out-patient clinic of the reproductive center, men often encounter asthenospermia, oligospermia and other diseases that affect their fertility due to sperm problems, but the most troublesome of them is azoospermia.
Azoospermia, as its name implies, is that there are no sperm in the ejaculated semen. Generally speaking, if no sperm is found in the ejaculated semen for three consecutive times, it can be called azoospermia. Azoospermia accounts for 15%~20% of male infertility patients. Azoospermia can be divided into obstructive azoospermia and non obstructive azoospermia.
Obstructive azoospermia refers to the inability to detect sperm in semen due to various urinary system infections, vas deferens ligation operations, congenital vas deferens dysplasia or external genitalia damage and other reasons, resulting in the blockage of sperm output pipeline and the inability of sperm to be discharged from the body. However, due to the normal spermatogenic ability of the patient's testis, the andrologist can help the patient to reproduce through the reconstruction of the spermatic duct (vasectomy, vasectomy and epididymis anastomosis, etc.), testicular and epididymis puncture and other methods.
Non obstructive azoospermia is mainly due to the poor development of the testis itself, which results in the abnormal spermatogenesis of the testis itself and the inability to produce sperm. Such as congenital sex chromosome abnormalities such as cryptorchidism, AZF gene Y chromosome C region deletion, hypothalamic pituitary disease and other diseases. Some of these patients may undergo testicular puncture or microscopic sperm extraction, or they may find sperm for in vitro fertilization.
In order to determine whether the patient belongs to azoospermia and is obstructive or non obstructive, it is necessary to carefully inquire about the medical history, physical examination (development of secondary sexual characteristics, such as testicular size), and examination (semen routine, seminal plasma biochemistry, sex hormones, ultrasound, etc.). Finally, diagnosis and treatment were given after examination and analysis.
