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How is Azoospermia Treated?

What is Azoospermia?

Many couples around the world  suffer from infertility. Almost half of the patients who have consulted  a doctor for infertility have low sperm counts. There should be at least 40 million sperms in the sample according to normal ranges. If there is no sperm, we call it azoospermia.

What are the Reasons for Azoospermia?

2 main causes of azoospermia are obstruction of ducts or lack of sperm production. Obstruction is mainly due to cysts, lesions, infections or surgeries. Sperm production problems may be due to varicocele, cryptorchidism, infection, genetic disorders, hormonal problems or idiopathic.

How is Azoospermia Treated?

Firstly, it is important to determine whether the patient has azoospermia. This can be understood by using a method called spermiogram. If no sperm cells are seen after 2-3 spermiograms that are examined every 2 weeks, the diagnosis of azoospermia is made. Initial follow up should include basic hormonal profile, testicular sonography, Y microdeletion analysis and karyotyping. After analysis, treatment model based on the diagnosis should be applied.

Microscopic TESE method is the biopsy of both testicles in order to find mature spermatozoa. By magnifying testicular tissues, biopsy specimens are obtained from testes. Microscopic TESE is almost the most successful biopsy method and may reveal sperms up to 50%.

In most cases there is a sperm. However, in some cases where sperm cannot be found, tissue samples are sent for pathological diagnosis..