In medical phrases, this situation is generally recognized as Azoospermia since it is related to very bare or no sperm fertility test in the semen. Explained to impact about 1% of the whole male population. This situation is one of the main explanations for male infertility.
There could be two apparent reasons for this condition: non-production of sperm or the presence of any stoppages deterring the sperm from attaining the ejaculation stage.
While the next case is fairly simple to solve, a sufferer who has zero sperm score due to stoppages or some hereditary situation that staves off the discharge of sperms needs a particular surgical procedure and techniques to promote an intracytoplasmic sperm injection.
Until current times, the simple two choices accessible for a man undergoing azoospermia were either to adopt a kid or employ donor sperm. Still, with current medical developments, there is an entire span of surgical and non-surgical methods which can promote the procedure of pregnancy.
Protocols Accessible for Infertility in Men
Many typically learned methods accessible are
- Testicular Sperm Aspiration or TESA
- Percutaneous Epididymal Sperm Aspiration (PESA)
- Percutaneous Biopsy of the Testis (Perc Biopsy)
- Microsurgical Epididymal Sperm Aspiration (MESA).
TESA is an interfering technique with a needle to penetrate through the epidermis of the scrotum which then aspirates the liquid inside the testicle. The Perc Biopsy is a related method performed with a larger needle to remove more sperm. In PESA, the pointer is rapidly vaccinated into the epididymis.
MESA is a clear surgical method wherein the tubules of the epididymis are found with the assistance of an operating microscope with considerable accuracy to aspirate a larger quantity of sperms.
In an outbreak of sufferers who have zero sperm score and don’t have any stoppages as well. There are particularly developed sperm recovery procedures like Testicular sperm extraction (TESE) in which the scrotum is opened up surgically and a large quantity of testicular tissue is removed from several parts of the testicles to test and isolate sperms from them.
Another method named the Microdissection TESE pertains to a further attentive dissection of the testicle tissue with the assistance of a microdissecting microscope. This procedure is less adverse and has an effect on tiny blood vessels post-surgery. The hazard of reducing them is also broadly low in this method.
How Do You Recognize If You Have Azoospermia?
- If you’ve been attempting without a chance to get your spouse pregnant, your physician might test you for this circumstance.
- Early, you’ll provide the species of your semen, and a lab will assess them with a high-powered microscope. If the findings indicate no sperm in your semen in two different circumstances, then you’ve got azoospermia.
- Your physician will again struggle to conclude what’s resulting in the difficulty. They’ll provide you with a complete biological exam, inquire about your medical past, and test your blood to assess your hormone degrees.
- If your hormone categories are ordinary, your physician may order a scrotal or transrectal ultrasound to notice an obstacle. An MRI may verify the diagnosis. Sometimes, surgery is the only means to discover the obstacle.
- If you don’t have a stoppage, hereditary examinations can discover if you have a crisis in your genes.
Are There Different Types of Azoospermia?
There are two major varieties of azoospermia:
Obstructive Azoospermia
This category of azoospermia tells that there is a stoppage or losing relation in the epididymis, vas deferens, or elsewhere along your reproductive area. You are generating sperm but it’s getting halted from departure so there’s no measurable quantity of sperm in your semen.
Nonobstructive Azoospermia
This category of azoospermia tells you to have poor or no sperm production due to deficiencies in the hierarchy or purpose of the testicles or other reasons. Normal sperm morphology analysis can be done.
