WHAT IS AZOOSPERMIA?

Azoospermia is the complete absence of any sperm in a man’s semen. It is found in 5-10% of men who seek infertility treatment. Consequently, azoospermia is a major cause of male infertility.

1. WHAT IS THE CAUSE OF AZOOSPERMIA?

Azoospermia can be divided into two broad categories:

Obstructive Azoospermia (OA): OA means that sperm are being produced normally inside the testicle, but there is a blockage or obstruction in the reproductive tubing that is preventing the sperm from flowing to the outside world.

Non-Obstructive Azoospermia (NOA): NOA means that the tubes are open, but there is a sperm production problem where either no sperm are produced at all or there is a very low level of sperm production. This level is often so low that the sperm never make it all the way out of the testicle and can only be found inside the testicle during surgery.

Causes of Obstructive Azoospermia

Causes of obstructive azoospermia can be genetic, congenital, or acquired.

Vasectomy: The most common cause of obstructive azoospermia, this surgical procedure interrupts the sperm ducts to stop the flow of sperm.

Infection: Obstructive azoospermia can also be caused by infections of the testicles, prostate, or reproductive tract such as epididymitis/orchitis, prostatitis, and venereal diseases such as Chlamydia. These can cause a blockage in the small tubules of the epididymis or the ejaculatory duct.

Congenital Conditions: Some men are born missing a portion of the vas deferens that is essentially a genetic situation similar to a vasectomy. Other men are born with a cyst in the prostate that blocks the ejaculatory ducts.

Surgical Complications: Surgical procedures performed on the urogenital organs or hernia repair can result in scarring that leads to a blockage. This is more common in pediatric patients because the reproductive tract is so small in children.

Causes of Non-Obstructive Azoospermia

Non-Obstructive azoospermia can be caused by abnormalities within the testicle or with reproductive hormones that control sperm production. The causes can be genetic, congenital or acquired.

Some causes can be treated effectively and others can be bypassed to allow a man to father a child with IVF. Some men have a problem with the production of hypothalamic or pituitary hormones and this is treated by replacing the missing hormones in order to encourage sperm production.

Genetic Causes: These include chromosomal abnormalities where the number of chromosomes is not as it should be (called aneuploidy) or parts of the chromosome arms break off and switch locations (called translocations).

The most common chromosomal problem causing azoospermia in men is a situation where there is an extra X chromosome. This is called Klinefelter Syndrome.

Another genetic cause of azoospermia is a deletion of some of the genes on the Y-chromosome. The Y-chromosome is responsible for giving men their “male” characteristics. When one or more of the genes on this chromosome that is responsible for sperm production are deleted, it can result in azoospermia.

Genetic causes of azoospermia are not reversible but most men with genetic issues still produce small amounts of sperm within the testicles that can be used to father normal children.

Varicocele: This reversible cause of NOA is characterized by varicose veins around the testicle. This condition is the most common cause of male infertility and is easily fixable. Most varicoceles only cause a minor lowering of sperm count but in some cases the varicocele results in azoospermia.  Hypospermatogenesis: This means that there is sperm production within the testicle but just at lower amounts than normal, and what would be required to see sperm on a routine semen analysis. This is the most common finding on biopsy.

Maturation Arrest: In this situation there is a problem in the development of sperm during the maturation phase that causes the testicle to fill with only precursor sperm. This arrest in development can occur at an early or late stage of the sperm maturation process. There is close to a 50% chance of finding some mature usable sperm in this situation.

Sertoli-Cell Only Syndrome (SCO) or Germ Cell Aplasia (GCA): This is typically a worst-case-scenario cause of NOA. With SCO or GCA, the germ cells that divide and become sperm are missing from the testicle. But even in this situation 15-20% of men with SCO will have some low level of sperm production somewhere within the testicle.

2. CAN YOU TREAT AZOOSPERMIA?

YES. Treat azoospermia naturally with our Azoospermia solution kits

3. WHAT CAUSES A MAN TO STOP PRODUCING SPERM?

Male infertility is usually caused by problems that affect either sperm production or sperm transport. 

4. WHAT IS OLIGOSPERMIA AND AZOOSPERMIA?

Azoospermia is characterized by the absence of sperm in the semen

Oligospermia is defined as the presence of fewer than 5 million sperm/mL of ejaculate. In the absence of clinical intervention, successful fertilization is rare in both cases

5. IS AZOOSPERMIA PERMANENT?

Pre- and post-testicular azoospermia are frequently correctible, while testicular azoospermia is usually permanent in situations where the testes are normal but unstimulated.

6. WHAT DOES AZOOSPERMIA MEAN?

Azoospermia is the medical condition of a man whose semen contains no sperm. It is associated with infertility.

7. WHAT SHOULD BE THE NORMAL SPERM COUNT?

Normal sperm densities range from 15 million to greater than 200 million sperm per milliliter of semen. You are considered to have a low sperm count if you have fewer than 15 million sperm per milliliter or less than 39 million sperm total per ejaculate

8. CAN TESTICULAR FAILURE BE TREATED?

Most forms of testicular failure are irreversible. Testicular cancer, one of the reasons testes fail, is often curable when treated early, but can have serious consequences if it spreads to other parts of the body.

9. WHAT ARE THE CAUSES OF TESTICULAR FAILURE?

Testicular failure is uncommon. Causes include:

Certain medicines, including glucocorticoids, ketoconazole, chemotherapy, and opioid pain medicines

Diseases that affect the testicle, including hemochromatosis, mumps, orchitis, testicular cancer, testicular torsion, and varicocele

Injury or trauma to the testicles

Obesity

Genetic diseases, such as Klinefelter syndrome or Prader–Willi syndrome

Other diseases, such as cystic fibrosis

10. WHAT IS TESTICULAR DYSFUNCTION?

There are two primary disorders that affect the male reproductive external organs. These include penis disorders and testicular disorders. Disorders of the penis and testes can affect a man’s sexual functioning and fertility. The testicles, also called testes, are part of the male reproductive system.

11. CAN EPIDIDYMITIS GO AWAY ON ITS OWN?

Epididymitis is felt quickly with redness and pain, and it goes away with treatment. Most cases of epididymitis are seen in adults.

12. IS MY SPERM FERTILE?

In general, if you have a higher number of normal-shaped sperm, it means you have higher fertility.

13. HOW CAN A MAN CHECK IF HE IS FERTILE?

Physical exam

Semen analysis

Hormone test

Sperm DNA fragmentation test

Semen culture

Genetic test

Hypo-osmotic swelling test (HOS)

Testicular biopsy

14. HOW CAN I MAKE MY SPERM STRONGER?

Our sperm count solution kits is the best solution to your sperm problem

15. WHAT MEDICINE CAN A MAN TAKE TO INCREASE SPERM COUNT?

The best way to increase sperm count is using our sperm count solution kits

16. HOW LONG DOES IT TAKE TO INCREASE YOUR SPERM COUNT?

It takes about 72 days for a sperm cell to be created, mature, and get ejaculated. So conventional wisdom states that it takes about 2-3 months to see improvements in sperm count.

17. HOW LONG DOES IT TAKE FOR A MAN TO REFILL SPERM?

For most men, it takes between 24 and 36 hours to “replenish” all the way after ejaculating and get back to their normal sperm count. However, the testicles are producing new sperm all the time. Even five minutes after a man’s last ejaculation, there are a few sperm ready to go.

18. HOW CAN I INCREASE MY SPERM COUNT NATURALLY?

The best way to increase your sperm count is by using our sperm count solution kits.

19. CAN YOU GET PREGNANT IF A MAN HAS LOW SPERM COUNT?

As far as getting pregnant, yes, it’s possible. If there is any sperm present in a man’s semen a woman can get pregnant. It’s usually a little more difficult, but it definitely happens.

20. CAN YOU RUN OUT OF SPERM?

There’s no limit in the amount of sperm that a man can produce. If you ejaculate many times in a row – whether it’s from masturbation or from sex, you may have less sperm in each subsequent ejaculation, but rest assured that it will return to normal levels within a day.

21. WHAT AGE DO YOU STOP PRODUCING SPERM?

A man’s age matters. As men get older, the chances of conceiving and having a healthy child decline. Male fertility starts to decline after 40 when sperm quality decreases. This means it takes longer for their partners to conceive and when they do, there’s an increased risk of miscarriage.

SYMPTOMS OF AZOOSPERMIA

Studies shows that there are no symptoms for Azoospermia except the Chief symptom of Incapability to conceive a Child

So, How Can I.A.& S. Wellness Centre Help Me To Solve My Azoospermia Problem?

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