DIFFERENCE BETWEEN OLIGOSPERMIA AND AZOOSPERMIA AND IT’S NATURAL TREATMENT IN NIGERIA

WHAT IS AZOOSPERMIA?

Azoospermia (commonly referred to as “no sperm count”) is a male fertility issue many men face.

Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.

If there is a problem with sperm production.

There is a blockage such that sperm production, although normal, cannot reach the ejaculate

Conditions That Cause Azoospermia

Primary testicular failure, Klinefelter syndrome

Y chromosome microdeletions

Genetic infertility due to abnormal chromosomes (karyotype)

Unexplained genetic infertility

Secondary testicular failure, Kallman syndrome

Unexplained gonadotropin deficiency

Hypothalamic/pituitary tumor

Hyperprolactinemia

Cancer treatment (chemotherapy, radiation, surgery)

Varicocele effect

Pituitary suppression, drug induced (anabolic steroids, alcohol, glucocorticoids)

Testosterone supplements

Congenital adrenal hyperplasia

Severe illness (cancer, kidney or liver failure)

Diabetes mellitus

Sickle cell anemia

Hemachromatosis

Sperm autoimmunity

Pesticide/toxin exposure (including hot tubs and baths)

Undescended testicles at birth

Obstruction, congenital absence of the vas deferens (CAVD)

Ejaculatory duct obstruction

Epididymitis

Scrotal trauma or surgery

Young syndrome

Vasectomy

WHAT IS OLIGOSPERMIA

Oligospermia is a male fertility issue characterized by a low sperm count. Other aspects of the sexual health of men with this condition are typical. This includes the ability to get and maintain an erection, as well as produce ejaculation at orgasm.

Sperm count in your ejaculate can vary throughout your life. A healthy sperm amount is often necessary for fertility. The World Health Organization (WHO) classifies sperm counts at or above 15 million sperm per milliliter (mL) of semen as average. Anything below that is considered low and is diagnosed as oligospermia.

• Mild oligospermia is 10 to 15 million sperm/mL.
• Moderate oligospermia is considered 5 to 10 million sperm/mL.
• Severe oligospermia is diagnosed when sperm counts fall between 0 and 5 million sperm/mL.

It’s unclear how many men have low sperm amounts in their semen. This is, in part, because not everyone with the condition is diagnosed. Only men who have difficulty with conceiving naturally and ultimately seek help may be diagnosed.

Causes

Several conditions and lifestyle factors can increase a man’s risk for oligospermia.

Varicocele

Enlarged veins in a man’s scrotum can disrupt blood flow to the testicles. This can cause the temperature in the testicles to increase. Any increase in temperature can negatively impact sperm production. About 40 percent of men with low sperm numbers or low sperm quality count have this common issue. Read more about varicocele.

Infection

Viruses like sexually transmitted infections can reduce the sperm amount in semen.

Ejaculation issues

While many men with oligospermia have typical ejaculations, some ejaculation problems may reduce sperm count. Retrograde ejaculation is one such issue. This occurs when semen enters the bladder instead of leaving from the tip of the penis.

Other things that may interfere with typical ejaculation include:

• injuries
• tumors
• cancer
• past surgeries

Medications

Beta blockers, antibiotics, and blood pressure medications may cause ejaculation problems and reduce sperm count.

Hormone issues

The brain and the testicles produce several hormones that are responsible for ejaculation and sperm production. An imbalance in any of these hormones may lower sperm count numbers.

Exposure to chemicals and metals

Pesticides, cleaning agents, and painting materials are a few of the chemicals that can reduce sperm count. Exposure to heavy metals, such as lead, can cause this problem, too.

Overheating testicles

Sitting frequently, placing laptops over your genitals, and wearing tight clothing may all contribute to overheating. An increase in temperature around the testicles may temporarily reduce sperm production. It’s unclear what long-term complications may occur.

Drug and alcohol use

The use of some substances, including marijuana and cocaine, may reduce sperm counts. Excessive drinking can do the same. Men who smoke cigarettes may have lower sperm counts than men who do not smoke.

Weight problems

Being overweight or obese increases your risk for low sperm counts in several ways. Excess weight can directly reduce how much sperm your body can make. Weight problems may also interfere with hormone production.

How does oligospermia affect fertility?

Some men with oligospermia can still conceive despite lower sperm counts. Fertilization may be more difficult, however. It may take more attempts than couples without a fertility issue.

Other men with oligospermia may have no problem with conception, despite the low sperm numbers.

Some of the most common causes of oligospermia also increase a man’s risk for other fertility issues. This includes sperm motility problems.

Sperm motility refers to how “active” sperm are in a man’s semen. Normal activity allows sperm to swim toward an egg for fertilization easily. Abnormal motility may mean the sperm don’t move enough to reach an egg. The sperm may also move in an unpredictable pattern that would prevent them from reaching an egg.