Azoospermia (No sperm in semen): Causes, Symptoms, Diagnosis & Treatment @ Dr Shah Dupesh
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- Опубліковано 10 лип 2022
- Azoospermia (No sperm in semen): Causes, Symptoms, Diagnosis & Treatment @ Dr Shah Dupesh
Azoospermia affects an estimated 1% of all men. A man is said to suffer from Azoospermia, if his semen sample shows no sperm in the ejaculate. A minimum of 2 reports must confirm no sperm seen in the semen. If 100 men visit a male infertility clinic for azoospermia, then an estimated 10% of them will have 'no sperm seen'.
The symptoms of azoospermia include, low hair growth in the beard or mustache, poor male patter of body hair distribution along with small penis size, very small soft testis and history of infertility for more than 1 year. In some men, the testis will be 'peanut size' and very small. In these men a genetic condition called 'Klinefelter's syndrome' should be ruled out.
Azoospermia is of 3 types. They are namely
1. Obstructive Azoospermia, 2. Non-obstructive Azoospermia and largely 3. Borderline Azoospermia.
Obstructive Azoospermia is caused by an obstruction in the male reproductive tract, where in spermatozoa cannot come out due to blocks. However, the good thing is that there is a 100 percent chance of sperm retrieval in men with obstructive azoospermia.
Coming to non obstructive azoospermia, the reason sperm are not seen semen is because, the testis does not respond the sperm production hormones produced by the brain. The testis is usually dysfunctional by nature. Numerous gene related defects can lead to non obstructive azoospermia. Their is a 35% chance of sperm retrieval in patients with non-obstructive azoospermia. In some patients, FSH, LH and testosterone will be low a condition called as hypogonadotrophic hypogonadism. Here medical treatment with FSH and LH injections work to bring back sperm production into the ejaculate.
Lastly patients with borderline azoospermia, have either maturation arrest (where sperms are arrested at some previous stage of development) or patients have hypo-spermatogenesis. Either way, the patients have normal hormones. Yet, no sperms will come into the ejaculate. Once again sperm retrieval can be done, however in some instances treatments with medications can help increase sperm retrieval rate.
Azoospermia treatment however, depends on the cause of azoospermia. Medical treatment works depending on the patients individual disease state. The success of medical treatment for azoospermia is about 35 to 40 percent. However, a variety of sperm retrieval techniques do exist for the management of azoospermia.
I hope you liked the video on Azoospermia. Please watch it till the end. Please like, comment and Subscribe.
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Thank you Dr Shah for these informative videos. In the video it was not mentioned the proper treatment for the borderline azoospermia. Could you please elaborate on the treatment options for the borderline azoospermia ?
Hi Care and Share. Will definitely make a separate video on the same.
Thanks doctor
Most welcome
thank you very much for making this informative video
Sir my LH,FSH,TSH nad Testosterone report normal and testicular ultrasound report is also normal but in semen analysis sperm not seen. I have shown all report to three doctor they said pelvic mri and some doctor said testicles fnac pelvic mri me blockedge pta chal jaayega kya kindly suggest
Please call me on 9790783856
Sir, ct scan ke radiation levels automatically ct scan machine adjust karti hai kya, please reply
Harsh please call me on 9790783856
Sir my husband have azoosparmia and biospy in August show hypospamrogensis and two time got 8 millon sparm count and now also show zero any chance get sparm count again
Please definitely call me on 9790783856
Sir,please make a video on maturation arrest
I performed orchiopexy at age of 30
Report shows maturation arrest
Also my testis is small 2×1.5×1.8 cm
Done Shivraj. Will do the needful
sir ,mai bohot tension mei hu. please tell me - Meri gf ka period cycle 28 din ka hai aur hum on the 14th day of the cycle ke din maine paheli bar sirf uske vergina me tip ko insert Kiya tha 1 minit ke liye to shayed pre cum uske andar laga hoga Linkin Maine cum andar nahi kiya to kya pregnancy ke chance hai ? and within 7 to 8 hours meri gf ne dar se unwanted 72 tablet kha liya hai.... please answer me i this possible to get pregnant......if it what is the chance of percentage to gat pregnant...? please answer me sir mai bohot tension me hu....
and it is her first time .isliye Thora blood vi nikla tha to uske bad humne aur kuch nahi kiye sirf ak bar 1 minit ke niye tip ko insert kiye tha on the 14 th day of her cycle and she has 28 day in a cycle.....
Sir make a video on... How to fix the watery semen problem
Done
Hi sir,my semen is non liquefaction more than 5 hours, any treatment
Vishnu, yup we need to check that clinically. Please drop me a call on 9790783856
Hello sir i am patient of azoospermia biopsy se b nill sperm count aya hy Kia ab koi dosra rasta hey ya koi medicine jis se sperm count mil jai 😢???
Please call me immediately on 9790783856
Volume 3 ml
Colour=whitish
Viscosity/Liquefaction=normal/20 minit
Ph=7.5
Sperm conc=65
Sperm count=195
Total motility (pr+np%)=69.83
Prog motility % =53.84
Leucocytes=1
Morphology%= 3
Dr saheb plz tell me is it normal report?
It's normal