Post Date April, 15 2023
Life is like a seed, whether you are ready or not, it always sprouts. The same is true for pregnancy preparation, even if you are experiencing hardship at the moment, it is only temporary. As long as you move in the direction you want to go, the willows will bloom in the dark.
Just like men who have been diagnosed with azoospermia, many people may feel that there may be only one way forward, but is this really the case? Can azoospermia really be treated? See what the experts say!
There are roughly two types of azoospermia: obstructive azoospermia and non obstructive azoospermia (also known as primary azoospermia)
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obstructive azoospermia
Obstructive azoospermia is well understood as the obstruction of a certain part of our body, resulting in sperm failure, resulting in azoospermia. According to the location of obstruction, there are generally the following types:
① Intratesticular obstruction
"Acquired factors are more common than congenital factors (causing dysfunction between the testicular reticulum and the testicular output canal). Acquired factors such as inflammatory and traumatic obstruction are often accompanied by obstruction of the epididymis and vas deferens.".
② Epididymal obstruction
Epididymal obstruction is the most common cause of obstructive azoospermia, accounting for 30% to 67% of azoospermia with FSH lower than twice the upper limit of normal. The main cause of obstruction is fibrosis in the proximal epididymal lumen.
③ Vascular obstruction
The most common cause of obstruction of the vas deferens is vasectomy due to birth control. About 2% to 6% of patients require vas deferens recanalization and anastomosis. During vasectomy, 5% to 10% of patients are found to have obstruction of the epididymis due to rupture of the epididymis, which often requires an epididymis vasectomy. Vascular obstruction can also occur after hernia repair.
④ Ejaculatory duct obstruction
Ejaculatory duct obstruction accounts for 1% to 3% of obstructive azoospermia, with two main causes: cystic and inflammatory.
Cystic ejaculatory ducts are usually congenital. During a Miller's duct cyst, the ejaculatory ducts move laterally due to compression by the cyst. A cyst of the urethral genital sinus communicates with one or both ejaculatory ducts. Complete obstruction of the congenital or acquired ejaculatory ducts is often accompanied by low semen volume, fructose deficiency, and pH acidity. The seminal vesicles are usually swollen.
⑤ Functional obstruction of distal seminal tract
This may be caused by local neurological factors, such as weakness of the smooth muscle of the vas deferens or high tension of the ejaculatory ducts, which are associated with abnormalities in urodynamics.
The above can be summarized as obstructive azoospermia, which can be cured by surgery. Common operations include vasectomy and vasectomy epididymis. The specific treatment should be determined after identifying the cause.
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Non obstructive azoospermia
Non obstructive azoospermia, also known as testicular failure, refers to the inability of testicular tissue itself to produce spermatozoa, resulting in the absence of spermatozoa during semen examination.
The common causes of testicular failure are: 47XXY chromosome abnormality, Y chromosome microdeletion, cryptorchidism, azoospermia caused by chemotherapy, orchitis caused by parotitis, and azoospermia caused by unknown causes.
In fact, there are also parts of this type of azoospermia that can be treated. As long as you have the ability to generate sperm, you can achieve the goal of treatment through treatment and conditioning with integrated traditional Chinese and Western medicine to strengthen the ability to generate sperm.
However, if azoospermia is caused by a congenital defect, such as testicular loss, it may not be cured with current medical technology.
Expert reminder: When a male friend detects azoospermia, don't lose confidence. Find out what causes azoospermia and whether there are ways to restore fertility. Perhaps you are the luckiest person.
