Azoospermia: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name          = Azoospermia
| image          = [[File:Semen_analysis.JPG|250px]]
| caption        = [[Semen analysis]] showing no sperm cells
| field          = [[Andrology]]
| synonyms      =
| symptoms      = Absence of [[sperm]] in [[semen]]
| complications  = [[Infertility]]
| onset          =
| duration      =
| types          = [[Obstructive azoospermia]], [[Non-obstructive azoospermia]]
| causes        = [[Genetic disorders]], [[Hormonal imbalance]], [[Obstruction]]
| risks          =
| diagnosis      = [[Semen analysis]], [[Testicular biopsy]]
| differential  =
| prevention    =
| treatment      = [[Surgery]], [[Hormone therapy]], [[Assisted reproductive technology]]
| medication    =
| prognosis      =
| frequency      = Affects about 1% of the male population
}}
== Pronunciation ==
== Pronunciation ==
'''Azoospermia''' is pronounced AY-zoh-oh-SPER-mee-uh)  
'''Azoospermia''' is pronounced AY-zoh-oh-SPER-mee-uh)  
== Definition ==
== Definition ==
Azoospermia is a condition in which there are no [[sperm]] in the [[semen]] when a [[man]] [[ejaculation|ejaculates]].  
Azoospermia is a condition in which there are no [[sperm]] in the [[semen]] when a [[man]] [[ejaculation|ejaculates]].  
[[File:Semen analysis.JPG|alt=Semen analysis|thumb|Semen analysis]]
[[File:Semen analysis.JPG|alt=Semen analysis|left|thumb|Semen analysis]]
 
== Causes ==
== Causes ==
This may be because the man does not make [[sperm]] or because the sperm is blocked from entering the semen.  
This may be because the man does not make [[sperm]] or because the sperm is blocked from entering the semen.  
== Hormonal causes ==
== Hormonal causes ==
Azoospermia may be caused by hormone problems also.
Azoospermia may be caused by hormone problems also.
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== Genetic causes ==
== Genetic causes ==
Certain genetic conditions
Certain genetic conditions
== Vasectomy ==
== Vasectomy ==
History of previous vasectomy or other surgery, or other conditions.  
History of previous vasectomy or other surgery, or other conditions.  
== Cancer treatments ==
== Cancer treatments ==
Azoospermia may also be caused by certain [[cancer]] treatments.  
Azoospermia may also be caused by certain [[cancer]] treatments.  
== Infertility ==
== Infertility ==
Azoospermia can cause [[infertility]] or inability to produce children.  
Azoospermia can cause [[infertility]] or inability to produce children.  
== Symptoms ==
== Symptoms ==
Azoospermia usually presents with [[infertility]], sometimes with reduced or loss of [[libido]].
Azoospermia usually presents with [[infertility]], sometimes with reduced or loss of [[libido]].
== Diagnosis ==
== Diagnosis ==
Diagnosis is through history, physical examination, semen analysis, and imaging studies as needed. Check for history of hormone/steroid therapy, antibiotics, 5-ASA inhibitors (sulfasalazine), alpha-blockers, 5 alpha-reductase inhibitors, chemotherapeutic agents, pesticides, recreational drugs (marijuana, excessive alcohol), and heat exposure of the testes, prior surgeries, or trauma etc.
Diagnosis is through history, physical examination, semen analysis, and imaging studies as needed. Check for history of hormone/steroid therapy, antibiotics, 5-ASA inhibitors (sulfasalazine), alpha-blockers, 5 alpha-reductase inhibitors, chemotherapeutic agents, pesticides, recreational drugs (marijuana, excessive alcohol), and heat exposure of the testes, prior surgeries, or trauma etc.
== Treatment ==
== Treatment ==
Some conditions are treatable such as pre and post testicular azoospermia while testicular azoospermia is usually permanent.  
Some conditions are treatable such as pre and post testicular azoospermia while testicular azoospermia is usually permanent.  
{{stub}}
{{stub}}
{{Male diseases of the pelvis and genitals}}
{{Male diseases of the pelvis and genitals}}
[[Category:Testicular infertility factors]]
[[Category:Testicular infertility factors]]

Latest revision as of 17:12, 4 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
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Azoospermia
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Absence of sperm in semen
Complications Infertility
Onset
Duration
Types Obstructive azoospermia, Non-obstructive azoospermia
Causes Genetic disorders, Hormonal imbalance, Obstruction
Risks
Diagnosis Semen analysis, Testicular biopsy
Differential diagnosis
Prevention
Treatment Surgery, Hormone therapy, Assisted reproductive technology
Medication
Prognosis
Frequency Affects about 1% of the male population
Deaths N/A


Pronunciation[edit]

Azoospermia is pronounced AY-zoh-oh-SPER-mee-uh)

Definition[edit]

Azoospermia is a condition in which there are no sperm in the semen when a man ejaculates.

Semen analysis
Semen analysis

Causes[edit]

This may be because the man does not make sperm or because the sperm is blocked from entering the semen.

Hormonal causes[edit]

Azoospermia may be caused by hormone problems also.

Genetic causes[edit]

Certain genetic conditions

Vasectomy[edit]

History of previous vasectomy or other surgery, or other conditions.

Cancer treatments[edit]

Azoospermia may also be caused by certain cancer treatments.

Infertility[edit]

Azoospermia can cause infertility or inability to produce children.

Symptoms[edit]

Azoospermia usually presents with infertility, sometimes with reduced or loss of libido.

Diagnosis[edit]

Diagnosis is through history, physical examination, semen analysis, and imaging studies as needed. Check for history of hormone/steroid therapy, antibiotics, 5-ASA inhibitors (sulfasalazine), alpha-blockers, 5 alpha-reductase inhibitors, chemotherapeutic agents, pesticides, recreational drugs (marijuana, excessive alcohol), and heat exposure of the testes, prior surgeries, or trauma etc.

Treatment[edit]

Some conditions are treatable such as pre and post testicular azoospermia while testicular azoospermia is usually permanent.

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