Azoospermia

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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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