What is Azoospermia?
Azoospermia, which indicates ZERO SPERM COUNT is an infertility issue that affects Only 1 percent of all men and 15 percent of infertile males.
In a normal body of a man, sperms are produced in the testicles and travel through the reproductive tract. After reaching the reproductive tract, the sperms mixes with the fluid produced by prostate and seminal vesicles and that makes up semen. Now, a man who has azoospermia has no production of sperm in the testicles. The semen in such men only contains fluid in it. This condition is referred to as no sperm count.
Symptoms of Azoospermia
When one has azoospermia, he may not know it until his wife is not being able to conceive for a long time and he consults a fertility clinic. An azoospermic male usually has normal sexual functions and no ejaculatory dysfunction. In this case, only when you visit a fertility clinic and get the semen analysis test done, you may find out that you have azoospermia. Here the semen is examined under high magnification microscope to look for the sperm count. A person can be confirmed as azoospermic only once 2 semen samples have been examined and both show zero sperm count. This condition generally has no symptoms.
In other cases, you might see some symptoms based on hormonal imbalances or some genetic chromosomal conditions that are underlying. Some signs and symptoms may include:
- Erectile dysfunction
- Swelling, and discomfort in the testicle area
- Low sex drive
- Facial and body hair loss
Types of Azoospermia
Azoospermia can be divided into three types which are:
- Obstructive Azoospermia: It is a condition in which there is a production of sperms in the testicles but due to a blockage in the reproductive tract, the sperms cannot exit the body. This blockage can be found in vas deferens, epididymis, or in any other part of the reproductive tract. In this case, you ejaculate and there is semen, but due to the blockage, there is no measurable number of sperms in the semen.
- Nonobstructive Azoospermia: It is a condition in which there is poor or no production of sperms in the testicles. This can be a result of some defects in the structure or functions of the testicles or defect at the level of pituitary in the brain.
Causes of Azoospermia
Different causes of azoospermia depend upon the type of azoospermia. Some of the causes are:
1. Pretesticular Causes
Here the tests are normal, but they are not able to produce sperm. It may be because of low hormone levels example in Kallmann syndrome or chemotherapy of the brain. This type is uncommon.
2. Testicular Causes
- Infection in your reproductive organs, for example epididymitis and urethritis.
- Absent testis( Anorchia) or non-descended testes(Cryptorchidism)
- Viral infections as mumps can cause orchitis, leading to swelling of one or both testicles.
- Groin injury example due to cricket ball, rugby or football etc.
- Cancer or its treatments, like radiation or chemotherapy.
- Surgery in the groin area.
- Genetic conditions, such as Klinefelter’s syndrome, Y chromosome deletion and Cystic fibrosis, Sertoli only Cell Syndrome among a few common ones.
3. Kallmann syndrome
Here testes produce sperms normally but there is a traffic jam which is why the sperms cannot come out of the penis due to blocked reproductive tract. This is called obstructive azoospermia. One thing to note is that following things are RESPONSIBLE FOR 40% CASES OF AZOOSPERMIA.
- Acquired causes as infections, injury or surgery.
- A vasectomy
- Retrograde ejaculation: In this condition semen goes into the urinary bladder instead of coming out of the penis during an orgasm.
Treatment of Azoospermia
Once azoospermia has been diagnosed the doctor tries to ascertain the cause. This may involve a physical examination, a blood test to check hormone levels and scrotal ultrasound if required. Genetic tests may be required especially if there is no obstruction.
Now, the treatment of azoospermia also depends upon its type. Obstructive Azoospermia can be treated with the help of the reconstruction or reconnection of the tubes that are blocked by the help of a surgery. By doing so the passage of the sperms will be done automatically. Another technique is to do sperm retrieval which can be done by aspiration by a fine needle from testes( PESA) or by biopsy (TESE: surgical extraction of sperm). These sperms can then be frozen and used for conceiving by IVF ICSI. Sperm retrieval may also be beneficial in non-obstructive azoospermia if sperms are being produced by testes.
So don’t worry, majority of the time despite azoospermia you can still become a father by opting for advanced reproductive techniques like IVF or ICSI. There are a lot of azoospermic patient that became father of their own biological child.
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Rohit Krishna Gupta
Had a great experience with Dr. Gunjan. We visited the clinic as we had some queries regarding the conception process. Dr. Gunjan listened to the queries and answered all those with patience. And we had good news at the next consultation itself. Dr. Gunjan is very experienced, is soft-spoken, and very diligent with the process. Highly recommended!
Know the Expert before you visit our clinic
A team of Specialists working together as a team with a single Goal: Patient Satisfaction
Dr. Gunjan Gupta Govil
MRCOG(UK), MD(Gynae) – Founder & Director
She is a Gynaecologist with specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in treating Infertility, performing Gynae Laparoscopy (Keyhole Surgeries) & Handing high risk Pregnancies. She is a noted speaker in National and International level conferences and has also chaired various sessions on Infertility
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Dr. Pradyot Kumar
Dr. Pradyot Kumar is the CEO of Gunjan IVF World. He is a Neurosurgeon with specialization
(20+ years of experience)
Mr. Gaurav Singhai
Co-Founder & COO
He has 15 years of Managerial Experience from various National & International Organizations like TCS, Fiserv & Sopra Steria. He has lived and worked with various MNCs in the US, UK, France & The Netherlands and gained immense experience and skills which he now contributes to Gunjan’s IVF World assiduously.
Dr Ankita Nigam, MS
MS Obs & Gynae (Gold Medallist). Dr Ankita Nigam has 3+ years of experience in IVF, Infertility and Gynaecology. She conducts and assists in OPD at our Indirapuram and Meerut centres. She actively assists IVF consultants in all procedures. She takes care of the management of various IVF, Infertility, Pregnancy care patients. She has done a special training in "Ultrasound Whole abdomen and Obstetrics & Gynaecology" from Thomas Jefferson University Philadelphia US.
Dr. Rajeshwari Suthar
Dr Rajeshwari Suthar has 5+ years of experience in IVF & Infertility treatments. She actively assists our IVF consultants in OPDs. She is an excellent counsellor and patients are very comfortable with her. She has done BHMS from Hemchandracharya University, Gujarat in 2011.
He is a highly experienced and successful Embryologist with more than 10 years of experience in IVF. He has done M.Sc. in Biotechnology from MIMS, Jaipur. He has done more than 4000 IVFs and 3000+ ICSI cases till date.)
Ms. Nivedita Rai
MBA in HR from IMT Ghaziabad B.Ed, M.SC in psychology (pursuing). Nivedita Rai is our Head counsellor. She has been with Gunjan IVF World for the last 4.5 years. Her mission as a Head Counsellor is to bring happiness to all those who are unable to conceive. She makes them understand the various infertility treatments that we offer and help them throughout their journey to parenthood. She is a project Head of children welfare related projects of NGO Develop India Foundation and She is also a Reiki practitioner.
We not just treat our patient, we also guide them throughout all medical terms and their problems
The reasons for an unsuccessful implantation are very uncommon and rare as well. Blastocyst provides a greater chance of becoming pregnant therefore the procedure is handled properly as well.
Before jumping to the immediate question first let’s have a small brief of what is blastocyst transfer. Blastocyst transfer is the transfer of embryos that have achieved a higher stage of development.
Maximum patients worry about what they can do or cannot do after an embryo transfer. They have the fear that if they do something wrong, the embryo would not attach or fall out.
Whether you want to conceive naturally or through IVF, the best period is between 20-30 years to get pregnant. During this time, women have the best fertility potential. Also, during this period the quantity and quality of the eggs or ovarian reserve is also good. As compared to men, increasing age affects women’s fertility a lot. If your age is between 25-30 years, the chances of getting pregnant with a single menstrual cycle are 25%. And as soon as your age increases, these pregnancy chances drop to just 5% when you reach 50.
IUI stands for Intrauterine insemination or also known as artificial insemination. In this method, semen is washed and placed inside the uterine cavity so once the ovulation occurs or the egg is released the sperm will fertilise the egg.
The couple has to undergo certain IVF treatment evaluations. These are the blood test before IVF. IVF tests for Females: The female has to undergo several tests such as female hormonal tests, egg count and quality assessment, blood tests such as AMH, prolactin, thyroid & basic tests such as hemoglobin, sugar, etc. ultrasound is done to check the uterus.
Although a lot has been quoted and stated about mental health and its role in Infertility issues amongst couples around, the fact still says that Psychological stress doesn’t result in Infertility. Still a number of medical studies in the same regard state that mental health plays a negative role in the overall pregnancy chances for a particular person. It doesn’t matter if you are going through physical or mental stress, it can’t be considered as “Useful” for the fertility period by any means.
Mini IVF is also called micro or minimal stimulation IVF. It follows the same pattern as in conventional IVF i.e. retrieval of the egg, fertilization of sperm and egg in simulated laboratory conditions finally followed by embryo transfer.
Planning your visit to an IVF center in order to sort out your infertility issues can sometimes become a tedious task with all the unwanted stress and nervousness. It will take long time for the patients to prepare themselves mentally before consulting an IVF specialist. It Obvious as they would be carrying thousands of questions along with all that curiosity in their mind