Azoospermia if the man does not have sperm

What is Azo Sperm?

The dictionary meaning is the Latin name given to the absence of sperm in a man. For its treatment, microsurgery is applied to the testicles by microsurgical method. It is a surgical intervention, when an experienced urologist does it, there is a chance to find sperm. A spermiogram test shows that a patient has azoospermia. It is the condition that there are no sperm cells in the semen. It has a form with and without obstruction. Semen is the fluid that comes from the prostate and glands with ejaculation. If we describe it as a spoonful of liquid, in case there is sperm in it, all sperm cells hold an amount equal to the tip of a teaspoon. Sperm cells are produced in the testis and are added to this semen. In other words, a man’s sexual intercourse status and semen may be complete, but there may be no sperm cells in the semen. Diseases in the testis or congenital or subsequent diseases in the carrier ducts or discharge glands cause the absence of sperm production from birth or the cessation of this production later on. is an example of an evolving situation. It is mostly caused by infections or surgeries. With the treatment, the sperm is mixed with the semen and pregnancy is expected in the normal way. In a later developed azoospermia, it is possible to find sperm in the testis with Microtese surgery and these sperm are used for in vitro fertilization.

The causes of azoospermia can be examined under three headings.

1-Pretesticular (pre-testicular) reasons: Hormonal disorders related to sperm production. They are rare diseases, but they give successful results with drug treatments, and even pregnancy can be achieved in the normal way.

2- Testicular (related to testicles) causes: Congenital disorders, previous infections, previous surgeries related to testicles, tumors of testicles, testis traumas etc.

3- Postesticular (post-testicular) causes: Dysfunctions or blockages of ducts. The inability of the produced sperm of the man with sperm production to mix with the semen. There may be semen with ejaculation, but there is no sperm in it or there is no semen at all.

How to understand AzoSperm?

In your spermiogram test;

– The amount of discharge (ejaculation volume-Volume) 1.5 ml. should be above. With the pleasure of ejaculation-orgasm, the semen should come out of the penis. In case of obstruction, damage or backward ejaculation, semen does not come out.
or there is very little semen discharge, semen remains inside, or urinate
mixes.

– Sperm count is 15 million or more in 1 volume
is expected. There are many diseases that affect the testis and lower the sperm count. However, it can be detected by testicular examination. It is necessary to consult a urologist.

– Sperm motility, advanced speed sperm 25% (1/4)
ü), total movements must be at least 50% (half). Immobilized sperm can mean dead sperm.

– Sperm morphology: this is sperm structure, shape, head
are the features in which the part of the tail, the tail and the whip are evaluated. A test where at least half of it is normal is perfect. In IVF application, 4% (at least 4 out of 100 sperm cells) is normal, which increases the success.

Only your spermiogram test It is wrong to make a decision by reading. In medical studies, the infertility decision is only It was observed that only 17% of the patients who were given by reading the sperm test were diagnosed correctly. Without testicular examination, the doctor would have given the wrong information in 83 of 100 patients.

Your Curiosities

1-) IT IS TOLD AZOSPERMIA, WHAT IS IT?

AzoSperm Dictionary Meaning: It is the Latin name given to the absence of sperm in the man. Azoospermia is understood in the spermiogram test. It is the absence of any sperm cells in the semen.

2-) It was called azoosperm, but everything about me is normal, sexuality and ejaculation, semen is normal

Semen is the fluid that comes from the prostate and glands with ejaculation. If we describe it as a spoonful of liquid, if there is sperm in it, all sperm cells hold an amount equal to the tip of a teaspoon. Sperm cells are produced in the testis and are added to this semen. It is accepted that the sperm cells produced in the testis are produced and transported through the channels in a period of about three months. In other words, a man’s sexual intercourse status and semen can be complete; however, sperm cells may not be found in the semen.

3-) Did azoosperm happen later, no one in the family?

Diseases in the testis or congenital or later diseases in the carrier ducts or discharge glands cause the absence of sperm production from birth or the cessation of this production afterwards. Duct blockages are an example of this later development. It is mostly caused by infections or surgeries. With the treatment, the sperm is mixed with the semen and pregnancy is expected in the normal way. There may be genetic diseases in the congenital form, it is present in the family, it started with you, or the genetic cause cannot be found, but congenital testicular development is affected and there is no sperm production.

4-) They said azoosperm is genetically caused, what is it?

Congenital, familial, or not in the family, but are the types of diseases that start with you. Many diseases show similar characteristics in a certain age group.
It directs the genetic investigations and researches that may be the cause. In the case of azoospermia infertility, it makes these examinations in sex and masculinity genes. We can understand whether it is familial or started with you. In some cases, these genetic diseases, which can be said to be uncertain, are the heralds that we can find sperm in some azoospermia patients.

5-) Can azoosperm be treated?

There are azoospermia patients who have hormonal diseases, obstruction causes and which can be corrected with medication and surgery. However, most of the time, in these diseases, classical testicular biopsy and perhaps in vitro fertilization without sperm are tried without research. Patients with negative results are left incomplete with the idea of ​​in vitro fertilization as the only and last hope. In fact, the cause of these diseases is the research of your urologist. Do not allow a doctor you do not know to take a biopsy from your testicle while in vitro fertilization is being applied. In cases where the cause is obstruction, request the removal of obstructions, the completion of this treatment in cases that can be corrected with medication, and the detection of sperm in the semen. Your specialist, who can’t get results after these, already knows that simple biopsies won’t give results for you, and you can find sperm with modern surgeries, and you won’t be disappointed.

6-) I had surgery for azoosperm, they said there is no sperm, they said you can try in vitro fertilization as the last chance.

In fact, you had the treatment 20 years ago. In this way, taking a piece of the testis and sending it for pathology examination and waiting for the sperm news 5-10 days later is the classical method and is not enough to respond to today’s demands. In fact, it is to apply the surgical methods in which the results are obtained in the same day, that is, the live sperm cell produced in the testis can be seen live. If your partner is ready, in vitro fertilization is applied with these sperms or the sperms are frozen-stored and then in vitro fertilization is applied, pregnancy results are the same.

7-) We tried IVF for azoosperm, it was said that there is no sperm and it was said that there are weak stem cells

Sperm cells are produced in the testis in 3 months, and while it is fully produced at one point, it may consist of stem cells at another point, that is, each point of the testis works at a different level. In Tese surgeries, a piece-biopsy is taken from 4 points of the testis, it may not be removed or the cells may not be complete. In microtese surgery, the entire testicle will be examined, the patient will be taken under a microscope, and the most suitable sperm will be found. Sperm must be found, stored and frozen. Thus, IVF procedures can be restarted.

😎 Can Azopserm patients have children?

In order for a person who does not have sperm to have a child in the normal way, this problem must be corrected with drugs and surgery and the sperm must be seen in the semen.

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