Patient's question:
I met my husband when I was in college, and we never took any contraceptive measures while dating. However, I have never been pregnant. Now that we are preparing to get married, my family elders keep urging me, which is really annoying. Please ask: How should infertility be treated?Doctor's answer:
Hello, the treatment for azoospermia primarily involves additional treatments based on the cause of azoospermia.① For obstructive azoospermia, treatments can include vasovasostomy, epididymal vasostomy, artificial varicocele placement, epididymal sperm retrieval, transurethral incision, and other procedures, depending on the specific condition.
② For non-obstructive azoospermia, if the cause is endocrine abnormalities such as impaired secretion of pituitary gonadotropins, treatments like gonadotropin-releasing hormone (GnRH) and gonadotropin therapy, as well as testosterone replacement, may be applicable. For pituitary adenomas, surgical removal is recommended. Pituitary microadenomas and idiopathic hyperprolactinemia can be treated with bromocriptine. In cases of primary testicular failure accompanied by varicocele, varicocelectomy should be performed.