Patient's question:
Got married for a year and a half, but haven't had a baby yet. Before the New Year, my wife took me to the hospital for a thorough check-up. The doctor said I have no sperm. How could I possibly have no sperm? I think I kind of understand that there's no way around it.Doctor's answer:
Hello. The common causes of azoospermia are weakened testicular sperm production function or blocked vas deferens, which result in no sperm in the semen. You need to undergo a scrotal ultrasound and a detailed check of 6 sexual hormones to initially assess the condition of gonadal secretion. Then, a testicular puncture biopsy is necessary to determine whether sperm production exists. If sperm is found, consider undergoing a vasography. If no sperm is found, consider testicular dysfunction, and HCG may be used for stimulation therapy if necessary. For detailed follow-up, you need to consult a urology or andrology department.