Patient's question:
The couple has been married for 2 years without using any form of contraception and has not been able to conceive. A few days ago, they went to the Reproductive Medicine Department of Liaocheng No. 2 Hospital for a check-up. The results showed that all values of sperm ABCDEF were zero. It is preliminarily diagnosed as azoospermia.Doctor's answer:
The causes of azoospermia are generally as follows:(1) Some individuals are congenitally incapable of producing sperm. This abnormality may be discovered through chromosomal and genetic studies or identified via a biopsy. It can also be detected through multiple semen analyses.
(2) Inability to produce sperm due to orchitis, often caused by mumps, though other infections can also lead to this condition.
(3) Obstruction in the pathway of sperm, resulting in azoospermia upon ejaculation. For example, gonorrhea may sometimes cause vas deferens obstruction.
(4) Absence of testicles or conditions such as cryptorchidism, epididymal cysts, or injuries.
(5) Aging, which can reduce the testicles' ability to produce sperm. However, this varies among individuals, as some remain fertile even into their 70s.
(6) Other factors, such as nutritional deficiencies, industrial hazards, exposure to radiation, febrile diseases, allergic reactions, and unhealthy habits like smoking and excessive alcohol consumption.
In some cases of azoospermia, fertility can be restored through treatment. However, further examination is needed to determine the specific cause of your condition in order to provide targeted treatment.