Patient's question:
Hello, my partner is 26 years old and has azoospermia. We have been married for three years and have not been able to conceive. He used to smoke, drink, and play computer games. He had mumps in his childhood and has never eaten cottonseed oil. Our sexual life has always been normal, but he has a bit of premature ejaculation. He is a professional driver and has had testicular puncture and varicocele surgery.Doctor's answer:
Hello: Azoospermia requires first identifying the factors or causes and nature of the condition. There are congenital factors or causes, as well as those resulting from secondary complications. Some conditions offer treatment opportunities, while others do not have treatment significance. Sperm obtained through ejaculation or masturbation, if not detected in three consecutive tests, is referred to as azoospermia.Causes of azoospermia:
1. Testicular sperm production disorders:
(1) Anorchidism
(2) Cryptorchidism
(3) Congenital atrophy of seminiferous tubules
(4) Orchitis
(5) Tuberculosis of the testes
(6) Genital tract injury: Testicular injury, varicocele
(7) Radiation exposure
(8) Elevated local testicular temperature
(9) Consumption of cottonseed oil
(10) Varicocele and hypogonadism, etc.
2. Obstruction of the spermatic ducts:
(1) Congenital bilateral absence of the vas deferens
(2) Injury to the reproductive tract
(3) Inflammation of the reproductive tract: Epididymitis, tuberculosis of the epididymis, prostatitis, seminal vesiculitis, etc.
(4) Benign tumors of the seminal vesicles: Seminal vesicle cysts, etc.
It is recommended that you undergo further examinations to identify the factors or causes of azoospermia and seek early treatment to avoid missing the optimal age for pregnancy. Wishing you good health!