Patient's question:
Azoospermia, how to treat and what to do? In 2015, a pre-pregnancy health check-up revealed azoospermia. I have undergone color Doppler ultrasound, karyotype, and blood tests, all of which were normal. I would like to consult what additional tests are needed to confirm the diagnosis, and how to treat it after confirmation.Doctor's answer:
Hello! Azoospermia can be divided into two types: true azoospermia and false azoospermia. True azoospermia is caused by the atrophy and degeneration of sperm-producing cells in the testes, which cannot produce sperm, also known as "congenital azoospermia." False azoospermia refers to a condition where the testes can produce sperm, but due to obstruction of the vas deferens, the sperm cannot be expelled, also known as "obstructive azoospermia." When necessary, a testicular biopsy, plasma FSH measurement, and seminal fructose measurement can be performed to assist in differentiating between obstructive and congenital azoospermia. Therefore, it is recommended that you go to the hospital for a clear diagnosis and treatment.