Patient's question:
Married for four years without a baby, checked and said the testicles are small and there are no sperm, is there a possibility of treatment?Doctor's answer:
Due to the characteristics of azoospermia treatment, which involves high difficulty and low cure rates, I have categorized the treatment methods into three major types:The first type is termination of treatment. For example, if a testicular biopsy confirms the absence of sperm-producing cells due to various reasons, it's like a farmer planting a field where all the seeds have already rotted—there's no point in expecting a harvest.
The second type is etiological treatment, which involves identifying the cause of azoospermia and addressing that specific factor. For instance, if azoospermia is diagnosed as caused by a vas deferens obstruction, interventional recanalization can be performed. If it's due to varicocele, high ligation of the spermatic vein may be implemented. The treatment outcomes for some endocrine diseases are also quite effective.
The third type is corrective treatment, such as artificial insemination or adopting children.