Patient's question:
I've been married for three years, but we haven't had any children yet. My wife went to the hospital for a check-up and there were no issues, but when I got tested, the results showed I had no sperm. I've been to many hospitals and tried many unconventional remedies, but none have been effective.Doctor's answer:
First, you need to go to a regular hospital to conduct a detailed analysis of the semen routine, which can provide information about the seminal vesicles and whether there is any inflammation. Additionally, a scrotal color Doppler ultrasound can assess the size and shape of the testicles. Then, you should have a blood test for six sexual hormones to determine the current hormone levels. In normal testicular conditions, the levels of sexual hormones are usually within the normal range. Finally, a testicular biopsy is performed. If the biopsy finds sperm while the semen analysis does not, it can be confirmed as a vas deferens obstruction. In such cases, a vasography is needed to identify the location of the obstruction, and if necessary, a vasodilation procedure may be required.