How to coordinate treatment for dead sperm and ensure safety?

Patient's question:

Actually, I knew I was infertile last year, but I never dared to tell my wife, afraid she would divorce me. I secretly took many medications and visited many doctors, but it didn't help. Now my wife is forcing me to go to the hospital for a check-up. I'm really in a dilemma. Please ask: How can dead sperm be treated effectively and safely?

Doctor's answer:

Azoospermia refers to a condition where the sperm density in the semen of adult males is less than 20 million per milliliter. Due to the natural fluctuations in sperm density within a certain range, confirming azoospermia requires at least two semen analyses, using semen samples collected after abstaining from sexual activity for 3 to 5 days. There are many causes that can lead to azoospermia, such as undescended testicles, varicocele, endocrine disorders, deficiencies in vitamins and trace elements, infections by pathogenic microorganisms, drug interference, and various other factors. In most cases of azoospermia, the cause can be identified through careful medical history inquiries, detailed physical examinations, and the collaboration of laboratory tests. However, in some cases, the cause remains unclear.

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