Can men with azoospermia still have children after chemotherapy and radiotherapy?

Patient's question:

How do radiotherapy and chemotherapy affect male fertility? Medical history and treatment outcomes: Semen analysis results showed 0% sperm motility, 0% sperm viability, and a sperm density of 0 tens of thousands. Desired assistance: 5 years ago, I had a tumor on the inner side of my right leg and underwent surgery, followed by radiotherapy and chemotherapy. I am now married. Hello, why do I have no sperm?

Doctor's answer:

Chemotherapy and radiotherapy can affect sperm production, but it is usually a short-term effect. If the semen analysis results show no sperm, further detailed examination is needed to determine if there is an obstruction in the release of semen or if the testicular sperm production function is abnormal. Patients facing the harm of male reproductive diseases should promptly follow the principle of symptomatic treatment and should not avoid seeking medical attention. If the male reproductive disease does not improve with treatment, it is necessary to promptly adjust the treatment plan.

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