Can men with necrospermia undergo IVF?

Patient's question:

Can men with necrospermia undergo IVF? During a semen analysis, I found that there were no active sperm in the semen and was diagnosed with "necrospermia." What should I do?

Doctor's answer:

Common causes of oligospermia include:
1. Primary testicular dysfunction, which may be due to genetic defects across generations, undescended testicles, physical injury to the testicles, or testicular dysfunction caused by mumps during puberty. The causative factors of sepsis are often unclear. Patients with primary testicular dysfunction typically have small, soft testicles, and a decrease in total plasma FSH. Although surgery can correct undescended testicles, the complete recovery of fertility is limited.
2. Obstruction, which is the third major cause of azoospermia. Treatment should be considered based on the results of a thorough examination. Additionally, proper diet and abstinence from sexual activity should be maintained.

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