Can male oligospermia be alleviated?

Patient's question:

I've been married for over ten years, but I've never had children. I went to the hospital and found out I have azoospermia, but I've always been afraid to tell my family, afraid the elders wouldn't understand.

Doctor's answer:

For patients with asthenozoospermia, the first step is to treat the underlying cause. If there is a reproductive tract infection, antiviral treatment should be administered. If the exact cause cannot be identified, and after treatment, live sperm cannot be found in the semen, then consider extracting sperm through testicular or epididymal aspiration. In most cases of asthenozoospermia, the sperm are still alive at the initial stage of development, and their genetic material is intact. It has been reported that active sperm obtained through testicular aspiration can be used for intracytoplasmic sperm injection (ICSI) to treat asthenozoospermia, resulting in the successful birth of healthy offspring.

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