Why do people get azoospermia?

Patient's question:

I am a male. I previously had obstructive azoospermia, which was successfully repaired, but there is still no sperm. So, we are doing a culture dish test. The female's results are fine, but the male's. Now, we have ordered a karyotype test. In addition to a blood draw for anticoagulants, E2, testosterone, LH, FSH, and PRL, there are other detailed tests. Also, there's something called scrotal ultrasound? I am currently asking:
1. Is the scrotal ultrasound mandatory? Or can we directly proceed with a sperm extraction and then do the detailed tests? I’m not sure if it’s a required procedure and don’t want to waste money on unnecessary tests.
2. Are there any other tests needed? The doctor mentioned doing a sperm extraction last night. But I previously had the repair surgery, and they directly extracted sperm then!

Doctor's answer:

Hello. Regarding the situation you mentioned, if the doctor recommends a scrotal ultrasound for you, you can definitely do it. It's not about wasting money on unnecessary tests now. This consideration is also within the normal range of routine and careful examinations. The condition of male urological diseases can be serious, so it's recommended that patients seek timely and symptomatic treatment according to the doctor's advice. At the same time, pay attention to self-care, maintain a proper diet, and avoid worsening the condition. The above advice is hoped to assist you. Thank you.

📌 Related Posts