Can men with azoospermia be treated?

Patient's question:

Orchitis-induced male azoospermia and infertility: Is there a cure? What conditions can be treated? What conditions have a low chance of being cured? Where is the best place to seek treatment? Is it better to use medication or surgery?

Doctor's answer:

The causes of azoospermia include:
1. Testicular dysfunction in spermatogenesis;
2. Normal testicular spermatogenesis function but obstructed seminal ducts.
The causes of testicular spermatogenesis dysfunction include:
(1) Anorchidism,
(2) Cryptorchidism,
(3) Congenital atrophy of seminiferous tubules,
(4) Orchitis,
(5) Tuberculosis of the testis,
(6) Genital trauma: testicular injury, varicocele,
(7) Radiation exposure,
(8) Excessive local testicular temperature,
(9) Consumption of cottonseed oil,
(10) Varicocele, as well as hypogonadism, etc.
The causes of seminal duct obstruction include:
1. Congenital bilateral absence of the vas deferens,
2. Perinatal ductal injury,
3. Perinatal ductal inflammation: epididymitis, tuberculosis of the epididymis, prostatitis, seminal vesiculitis, etc.

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