Patient's question:
Detailed medical condition and consultation purpose: Azoospermia confirmed by Donghua Hospital in Dongguan City!Currently unable to be treated at this hospital! Where can it be treated?
Duration of onset and persistence: 5 years
Current general condition: Normal sexual life
Medical history: No pre-marital check-up!
Previous diagnoses and treatment history and outcomes: Azoospermia! Took some sperm-producing drugs! No effect!
Auxiliary tests: Testicular biopsy!
Other: Semen routine examination
Doctor's answer:
Hello: The treatment for azoospermia primarily involves corresponding therapies based on the underlying causes of the condition.① For obstructive azoospermia, various surgical procedures can be performed depending on the specific circumstances, such as vasovasostomy, epididymovasostomy, artificial vesiculoposthitis, epididymal sperm retrieval, and transurethral incision.
② For non-obstructive azoospermia, if the cause is endocrine abnormalities (e.g., hypogonadotropic hypogonadism), treatments such as gonadotropin-releasing hormone (GnRH) and gonadotropin therapy, along with testosterone replacement, may be administered. If the cause is a pituitary tumor, surgical resection is recommended. For pituitary microadenomas or idiopathic hyperprolactinemia, bromocriptine can be used. In cases of primary testicular failure accompanied by varicocele, varicocelectomy should be performed.
If a male has congenital absence of testes, severe testicular hypoplasia, secondary testicular atrophy, or azoospermia confirmed by testicular biopsy, spermatogenesis is generally not recoverable through conventional treatments. In such cases, infertile individuals are advised to consider artificial insemination with donor sperm or adoption of children.