Patient's question:
I'm 33 years old, married for many years, and have never had children. I once believed it was due to the high work pressure of both my wife and me, making it difficult to conceive, and I never had a thorough check-up. But now the elders are urging me strongly, and the hospital's thorough examination revealed that it's my problem—I have azoospermia, while my wife is healthy. I don't know if it can be cured. With azoospermia but wanting a child, can it be treated?Doctor's answer:
Azoospermia is divided into two major categories. The first category is testicular spermatogenic dysfunction, where sperm cannot be produced, also known as true azoospermia. The second category is normal testicular spermatogenic function, but with blocked spermatic ducts, preventing sperm from being expelled from the body, known as obstructive azoospermia. For obstructive azoospermia, microsurgical micro-precise localization vas deferens anastomosis can be performed. This procedure achieves a reconnection rate of over 80% in the spermatic ducts. True azoospermia is not absolutely incurable, as its causes mainly include genetic diseases, congenital testicular abnormalities, testicular inflammation, endocrine diseases, severe systemic diseases, malnutrition, radiation damage, and drug interference.