Patient's question:
I am a teacher from Guizhou, named Yang Zhengjie. I discovered pain in my testicles in June 2009. In August, I had a sperm test, which found very few sperm. Later, I didn't pay attention and didn't seek treatment. In February 2010, on the 10th, I had another sperm test and found no sperm. I was almost (crushed). Ultrasound examination: kidneys and testicles were normal in size, sex hormone 6 tests were negative, and the doctor said they were normal. It was just that there was a little prostatitis, and the size of the prostate was 37, with a small amount of lecithin. I had a testicular biopsy to find sperm, but found no sperm. I asked the doctor if it's still necessary to have a testicular biopsy? Can it be treated? The final diagnosis was secondary azoospermia.Doctor's answer:
Hello: In your current situation, the main consideration is secondary azoospermia. You can promptly undergo tests to identify the primary cause of your azoospermia. Azoospermia requires first determining its underlying cause and nature, as it can be either congenital or secondary. Some conditions offer treatment opportunities, while others do not.Azoospermia is defined as the absence of sperm in semen obtained through ejaculation or masturbation, confirmed through three consecutive tests.
Causes of azoospermia include:
1. Testicular sperm production disorders:
(1) Anorchidism
(2) Cryptorchidism
(3) Congenital atrophy of the seminiferous tubules
(4) Orchitis
(5) Tuberculosis of the testes
(6) Genital trauma: Testicular injury, varicocele
(7) Radiation exposure
(8) Elevated local testicular temperature
(9) Consumption of cottonseed oil
(10) Varicocele and hypogonadism, etc.
2. Obstruction of the reproductive tract:
(1) Congenital absence of bilateral vas deferens
(2) Damage to the reproductive tract
(3) Inflammation of the reproductive tract: Epididymitis, tuberculosis of the epididymis, prostatitis, seminal vesiculitis, etc.
(4) Benign tumors of the seminal vesicles: Seminal vesicle cysts, etc.
It is recommended that you undergo further tests to determine the cause of azoospermia and seek early treatment to avoid missing the optimal age for conception. If you have any related questions, feel free to ask. Wishing you good health!