Patient's question:
Had a testicular biopsy, which revealed; reduced levels of (different stages of spermatogenic cells) in the seminiferous tubules, with some seminiferous tubules lacking spermatogenic cells, and a significant decrease in the number of mature sperm cells.Doctor's answer:
Azoospermia refers to the condition where no sperm is found in the centrifuged semen after microscopic examination. Azoospermia can be divided into two major categories: The first category is testicular germ cell dysfunction, where sperm cannot be produced, also known as true azoospermia. The second category is normal testicular sperm production function, but the vas deferens is blocked, preventing sperm from being expelled outside the body, also known as obstructive azoospermia. Infections such as gonorrhea, fungi, and trichomoniasis can cause prostatitis and epididymitis, leading to vas deferens blockage. Azoospermia, where no sperm is present in the semen, is a common cause of male infertility, accounting for approximately 15% of infertility cases. Generally speaking, for azoospermia patients with normal-sized testicles and blocked spermatic pathways, surgical treatment should be the first consideration. For azoospermia patients with small or soft testicles, effective drug treatment can be chosen after a testicular biopsy. It is important to note that azoospermia patients should not seek treatment from unqualified practitioners or take medication blindly. Effective treatment must be pursued only after a clear diagnosis has been made.