What should I do if there is no sperm in the semen analysis?

Patient's question:

I recently don't know what's wrong with my lower body, it's very uncomfortable, and I'm not getting morning erections anymore. What should I do if the semen test shows no sperm?

Doctor's answer:

Hello: Consider whether it is azoospermia, and the causes of azoospermia are as follows: 1. Testicular sperm production disorders: (1) Anorchidism (2) Cryptorchidism (3) Congenital atrophy of seminiferous tubules (4) Orchitis (5) Tuberculosis of the testis (6) Genital organ injury: Testicular injury, varicocele (7) Radiation exposure (8) Elevated local temperature of the testis (9) Consumption of cottonseed oil (10) Varicocele and hypogonadism, etc. 2. Obstruction of the spermatic ducts (1) Congenital bilateral absence of the vas deferens (2) Injury to the reproductive tract (3) Inflammation of the reproductive tract: Epididymitis, epididymal tuberculosis, prostatitis, seminal vesiculitis, etc. (4) Benign tumors of the seminal vesicles: Seminal vesicle cysts, etc. Azoospermia can be caused by congenital factors, as well as acquired secondary causes. It is recommended to undergo further examination for targeted treatment.

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