What should men do if they have no sperm?

Patient's question:

Married for over 2 years without contraception, but still no pregnancy. This year, I had two check-ups, and the male was found to have no sperm, with an unknown cause.

Doctor's answer:

Azoospermia has little to do with the prostate. The two main reasons are testicular sperm production disorders, commonly said to be "not producing," and the other is obstructed spermatic ducts. It's crucial to undergo relevant tests to determine the specific cause. Obstruction causes, in some cases, can be resolved through surgery. For testicular sperm production dysfunction, it's necessary to identify the underlying cause. Some cases can be treated with medication, while others require surgical micro-epididymal aspiration.

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