Can patients with azoospermia not have children?

Patient's question:

My friend has azoospermia, is he unable to have children for the rest of his life?

Doctor's answer:

Hello, azoospermia can be divided into two major categories. The first category is testicular sperm production dysfunction, where sperm cannot be produced, also known as true azoospermia. The second category is normal testicular sperm production function, but with obstructed spermatic ducts, preventing sperm from being expelled outside the body, also known as obstructive azoospermia. Azoospermia generally has no clinical symptoms or signs. Some patients have a history of conditions such as prostatitis, seminal vesiculitis, epididymitis, or epididymal tuberculosis. Some patients have local signs like testicular hypoplasia, testicular atrophy, or epididymal nodules, along with other systemic symptoms. It is recommended that you visit a formal infertility hospital and receive treatment according to the doctor's guidance.

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