Patient's question:
Male, 25 years old, no sperm found during post-marital examination, testicles smaller than normal.Doctor's answer:
First and foremost, it is essential to identify the cause of azoospermia. The causes of azoospermia include:1. Testicular Spermatogenesis Disorders:
(1) Anorchidism
(2) Cryptorchidism
(3) Congenital Atresia of Seminiferous Tubules
(4) Orchitis
(5) Tuberculous Orchitis
(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 Sperm Ducts:
(1) Congenital Absence of Bilateral Vas Deferens
(2) Injury to the Reproductive Ducts
(3) Inflammation of the Reproductive Ducts: Epididymitis, Tuberculous Epididymitis, Prostatitis, Seminal Vesiculitis, etc.
(4) Benign Tumors of the Seminal Vesicles: Seminal Vesicle Cysts, etc.
Azoospermia can have congenital causes or be secondary to acquired factors. If you have previously confirmed a history of pregnancy and childbirth, then your current azoospermia is likely secondary. You should seek early examination to identify the cause and then receive targeted, effective treatment. This should begin with a seminal fructose test, and appropriate measures should be taken based on the results. If the condition is secondary, it can be treated.