Patient's question:
Married for a year, no baby yet. Semen routine examination showed no sperm. How should I be checked and treated?Doctor's answer:
Azoospermia refers to the absence of sperm found in multiple semen analyses (usually more than 3 times). It is one of the causes of male infertility. If necessary, testicular biopsy, seminal tract imaging, endocrine hormone radioimmunoassay, and other tests can be performed to help differentiate between obstructive azoospermia and congenital azoospermia.Azoospermia is often caused by congenital deficiencies, such as weak innate constitution, insufficient kidney essence, and declining life fire; or by postnatal imbalances, excessive deficiency, impaired spleen function leading to insufficient essence and blood; chronic damp-heat accumulation obstructing the seminal tract; or prior infection with mumps or Shaoyang pathogenic toxins that flow downward to the Jueyin, leaving lingering toxins and hindering sperm production.
In differential diagnosis, first distinguish between deficiency and excess. Deficiency patterns are often due to kidney deficiency, commonly accompanied by reduced libido, impotence, premature ejaculation, lower back and knee weakness, etc. Excess patterns are usually caused by blood stasis and heat, often accompanied by normal or heightened libido, testicular swelling, hematospermia, etc.
The general treatment principle focuses on tonifying the kidneys, replenishing essence, clearing heat, and resolving blood stasis.