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 condition where sperm is not 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, spleen dysfunction leading to insufficient transportation of essence and blood; excessive damp-heat accumulating and obstructing the seminal tract; or prior infection with mumps or Shaoyang pathogenic toxins that flow downward to the Jueyin, leaving lingering toxins that hinder sperm production.
In syndrome differentiation, the first step is to distinguish between deficiency and excess. Deficiency syndromes are often due to kidney deficiency and may be accompanied by reduced libido, impotence, premature ejaculation, lower back and knee weakness, etc. Excess syndromes are often due to blood stasis and heat, and may be accompanied by normal or increased libido, testicular swelling and pain, or hemоспermia.
The general treatment principle focuses on tonifying the kidneys, replenishing essence, clearing heat, and resolving blood stasis.