Patient's question:
Male, 23, azoospermia, chromosomal abnormalitiesDoctor's answer:
Azoospermia refers to the condition where no sperm is found in the centrifuged semen after microscopic examination. Azoospermia can be divided into two major categories: The first category is testicular spermatogenic dysfunction, where sperm cannot be produced, also known as true azoospermia. The second category is normal testicular spermatogenic function but blocked excretory ducts, where sperm cannot be expelled from the body, also known as obstructive azoospermia. Infections such as gonorrhea, fungi, and trichomoniasis can cause prostatitis and epididymitis, leading to blocked excretory ducts. Azoospermia, where no sperm is present in the semen, is a common cause of male infertility, accounting for approximately 15% of infertility cases. Generally speaking, for azoospermia patients with normal-sized testicles and blocked spermatic ducts, surgical treatment should be the first consideration. For azoospermia patients with small or soft testicles, effective medication can be chosen after a testicular biopsy. It is important to note that azoospermia patients should not seek treatment from unqualified practitioners or take medication blindly. Effective treatment must be pursued only after a clear diagnosis has been made.