Azoospermia is the absence of sperm in the ejaculate. It can go unnoticed for a long time: there are no symptoms, the volume of ejaculate is preserved, the quality of life does not suffer - but until a certain moment, when the couple is faced with the impossibility of a natural pregnancy. A persistent search for the reasons makes you turn to a urologist-andrologist or a reproductive specialist who directs a man for a spermogram. And so, the sperm was donated, but the most important component was not found in it ... There is no need to panic. In this case, the spermogram is taken again, no earlier than 2 weeks later, with strict observance of the rules for the preparation and delivery of the analysis. The diagnosis of azoospermia is based on a series of tests and the best outcome is considered. Or secretory, when sperm production is impaired. Either sperm progenitor cells are not formed, or there are obstacles to their maturation.
The most common reasons:
-Hypogonadism due to hormonal disorders;
-Genetic diseases (Klinefelter syndrome);
-Infections (mumps and its complications: orchitis, epididymitis);
- Toxic (including medicinal), temperature, radiation effects on the spermatogenic epithelium of the testicles;
-Alcohol, smoking abuse; drug use can also be classified as toxic, but stand out as behavioral factors.
In this case, spermatogenesis is preserved, but difficulties arise when the spermatozoa pass the vas deferens. Obstacles to exit in the form of cicatricial, adhesive changes in tissue, cysts can occur as a result of trauma, previous urogenital infections, inflammation of the testicle, its appendages (orchitis, epididymitis) or the prostate gland (prostatitis) or anomalies in the development of the vas deferens (aplasia).
Operations are performed under short-term intravenous anesthesia, under spinal anesthesia, or, less commonly, under local anesthesia. A few hours after the doctor's check-up, the patient can be sent home. The obtained spermatozoa are used immediately or cryopreserved for the required period, and then can be used in the IVF ICSI program (when a specially selected, the best sperm is injected into the egg using a microneedle). Since mature, morphologically complete, motile spermatozoa are selected, the chances of successful fertilization increase, which means that the desired pregnancy is getting closer and closer.
You can safely begin treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!