You may have been advised you don’t have any sperm in your semen. That’s known as azoospermia.
Obstructive azoospermia means that you make sperm, but they are blocked somewhere from the testicle to the ejaculatory duct in the cervix.
Nonobstructive azoospermia (NOA) means that there is not sufficient sperm generation to be observed in the semen. A testicle may create tiny quantities of sperm that need to be extracted to use for IVF, or else there may be absolutely no production of sperm. NOA does not mean there is no chance a person can produce semen. There are many reasons, a number of these reversible, why a person could have NOA.
Obstructive azoospermia : Causes, Diagnosis, and Therapy
Obstructive azoospermia indicates a blockage somewhere in the reproductive tract. Sperm production is average, but the problem can be found in the transfer of semen to the ejaculatory duct. Often, men with obstructive azoospermia will have diminished volumes of semen when the ejaculate. If the blockage is closer to the testicle, such as following a vasectomy, the ejaculatory work will be normal.
Common causes of obstructive azoospermia are listed below.
Vasectomy reversal or sperm retrieval may be options to treat obstructive azoospermia after vasectomy.
Ejaculatory duct obstruction
Acute infections from the epididymis
Radical prostatectomy for prostate cancer therapy
For surgeons to remove a cancerous prostate, they need to cut across the vas deferens in the pelvis. Sperm recovery Is a fantastic option for men to develop into biologic dads after prostatectomy. Dentists in UCLA Health — The Men’s Clinic are specialists at sperm recovery.
Nonobstructive azoospermia (NOA): Causes, Diagnosis, and Therapy
Some common causes of NOA are listed below.
Men on chronic narcotics often have diminished sperm and testosterone production that may be reversed.
Men with a history of testosterone replacement, either prescribed or self-administered, will practically always have low or no sperm production. This, too, can often be reversed.
Doctors in The American Hospital are world experts on helping men. Your evaluation will consist of a Comprehensive history of childhood illnesses and surgeries, traumas, past and present medications, lifestyle dangers, and many other facets To fully explore causes and treatments of NOA. Physical examination is a vital part of assessing NOA as the testicular size is a very excellent predictor of NOA. Bloodwork is also necessary and includes genetic Tests to determine whether there is a chromosomal cause of NOA. Your Physician May also order imaging tests, typically ultrasounds of their scrotum and MRI of the pituitary gland looking for reversible causes of NOA. Often, Men’s pituitary hormones, especially FSH, will be packed with NOA.