Azoospermia

Infertility is usually defined as the inability of a couple to conceive even after one year of unprotected, frequent sexual intercourse. Male factor can be the cause in nearly 40-50% of infertile couples.

Azoospermia means complete absence of sperms in semen.

Cryptozoospermia means presence of a very few sperms (1-5 sperms) in centrifuged semen sample.

Oligospermia means less than 15 million sperms /ml.

Teratozoospermia / Teratospermia means less than 4 % of normal forms of sperm.

Asthenospermia means progressive motility of sperms being less than 32%.

Oligo-astheno-teratospermia (OAT) is the combination all three sperm abnormalities.

A comprehensive analysis published in 2017 reported a significant decline in sperm counts by 50–60% between 1973 and 2011 among men from North America, Europe, Australia and New Zealand. This is an alarming trend highlighting the significant decline in male reproductive health.

Does cellphone affect sperms?

Studies have shown that radiofrequency electromagnetic fields generated by our daily-use devices such as laptop, cellphone, television, Wifi, microwave have deleterious effects on sperm parameters by inducing oxidative stress with an increased level of reactive oxygen species, leading to infertility.


Azoospermia Treatment in Bangalore

Image reference: Kesari KK, Agarwal A, Henkel R. Radiations and male fertility. Reprod Biol Endocrinol 2018 Dec 9;16(1):118.

What is the best treatment for zero sperm?

The best treatment for azoospermia (zero sperm) depends on the identifiable cause. All azoospermia (zero sperm) unless proved otherwise are considered to have non-obstructive cause. After optimising fertility hormone profile, sperms have to be surgically retrieved from testis or epididymis which will then be used for IVF-ICSI. In the event of no sperms found in testis and epididymis after extensive search, a decision to use donor sperms should have been done by the couple prior to the surgical sperm retrieval.

What are the various surgical sperm retrieval techniques ?

  • TESA : Testicular Sperm Aspiration using a syringe.
  • TESE: Testicular Sperm Extraction by opening the scrotum.
  • PESA: Percutaneous Sperm Aspiration using a syringe.
  • MESA: Microscopic Epididymal Sperm Aspiration
  • MicroTESE: Microscopic Testicular Sperm Extraction by opening the scrotum and bivalve the testis for extensive search for sperms under surgical microscope.
Azoospermia
Azoospermia

Can azoospermia be cured?

If the cause for azoospermia is short-segment obstruction (blockage) of reproductive tract, then it may be surgically corrected, and azoospermia cured. For instance, if the azoospermia is due to ejaculatory duct obstruction diagnosed on TRUS scan or MRI scan, then transurethral resection of ejaculatory duct (TUR-ED) may cure the azoospermia. If the azoospermia is due to short segment block in epididymis or vas deferens in scrotum, then a meticulous microscopic reconstructive surgery (VEA, VVA) may cure the azoospermia.

Azoospermia

Who is the best doctor for Azoospermia ?

Dr Pramod Krishnappa is the best andrologist dealing with Men’s’ Sexual Health and Male Fertility. He has been trained extensively in high volume Andrology centres in Madrid (Spain), Belgrade, Budapest, Chicago, and New York.

Dr Pramod Krishnappa has undergone microsurgical training and a dedicated male infertility fellowship under Prof Dr Craig Niederberger at the University of Illinois at Chicago (UIC), who was the Chief Editor of “Fertility Sterility” Journal, the official journal of the American Society of Reproductive Medicine (ASRM).

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