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Azoospermia occurs in about 5% of men suffering from infertility. It is commonly described as no sperm count, and can be one of two types:

  • Non-obstructive Azoospermia, where sperm production is insufficient to get into the ejaculate
  • Obstructive Azoospermia, where sperm production is normal but there is a block in the vas deferens, which prevents the produced sperm from reaching the ejaculate.

How is Azoospermia diagnosed?

If we suspect azoospermia, we then do a thorough analysis to get to the bottom of what is causing it. This begins with a general physical examination and a complete analysis of your medical history. Your semen is analysed to determine sperm count. Other tests that could be required include an ultrasound and hormone testing.

“Lower than normal sperm counts can result from testing a sample that was collected improperly. That is, a semen sample that was taken too soon after your last ejaculation; was taken during an illness or stressful event; or didn't contain the whole ejaculate could result in an inaccurate analysis report that misleads the clinician. This is why, at the Srushti Fertility Centre, we insist on a repeat semen analysis with 2-5 days’ abstinence.” – Dr. K. Sajitha, Fertility Consultant

In cases of Obstructive Azoospermia, TESE or PESA could be performed to retrieve sperm, which is then followed with IVF or ICSI to aid conception.

If the cause of Azoospermia is poor sperm production, medical treatment can help some men improve their production and aid natural conception. However, in others, donated sperm is the option if you and your partner want to create a biological family.