Azoospermia and assisted reproduction | Genova Fertility
we want to tell you how we diagnose one type of azoospermia in assisted reproduction clinics and what treatments exist to achieve pregnancy and avoid this problem of male infertility treatment Pakistan.
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Male infertility accounts for 40% of the cases of infertility that are seen at an assisted reproduction such as Genova Fertility Centre. And of these cases, 15% present azoospermia.
Azoospermia is a semen disorder characterized by the complete absence of sperm in the ejaculate. This absence may be due to the testicles not secreting sperm (secretory azoospermia) or to the testicles producing sperm but not being able to release them due to an obstruction (obstructive azoospermia).
In this article, we want to tell you how we diagnose one type of azoospermia in assisted reproduction clinics and what treatments exist to achieve pregnancy and avoid this problem of male infertility treatment Pakistan.
Obstructive azoospermia
Obstructive azoospermia is the absence of sperm in the semen due to a defect in the seminiferous tubules or vas deferens, which prevents their exit to the exterior in the ejaculate.
In this type of azoospermia, the function or production of the testicle is normal. This is characteristic of diseases such as cystic fibrosis, infectious processes of the sperm ducts, and post-surgical conditions, as in the case of vasectomy (male surgical sterilization).
Secretory azoospermia
Secretory azoospermia is the most severe type, as it involves a defect in sperm cell formation (spermatogenesis). It is also the most common, accounting for 70% of azoospermia cases.
It can be congenital (from birth) or acquired at a particular time in life (testicular trauma, hormonal imbalances, diseases such as mumps and meningitis, radiotherapy and chemotherapy, consumption of medications or drugs, etc.).
Furthermore, in secretory azoospermia, the absence of sperm production by the testicle may be total and absolute or partial or focal.
Treatment of azoospermia
In the case of obstructive azoospermia treatment to achieve pregnancy is in vitro fertilization with ICSI. In this case, the necessary sperm are obtained using a testicular biopsy.
In the case of secretory azoospermia, the treatment will depend on its nature, with two alternatives: In absolute secretory azoospermia, the only possible treatment to become a father would be to use sperm from a donor sperm bank.
Azoospermia acquired through infections, medication/drugs, etc…..., can be treated to restore spermatogenesis or sperm formation, even leading to pregnancy being achieved naturally.
