Azoospermia is defined as the absence of sperm in at least two different ejaculate samples including the centrifuged sediment, In the general population, 10 to 15% of couples suffer from infertility issues has lead to broken of many homes.Many even though that there is solution or remedy for Azoospermia cases.
A detailed history, a physical examination, a hormone profile, imaging and genetic counseling are important to determine the specific clinical classification of the azoospermia. This distinction is important given that, for example, obstructive azoospermia (OA) and nonobstructive azoospermia (NOA) require different treatment approaches.
At Whomp Int`l Centre Alternative Therapy LTD, we will provide a contemporary review of the evaluation process for males with azoospermia.The etiologic classification of azoospermia is divided into three primary categories: pretesticular, testicular, and post-testicular. Although the pretesticular and post-testicular causes of azoospermia are generally curable, the testicular causes of azoospermia are generally difficults at times tto cure .
What causes azoospermia?
Azoospermia may occur if the flow of sperm is blocked and cannot leave the body (obstructive cause). Azoospermia may also be caused by a problem with sperm production (nonobstructive cause).
Obstructive azoospermia:
Genetic conditions , such as congenital bilateral absence of the vas deferens, may affect sperm transport.
Infections of the male reproductive system, such as in the testicles or prostate, may affect male fertility.
Trauma may cause azoospermia. Previous injury or surgery to the spine, pelvis, lower abdomen, or male sex organs may cause damage to the male reproductive system. This may include surgery on an inguinal (groin) hernia. Trauma may affect sperm production or cause an obstruction in the flow or transport of sperm.
A varicocele is a condition that causes the veins (blood vessels) in the scrotum to become enlarged and dilated (widened).
Nonobstructive azoospermia:
Medicines , such as steroids, antibiotics, and medicines used to treat inflammation or cancer may affect male fertility.
Smoking, drinking alcohol, and using illegal drugs may also cause problems with sperm production.
Genetic conditions may affect sperm production or development of reproductive organs. These include Klinefelter syndrome and Kallmann syndrome.
Abnormal hormone levels may be caused by disorders of the testicles. This may affect the production of sperm.
Radiation used to treat cancer may affect sperm production.
Retrograde ejaculation is a condition that causes semen to travel into the bladder instead of outside the body. It is usually caused by a problem with the neck of the bladder and may be due to spinal cord injuries, medicines, or diabetes.
Other causes include pesticides, heavy metals, heat, and undescended testes (testicles that did move from the abdomen into the scrotum). Any of these can affect sperm production.
What are the signs and symptoms of azoospermia?
Inability to get your partner pregnant
Increased body fat, body hair, and breast tissue
Clear, watery, or whitish discharge from the penis
Presence of a mass or swelling on the scrotum that feels like a bag of worms (varicocele)
Stress or emotional pressure from not being able to conceive a child
Testicles that are small, soft, or cannot be felt
Veins that are enlarged, twisted, and may be seen in the scrotum (varicocele)
A complete medical history, physical examination and hormonal investigation are the principal components of the initial evaluation of males with azoospermia,It is important to inquire about systemic diseases, given that diabetes mellitus, cirrhosis or chronic renal insufficiency can affect sperm production or transport. Previous malignancies, especially if treated with cytotoxic chemotherapy or radiotherapy, should be identified. Medications that include gonadotoxic agents, such as cimetidine, nitrofurantoin and calcium channel blockers, should be documented.
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Whomp Int`L Centre Alternative Therapy Head Office 28 Ivienagor street, Off Aina Ojodu Berger Ikeja Lagos, Nigeria. Hot lines:+2348034152029,or 080-58563316 E-mail:drwhomp2004@yahoo. com
lagos, Lagos 23401
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