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Symptoms and pictures of azoospermia. Can azoospermia be treated?

2023-08-19 本站作者 【 字体:

The clinical manifestation of azoospermia is mainly a small amount of ejaculated semen, which is as thin as water. In males, if azoospermia is caused by obstruction of the ejaculatory duct, the semen is usually red, which is called hematospermia. Men can also exhibit symptoms of testicular dysplasia or underdevelopment. Congenital developmental problems can also occur, leading to the loss of testicular function. The editor of 592 Baobao Network reminds male friends that if they suffer from azoospermia, timely treatment is necessary. However, due to some people's congenital developmental problems, azoospermia cannot be effectively treated. In this case, it is recommended to choose the second-generation IVF technology to assist reproduction.

Symptoms and pictures of azoospermia. Can azoospermia be treated?(图1)

Methods for treating azoospermia

1、 Patients with cryptorchidism need surgery.

When azoospermia occurs in adulthood, further surgery does not improve testicular spermatogenic function, and the purpose of surgery is to prevent testicular malignancy in the later stage. If parents discover that their child has cryptorchidism, they should seek timely treatment and avoid leaving themselves with the possibility of regret.

2、 Treat varicocele.

Diagnosis of azoospermia caused by varicocele can, in principle, be treated through surgery. How can male azoospermia be effectively treated? Diagnosis of testicular spermatogenic function after high ligation of the spermatic vein can serve as a diagnostic tool for the recovery of testicular spermatogenic function after high ligation of the spermatic vein. If the testicular biopsy results show severe and irreversible damage, then this surgery is not necessary.

3、 Regulate endocrine function.

Endocrine treatment should be taken for azoospermia caused by endocrine abnormalities. The levels of FSH and LH in the blood are significantly lower than normal, indicating a decrease in low gonadotropin function. Treatment with hCG or hMG can be effective within one year.

Patients with hyperprolactinemia can be treated with bromocriptine. If prolactin is detected to be too high, an MRI is required to check for pituitary tumors. If there is no sperm disease, radiation therapy or surgery should be performed.

Symptoms and pictures of azoospermia. Can azoospermia be treated?(图2)

It is recommended to choose second-generation IVF for patients with azoospermia. The second generation in vitro fertilization (IVF) ICSI technology is mainly used for severe (small number) weak (low sperm motility) sperm abnormalities in husbands, irreversible obstructive azoospermia, congenital absence of vas deferens, such as failure to recanalize after ligation of the vas deferens, obstruction caused by infection, and other vas deferens, in addition to inheritance, sperm dysgenesis, abnormal acrosome function, abnormal sperm, common IVF in vitro fertilization failure, immune infertility, etc.

1. Severe oligozoospermia, oligozoospermia, and oligozoospermia.

2. Irreversible obstructive azoospermia.

3. Inadequate spermatogenic function (excluding hereditary diseases)

4. Immune infertility.

5. IVF failure.

6. Abnormal sperm acrosome.

Embryonic genetic testing is required to perform implantation.

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