Treatment for Azoospermia is possible through Homeopathy treatment if it’s non-obstructive azoospermia. At Welling Homeopathy Clinics, we have each treatment cycle lasting for 6 months, and we have a maximum success rate between one – three cycles. Azoospermia is a complex illness and needs a detailed assessment by our specialist including tests that can help us customize the treatment for azoospermia for you. Fortunately, we also have online consultations for men who cannot visit us personally at our clinics in Mumbai. More than 5000 men have benefitted from our advice and we cannot wait to help you father a child at the earliest.
Call +91 8080 850 950 to book an appointment or to consult and order online. Consult our specialists today for a detailed evaluation and to start your customized Homeopathy medicines for Azoospermia.
- 1 What is “Azoospermia”?
- 2 Does having azoospermia mean that the testis makes no sperm?
- 3 Can I Still Get My Partner Pregnant If I Have a Zero Sperm Count?
- 4 Are there different types of azoospermia?
- 5 Should azoospermic men undergo a diagnostic testis biopsy?
- 6 How is azoospermia diagnosed?
- 7 Symptoms of Azoospermia
- 8 Obstructive Azoospermia Treatments
- 9 Non-Obstructive Azoospermia Treatments
- 10 Why Welling Homeopathy Treatment for Azoospermia?
What is “Azoospermia”?
Azoospermia is the medical term used when there is no sperm in the ejaculate. It can be “obstructive,” where there is a blockage preventing sperm from entering the ejaculate, or it can be “non obstructive” when it is due to decreased sperm production by the testis.
Does having azoospermia mean that the testis makes no sperm?
Not necessarily. The testis can be making sperm, but it might not be enough to have any noticeable amount come out in the ejaculate.
Can I Still Get My Partner Pregnant If I Have a Zero Sperm Count?
Whether or not you can impregnate your partner is dependent on the diagnosis made by your fertility specialists. A Fellowship-trained male fertility specialist will advise you on the cause of your azoospermia and what treatment options are available to help you conceive.
It is important NOT to give up until you are certain that a fully trained male fertility specialist feels that NO sperm is present. Even when no sperm is found in the ejaculate, about 50% of the time there is sperm in the testicles that can be retrieved and used for IVF. Dr. Bastuba and the Male Fertility Specialists Team in conjunction with Fertility Center of California have helped achieve pregnancies in cases where only a handful of sperm were present inside a man’s testicle. Do NOT give up.
Are there different types of azoospermia?
There are two main types of azoospermia:
Obstructive azoospermia: This type of azoospermia means that there is a blockage or missing connection in the epididymis, vas deferens, or elsewhere along your reproductive tract. You are producing sperm but it’s getting blocked from exit so there’s no measurable amount of sperm in your semen.
Nonobstructive azoospermia: This type of azoospermia means you have poor or no sperm production due to defects in the structure or function of the testicles or other causes.
Should azoospermic men undergo a diagnostic testis biopsy?
In the past, almost all men with azoospermia underwent a biopsy to distinguish obstructive from non-obstructive causes and to try to get an even more specific diagnosis. However, in modern practice, a biopsy is rarely performed alone. In most cases, we can predict with high accuracy whether or not a man has an obstructive cause of azoospermia. Since we have started performing testicular dissections to search for sperm, we have learned that different areas of the testis might show different patterns of nonobstructive azoospermia. For example, one area might show decreased production of mature sperm (hypo spermatogenesis or maturation arrest), while another area might show the complete absence of sperm precursor cells (Sertoli-cell-only syndrome). Thus, in the modern era, doing a diagnostic biopsy does not often change the ultimate management for men with nonobstructive azoospermia. For those men, we offer microdissection testicular sperm extraction (microTESE), which gives the best chance of finding sperm that can be used for assisted reproductive techniques (ART). Sometimes, at the time of the microTESE, we will send a tiny specimen for pathological evaluation to rule out a precursor to malignancy called intratubular germ cell neoplasia (ITGCN).
How is azoospermia diagnosed?
Azoospermia is diagnosed when, on two separate occasions, your sperm sample reveals no sperm when examined under a high-powered microscope following a spin in a centrifuge. A centrifuge is a laboratory instrument that spins a test sample at a high speed to separate it into its various parts. In the case of centrifuged seminal fluid, if sperm cells are present, they separate from the fluid around them and can be viewed under a microscope.
As part of the diagnosis, your healthcare provider will take your medical history, including asking you about the following:
- Fertility success or failure in the past (your ability to have children).
- Childhood illnesses.
- Injuries or surgeries in the pelvic area (these could cause duct blockage or poor blood supply to the testicles).
- Urinary or reproductive tract infections.
- Your current and past medications.
- Any abuse of alcohol, marijuana or other drugs.
- fevers or exposure to heat, including frequent saunas or steam baths (heat kills sperm cells).
- Family history of birth defects, mental retardation, reproductive failure or cystic fibrosis.
- Your healthcare provider will also conduct a physical examination, and will check:
- Your entire body in terms of signs of/lack of maturation of your body and reproductive organs.
- Your penis and scrotum, checking for the presence of your vas deferens, tenderness or swelling of your epididymis, size of the testicles, the presence or absence of a varicocele, and any blockage of the ejaculatory duct (via exam through the rectum) as evidenced by enlarged seminal vesicles.
- Your healthcare provider may also order the following tests:
- Measurement of testosterone and follicle-stimulating hormone (FSH) levels.
- Genetic testing.
- X-rays or ultrasound of the reproductive organs to see if there are any problems with the shape and size, and to see if there are tumors, blockages or an inadequate blood supply.
- Imaging of the brain to identify disorders of the hypothalamus or pituitary gland.
- Biopsy (tissue sampling) of the testes. A normal biopsy would mean a blockage is probable at some point in the sperm transport system. Sometimes, any sperm found in the testes is frozen for future analysis or can be used in assisted pregnancy.
Symptoms of Azoospermia
Azoospermia itself a lack of sperm in the semen doesn’t have any specific symptoms.
Couples trying to conceive will experience infertility if the male partner has a zero sperm count. A couple is said to be dealing with infertility if they don’t get pregnant after one year of unprotected intercourse. Infertility is frequently the only sign that something is wrong.
With that said, some causes of azoospermia can lead to noticeable signs and symptoms.
Signs or symptoms that may indicate you’re at risk for azoospermia include:
- Low ejaculate volume or “dry” orgasm (no or little semen)
- Cloudy urine after sex
- Painful urination
- Pelvic pain
- Swollen testicles
- Small or undescended testicles
- Smaller than normal penis
- Delayed or abnormal puberty
- Difficulty with erections or ejaculation
- Low sex drive
- Reduced male hair growth
- Enlarged breasts
- Muscle loss
It is possible to have none of these symptoms, however, and still have azoospermia.
Obstructive Azoospermia Treatments
Vasectomy Reversal: Most men who’ve had a vasectomy in the past can still conceive by having a vasectomy reversal (vasovasostomy or vasoepididymostomy).
Microsurgical Testicular Sperm Extraction (microTESE ): TESE is a procedure in which testicular tissue with sperm is extracted either with a small incision or a needle. The sperm that is removed can be used for in vitro fertilization (IVF).
Transurethral Resection of the Ejaculatory Ducts (TURED): Men who have ejaculatory duct obstruction can have a TURED, a small surgical procedure performed with a camera to remove this blockage and help sperm flow to the natural channels.
Circumcision: Men who have a narrow foreskin (phimosis) that prevents the ejaculate from coming out of the penis can have circumcision to remove the foreskin.
Surgical Correction for Scarring: Some men have scarring from sexually transmitted infections (STIs) that can cause sperm to get blocked inside the ducts. We can often treat scarring endoscopically. Your doctor will insert a scope through your urethra in the operating room while you are under general anesthesia and use an electrified loop to open up the blockage.
Non-Obstructive Azoospermia Treatments
Regardless of what’s causing your non-obstructive azoospermia, we approach treatment the same way. We start with a semen analysis and male endocrine profile (blood work). Then we use one or more of the following treatments:
Drugs/Medications: If you have low bioavailable testosterone,* we usually start you on clomiphene citrate or Clomid. You remain on this drug for four months, and we repeat another semen analysis.
One in nine men will have their sperm return to the ejaculate after taking medication to return their testosterone to the normal range. Some men’s sperm don’t return to their ejaculate after taking medication.
However, taking medication to normalize testosterone doubles the chances of finding sperm during a surgical sperm extraction procedure called microsurgical testicular sperm extraction (microTESE).
Microsurgical Testicular Sperm Extraction (microTESE) : We recommend microsurgical testicular sperm extraction (microTESE) for men who have adequate testosterone* during diagnostic testing. We also recommend microTESE for men who’ve taken medications to correct their testosterone for at least four months but still aren’t releasing any sperm during ejaculation.
During microTESE procedures, doctors can find sperm approximately 50–65 percent of the time.
*Note: Bioavailable testosterone is different from the total testosterone that many labs check.
Why Welling Homeopathy Treatment for Azoospermia?
Call +91 8080 850 950 to book an appointment or to consult and order online. Meet our specialist to know and discuss personally, Why Welling Homoeopathy treatment for azoospermia can be the best option for you to father a child naturally?