There is no measurable sperm in semen.Its associated with Male infertility, This must be confirmed on two or three separate examinations semen sample. There are two basic categories of azoospermia: obstructive (OA) and non-obstructive (NOA).
Call on our Toll Free Number 1800-843-4334 for Azoospermia is condition when sperm are found absent in a male's semen test. In this case the semen produced by the male reproductive organs has the desired fluidity but sperm is absent.
The doctor opts for hormonal treatment in cases where infertility is caused by hormonal disorders of the reproductive glands which result in high or low levels harmones.
During the last century, gynaecologists used to manage azoospermia by using donor semen. And, out of compulsion, this was acceptable to the poor lady who had to bear the brunt of childlessness. With the turn of century, situation changed dramatically due to easy availability of DNA testing. Infertile male can no more be replaced by confidential un-indicated use of sperm donor. These developments paved the way for more scientific procedures which are summarized below:-
Percutaneous aspiration of sperms was practiced before the evolution of TESE/mTESE. It is a simple procedure and involves aspiration of intra-testicular fluid using a thin needle and then searching for mature sperms in the fluid. The technique went into disrepute due to low success rate caused by degradation of highly delicate sperms induced by negative suction pressure in the aspiration kit. Unfortunately, it is still practiced by gynecologists who do not have access to help from uro-andrologist.
Percutaneous Aspiration of Epididymal Sperms is mentioned only to be condemned. It is a blind procedure.
Microsurgical Aspiration of Epididymal Sperms still remains a viable option in a case where urologist finds a dilated tubule on Exploratory Scrototomy. In such a situation, sperm retrieved from epididymis scores over sperm directly retrieved from testis in the sense that epididymal sperm is more mature and aggressive.
Direct surgical harvesting of testicular tissue (TESE) or sperms under microscope (mTESE) has proved to be a boon for patients of Obstructive Azoospermia and it is the ultimate tool in the hands of experts in male infertility. With these procedures, sperms are procured directly from their site of production with no damage to the delicate anatomy of the gamete. Harvested spermatogenic tissue can be law-fully preserved for 5 yrs., however, sperms remain viable much longer even after that if maintained in proper environment. As and when eggs are available from female partner, frozen sperm is thawed and used for ICSI. In NCR, probably, ‘UROGYN’ is the only fertility centre where these procedures are done routinely, primarily due to in-house availability of experts in male infertility.