How We At Guru Help Fight Azoospermia?

Date :02/09/19

How We At Guru Help Fight Azoospermia?

Studies show that 1 percent of all men in the general population have azoospermia or an absence of sperm in the ejaculate. Azoospermia is the reason for infertility among 1 in 15% of infertile men. However, thanks to modern technology and advanced medical treatments, which provide men with azoospermia the hope of conceiving a child. 

Experts like Dr. Kalapana, a certified reproductive health care provider in association with Guru Multispecialty Hospital, Madurai, helps you to fight against azoospermia If you are struggling to conceive. With the help of treatments like surgery, sperm retrieval, and assisted reproductive technology, success is made possible.

Azoospermia treatment tamilnadu
What is Azoospermia?

Azoospermia is a condition where a man has no sperm present in the seminal fluid. This is one of the primary reasons for infertility. Azoospermia is classified into two categories - obstructive and nonobstructive azoospermia.

Obstructive azoospermia is a condition when the sperm is produced but blocked from reaching the ejaculate. This blockage might occur in

  • The epididymis, the area of the testicles where sperm mature.
  • The vas deferens, the tube that transports the sperm into the ejaculate.
  • The ejaculatory ducts, the ducts at the openings of each side of the tube.

Non-obstructive azoospermia is a condition when there is not enough sperm production to be seen in the semen, or a minimal amount is produced and cannot make it out of the testicles. This can occur due to:

  • Past infections
  • Hormonal causes
  • Undescended testicles
  • Injury or twisting of the testicles
  • Congenital and genetic abnormalities
  • Varicocele or an enlarged vein in the scrotum 

How is azoospermia diagnosed

  • Measurement of levels of hormones
  • Genetic testing
  • X-rays or ultrasound of the reproductive organs
  • Imaging of the brain to identify disorders of the hypothalamus or pituitary gland
  • A biopsy of the testes to learn if it is obstructive or non-obstructive azoospermia. 

What are the treatments for azoospermia?

The experts of Guru multispecialty hospital will educate the patient about the condition and recommend the most suitable treatment methods depending on the type and cause of the condition.

Obstructive azoospermia

Microsurgical reconstruction 

Most obstructions are repairable with micro-surgical or endoscopic reconstruction. Experts of Guru can make a precise diagnosis and pinpoint the exact location of the blockage. They repair it to restore the normal flow of sperm into the ejaculate.

Non-obstructive Azoospermia 

Experts of Guru multispecialty hospital recommend medical assistance to develop the ejaculated sperm if the patient can’t produce naturally. We also provide the option of retrieving sperm from the testes and use it for assisted reproduction treatment. These methods include: 

  • Percutaneous Epididymal Sperm Aspiration (PESA).
  • Testicular Sperm Aspiration (TESA).
  • Microsurgical Epididymal Sperm Aspiration (MESA).  

FNA mapping and microdissection testicular sperm retrieval have been very successful approaches in treating conditions of nonobstructive azoospermia. 

Hormone treatment

Depending on the existing levels of hormones, some men with nonobstructive azoospermia benefit from treatment with certain hormones, coaxing sperm back to their semen or finding sperm during extraction.

These hormones include:

  • Follicle-stimulating hormone (FSH)
  • Human chorionic gonadotropin (HCG)
  • Clomiphene
  • Anastrozole
  • Letrozole


Some men may have a varicocele, an enlarged and widened veins on the scrotum that can impede sperm production. During a microscopic varicocelectomy, an operating microscope is used to identify and tie off the offending veins while preserving important surrounding structures, for instance like arteries, vas deferens, lymphatic channels.

Men with azoospermia need proper discussion with experts like Dr. Kalpana to get the best solutions. Some men may find that improving diet and lifestyle choices will be all it takes to aid the body in producing sperm once again but, to be honest, the chance is very low .

Guru Multispecialty Hospital is dedicated in helping men with azoospermia fulfill the dream of parenthood.

Blog reviewed by: Dr. B. Kalpana
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M.D(O&G) FNB(Reproductive Medicine), FICOG

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