What is Azoospermia?
When no sperms or measurable sperms can be found in a man’s semen, the condition is called Azoospermia. This condition can result in infertility.
How common is Azoospermia?
Azoospermia is common in infertile men. Up to 10% to 15% of infertile men are diagnosed with it.
What are the parts of the male reproductive system?
The male reproductive system consists of the following parts-
Testicles produce sperm through a process known as spermatogenesis.
- Seminiferous tubules
These resemble tiny tube and is seen densely in the testes.
This is a structure found on the back of each testicle in which mature sperm are stored.
- Vas deferens
This is a tube that starts from the epididymis and passes into the seminal vesicle.
- Seminal vesicle
The seminal vesicle is a tube-like gland that helps to create and store the fluids in semen. It forms a duct called the seminal duct which then joins the vas deferens.
- Ejaculatory duct
When the seminal vesicle merges into the vas deferens, the ejaculatory duct is created. It passes through the prostate gland and joins the urethra.
It is a tubular structure that passes through the penis to remove urine and semen.
Are there different types of Azoospermia?
Yes, there are two different types of Azoospermia.
- Obstructive Azoospermia
In this condition, the male produces viable sperm, but it gets blocked from exiting the body during ejaculation. This may point to a blockage or a missing
connection in the epididymis, Vas deferens or in any of the other parts of the reproductive tract.
- Non-Obstructive Azoospermia
With this condition, you do not have blockages but have poor sperm production due to some problem in the reproductive system.
Symptoms and Causes
What are the causes of Azoospermia?
- Surgery in the pelvic area
- A cyst
- Cystic fibrosis gene mutation that can cause the abnormal development of the vas deference.
- Genetic causes – Genetic mutations like Kallmann syndrome, Klinefelter’s syndrome, and Y chromosome deletion can cause missing sperm production.
- Hormone imbalances and endocrine disorders like hypogonadotropic hypogonadism, androgen resistance and hyperprolactinemia.
- Problems with ejaculation like retrograde ejaculation.
- Testicular causes – Anorchia- absence of testes; Cyptorchidism- the testes have not descended into the scrotum; Spermatogenic arrest – the tested cannot release fully mature sperm cells; Sertoli cell-only syndrome – the testes do not produce viable sperm cells; Mumps orchitis- inflammation of the testes due to mumps infection in puberty; Tumor; Testicular torsion.
- Side effects of medication
- Chronic illness like cirrhosis, diabetes and renal failure.