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My marriage was 6 years ago, and my semen analysis shows a zero sperm count. What could be the reason, and what should I do next?
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My marriage was 6 years ago, and my semen analysis shows a zero sperm count. What could be the reason, and what should I do next?
Asked by Male, 32 · 1 month ago
A zero sperm count may be due to a blockage in the reproductive tract, hormonal problems, genetic causes, or past infections. Please see a urologist or fertility specialist for further tests and to discuss possible treatments such as surgical sperm retrieval or hormone therapy.
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What tests should I undergo for my sperm issue?Can lifestyle changes improve sperm count?Is surgery needed for sperm blockages?How effective is IVF with sperm retrieval?What emotional support is available for infertility?
Possible Causes of Zero Sperm Count (Azoospermia)
- Azoospermia is the absence of sperm in semen.
- Causes include obstructive issues (blockages) or non-obstructive issues (sperm production problems).
- Factors: hormonal imbalances, genetic issues, infections, surgeries, lifestyle factors.
Diagnostic Steps
- Conduct a detailed medical history and physical exam.
- Perform hormonal blood tests (testosterone, FSH, LH).
- Use scrotal ultrasound to check testicular structure.
- Consider genetic testing and imaging for blockages.
Next Steps and Treatment Options
- Consult a urologist or fertility specialist.
- Treatments: hormone therapy, surgery for blockages, IVF with sperm retrieval.
- Implement lifestyle changes to enhance fertility.
Emotional Support
- Recognize the emotional impact; consider counseling or support groups.
Follow-up
- Regular follow-up is crucial to monitor treatment and adjust as needed.
Answered 1 month ago