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Sperm count nillSperm count nill, azosp
Sperm count nill, azospermia like problems.. So please give me solution...now which treatment follow
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Azoospermia...
Treatment for Azoospermia depends entirely on whether the condition is caused by physical
BLOCKAGE ( Obstructive) or problem with sperm
PRODUCTION ( NNon -Obstructive)
Obstructive = Testicles make sperm but due to blockage sperm not coming out.
Treatment = Surgery can fix the pathway.
Non Obstructive = when Testicle produce no sperm approach focus on stimulating production or retrieving cells directly..
Hormone Therapy = use Medication like hCG,
FSH,if low Hormone level.
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Dr. Shamoon Khan
Next Steps
Azoospermia should be confirmed with two semen analyses, ideally after 2â7 days of abstinence. It may be due to a blockage or reduced sperm production, and the cause can often be treated. Please do not start testosterone or fertility medicines on your own.
Health Tips
Please consult an andrologist/urologist with both reports for examination and hormone tests (FSH, LH and testosterone); ultrasound may be advised. Bring all previous reports for a focused plan. You can book an appointment with me if convenient.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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A nil sperm count needs confirming with a repeat semen analysis first, since a single test or sample collection issue can sometimes affect the result.
Next Steps
From there, a fertility specialist can add hormone blood tests and a scrotal ultrasound to find the cause and discuss options, including assisted reproduction where suitable.
Health Tips
Please don't start any medicines on your own before this workup is done.
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Dr. Shaik Bepari Mohammed Imran
General Physician
3 yrs exp
Hyderabad
I understand this is very stressful. Azoospermia means no sperm in semen, but it does NOT always mean you cannot have a biological child. Treatment depends on _why_ it is nil and workup is needed first.
*1. You need confirmation and type - Please do not start any medicine from medical shop on your own*
Azoospermia is diagnosed only after 2 semen analysis, and then divided into:
- *Obstructive Azoospermia:* Sperm is being produced in testis but blocked in tube (epididymis / vas deferens) due to previous infection, surgery, or birth defect. Testis size and hormones are usually normal.
- *Non-Obstructive Azoospermia:* Testis itself is producing very less or no sperm due to hormone problem, genetic problem, varicocele, mumps orchitis in childhood, heat / smoking / alcohol, certain medicines, etc.
*2. What tests a Urologist / Andrologist will advise:*
will do:
- *History:* Childhood mumps, undescended testis, hernia surgery, diabetes, BP, smoking/alcohol, tight heat exposure, medicines, fever in last 3 months
- *Physical Exam:* Testis size, varicocele, vas deferens palpable or not
- *Repeat Semen Analysis:* After 2-3 days abstinence, in standard lab, with centrifugation - sometimes few sperms are found on second test
- *Blood Tests:* FSH, LH, Testosterone (morning), Prolactin, Thyroid
- *Scrotum USG + Doppler:* To see testis, varicocele, obstruction
- If needed: Genetic tests - Karyotype, Y-microdeletion, CFTR gene
Do not repeat semen test in different labs every week - it wastes time. Get one proper report and go to specialist.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. V R Tindwani
Family Physician
51 yrs exp
Ahmedabad
Consult urologist for proper acessment
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
First repeat the semen analysis for a confirmatory diagnosis
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Dr. Jasper J
General Physician
1 yrs exp
Kumbakonam
No need to panic,Repeat the semen analysis once more with another sample then we can evaluate by USG and various blood tests and confirm the diagnosis and further we can proceed
Next Steps
repeat semen analysis
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