Obstructive azoospermia, in which there’s a blockage in the reproductive tract, may be treated surgically. [2] X Research source IVF may also be an option. Non obstructive azoospermia may be related to a hormonal imbalance and treated with oral or injected hormones. If hormones are not to blame, the underlying condition must be diagnosed and treated. Other causes of nonobstructive azoospermia include genetic abnormalities (such as Y chromosome deletion), enlargement of the veins (varicocele), medications, chemotherapy, and recreational drug use. [3] X Research source
The tests will help rule out other issues, like low sperm motility or low sperm count (as opposed to a lack of sperm, which occurs in azoospermia). Testing two samples will help account for your body’s natural variability.
The type of imaging scan will depend on your specialist’s preferences and your insurance coverage. To verify your coverage, contact your insurer and ask if a procedure is covered or if it requires prior approval.
If you have cystic fibrosis, ask if you might have a related congenital deformity that affects the reproductive tract. Around 95% of men with cystic fibrosis have a congenital reproductive tract deformity. [8] X Research source
Never stop taking prescription medication without talking to your doctor first. Have your sperm analyzed again around three months after switching medications, stopping drug use, or finishing chemo or radiation therapy.
Microsurgery, which involves a small incision that’s used to repair the parts that connect the testes to the rest of the reproductive tract. Endoscopic surgery, which involves a small, flexible tube used to repair the urethra and ejaculatory duct.
Sperm counts increase in roughly 40% of men who undergo varicocelectomy.
While it might be a sensitive topic, you can also ask friends or family members to recommend a urologist.
In the specialty drop down menu, you’d select “fertility” to find an appropriate local urologist.
You can also call their private practice or medical institution and ask about their experience. Ask, “How many microsurgeries does this urologist perform per year? Do they have experience treating azoospermia and other infertility issues?”
Online reviews aren’t always objective and authoritative, so take them with a grain of salt.
Gauging any doctor’s bedside manner is essential, especially when choosing a specialist to treat a potentially sensitive issue like infertility.
