Secretory and obstructive azoospermia: causes, diagnosis and treatment
Azoospermia is the total absence of sperm in the ejaculate. Depending on the cause, we distinguish between obstructive or secretory azoospermia. The prognosis to achieve pregnancy in each case will be different: in the first, sperm can be obtained by testicular biopsy and be used in an ICSI, but in the second it will be more difficult to obtain them and it may be necessary to resort to donor sperm to perform the treatment of assisted reproduction.
Below you have an index with all the points that we will discuss in this article.
Index
Secretory and obstructive azoospermia : diagnosis and treatment- 1. What is it and how is it diagnosed?
- 2. Causes
- 2.1. Secretory azoospermia
- 2.2. Obstructive azoospermia
- 3. Azoospermia and varicocele
- 4. Questions from users
- 4.1. Is azoospermia the same as aspermia?
- 4.2. Is it possible to achieve pregnancy by artificial insemination in cases of azoospermia?
- 4.3. Can natural pregnancy be achieved with secretory azoospermia?
- 5. Recommended reading
Azoospermia and varicocele
The relationship between azoospermia and varicocele is quite common: azoospermia occurs in 5% of cases of varicocele. However, for this to happen, the varicocele must be very severe.
If you want to know more about how to get pregnant with varicocele, we recommend that you read the following article: Can pregnancy be achieved with testicular varicocele?
Varicocele is defined as the dilation of the veins that form the spermatic cord and directly affects spermatogenesis, that is, the production of sperm.
In secretory azoospermic patients who have corrected their varicocele by surgery (varicocelectomy), 50% recovery of testicular tissue has been achieved and sperm motility in the ejaculate is recovered in 55% of cases.
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