You are browsing content specific to your location, some treatments may not be available:

Call for an appointment:

+971 2 652 8000

Azoospermia

Azoospermia is the absence of sperm cells in the ejaculate regardless of regular spermatogenesis. It is a common cause of infertility in males and affects roughly 1% of the male population. Out of it, approximately 60% NOA & 40% OA. This condition makes the semen less fertile or sometimes sterile.

What are the factors that cause this condition?

Obstructive azoospermia can occur due to multiple reasons. The condition may develop in males with:

  • A history of Vasectomy
  • Blockage in the ejaculatory ducts or ejaculation
  • Infectious Testicles or Epididymis
  • Absence of Epididymis / Vas Deference since birth (a tube that stores and transfers the sperm)

What are the signs of Obstructive Azoospermia?

Generally, no noticeable symptoms of obstructive azoospermia are observed. However, there are two major indicators of the condition, including:

  • Difficulty in the production of sperm
  • Blockage in the ducts, leading to an obstructed ejaculation

What is the effect of obstructive azoospermia on fertility or conception?

A male with the problem of obstructive azoospermia is incapable of producing sufficient sperms. This makes the natural conception process very difficult. However, regardless of this low sperm count, successful retrieval of the healthy sperms can be done from the testis or epididymis.  And then, these sperms can be utilized for IVF or other procedures.

What are the diagnostic tests employed?

  • Physical assessment: It may help in diagnosing the inappropriate testicle structure. Not only testicle, but it also diagnoses the structure of epididymis and other ducts.
  • Imaging test: Prostate and Scrotum Ultrasound tests are great approaches to detect any problems or abnormalities in males.
  • Clinical tests: These can be done to identify the levels of Testosterone and Follicle-Stimulating Hormone. These hormones have a direct impact on sperm levels.

How to treat this condition?

Depending upon the patient’s condition, two types of procedures can be done to treat obstructive azoospermia:

  • Vaso-vasostomy/ vaso-epididymostomy: In this, a small incision is made in the testes. This is done to clear the barrier in the vas deference/ epididymal tube. This tube plays a key role in sperm transport to the testes.
  • Transurethral Resection of the Ejaculatory Duct (TURED): A small incision is made in the testes to clear hindrance in the ejaculatory duct. This duct is majorly accountable for the ejection of the sperm into the vagina.

Types of treatment related to this article

IVF means in vitro fertilization.  In vitro means in the laboratory ( outside the body)  and fertilization refers to conception (joining of a woman’s egg and a

Learn More

Intracytoplasmic sperm injection (ICSI) is a technique developed to overcome male infertility attributed to impaired semen quality.  ICSI is one of the most

Learn More

Preimplantation genetic testing for aneuploidies (PGT‐A), formerly known as preimplantation genetic screening (PGS), is an alternative method to select embryos

Learn More

PGT-SR is a genetic test for detecting inherited chromosomal structural rearrangements in embryos prior to their transfer and enhancing the chance of a

Learn More

We are here to help