The effects of male and female individuals on the infertility process are equal. Considering the effect of having children on the continuity of the marriage process, especially in underdeveloped and developing communities, infertility is a disease that negatively affects the psychosocial situation in the ongoing period of time.
Infertility can be seen due to many factors, including environmental, genetics, radiation exposure, eating and drinking habits, habits that impair reproductive quality such as smoking or alcohol, and variable lifestyles.
Azoospermia is the absence of fertilizing sperm in the sperm test given after 3 days of sexual abstinence (without ejaculation with a partner or masturbation).
Since a single test is usually not diagnostic, ‘azoospermia’ is diagnosed if there is no sperm with fertilizing capacity in the semen after at least two tests. It is also preferable to have a one-month interval between the two tests.
Causes of Azoospermia
The most common causes of azoospermia are listed below:
- Hormonal disorders
- Testicular inflammations testicular cancer
- After chemotherapy treatment After radiotherapy treatment
- Those with a history of unilateral or bilateral undescended testicles testicular trauma
- Genetic diseases
- Azoospermia symptoms
Azoospermia may not cause any symptoms in men unless there is a plan to have children. Especially in congenital disorders (for example, those who do not have a single or bilateral egg), a delay in male appearance can be seen during puberty. Symptoms such as deepening of the voice, sparseness in the beard and mustache, little or no hair on the chest, genital area and armpits indirectly require being alert for azoospermia.
Diagnosis of Azoospermia
If azoospermia is detected in the sperm test of patients investigated for infertility, blood tests, radiological imaging methods and genetic analysis should be performed, and support should be sought from urology and genetic specialists throughout the fertility process. In testicular ultrasound, especially dimensions and structural changes can be determined. The best of all ancillary diagnostic methods the basis is a detailed urological history and examination.
For this reason, it is important for patients who have one or more of the symptoms listed above to talk to a urology specialist in the early period.
Your doctor will make the final decision for treatment. Generally, surgical procedure may be required to understand whether the sperms are in the testis and, if any, to be used during the in vitro fertilization procedure.
As an operation, a sperm cell search is applied to the testicles under a microscope called micro-TESE. In patients who have sperm by surgical procedure, the sperms are frozen and the
In vitro fertilization process is started, and in patients who cannot be found, various drug treatments are used.Prof.
Dr. Ömer Faruk Karataş