Azoospermia

What is Azoospermia

Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present (“causes”):

  • There is a problem with sperm production.
  • There is a blockage such that sperm production, although normal, cannot reach the ejaculate

Azoospermia can be divided into two broad categories:

Obstructive Azoospermia (OA): OA means that sperm are being produced normally inside the testicle, but there is a blockage or obstruction in the reproductive tubing that is preventing the sperm from flowing to the outside world.

Non-Obstructive Azoospermia (NOA): NOA means that the tubes are open, but there is a sperm production problem where either no sperm are produced at all or there is a very low level of sperm production. This level is often so low that the sperm never make it all the way out of the testicle and can only be found inside the testicle during surgery.

Conditions That Cause Azoospermia

  • Primary testicular failure, Klinefelter syndrome
  • Y chromosome microdeletions
  • Genetic infertility due to abnormal chromosomes (karyotype)
  • Unexplained genetic infertility
  • Secondary testicular failure, Kallman syndrome
  • Unexplained gonadotropin deficiency
  • Hypothalamic/pituitary tumor
  • Hyperprolactinemia
  • Cancer treatment (chemotherapy, radiation, surgery)
  • Varicocele effect
  • Pituitary suppression, drug induced (anabolic steroids, alcohol, glucocorticoids)
  • Testosterone supplements
  • Congenital adrenal hyperplasia
  • Severe illness (cancer, kidney or liver failure)
  • Diabetes mellitus
  • Sickle cell anemia
  • Hemachromatosis
  • Sperm autoimmunity
  • Pesticide/toxin exposure (including hot tubs and baths)
  • Undescended testicles at birth
  • Obstruction, congenital absence of the vas deferens (CAVD)
  • Ejaculatory duct obstruction
  • Epididymitis
  • Scrotal trauma or surgery
  • Young syndrome
  • Vasectomy

Azoospermia Diagnosis

One important point concerning this diagnosis is that although no sperm are found in the ejaculate, there are often usable sperm found in the testis, as not all sperm that are made in the testis actually make it into the ejaculate. There is a “threshold” effect with sperm production, such that if production of sperm is high enough in the testis, then sperm “spill over” into the ejaculate. However, if that critical level of sperm production is not met, there may still be mature sperm in the testis that do not make it into the ejaculate. This concept is the basis for the statement that “sterility may beget fertility.” As an internationally recognized pioneer in managing this condition, Dr. Hashmi sees hundreds of men every year with this diagnosis and he offers a brief, thorough, state of the art evaluation for this problem.

Natural Herbal Treatment for Azoospermia or Nil Sperm Count

Azoospermia is a condition also known as nil sperm count. It is the reason why many couples can’t conceive babies and it is a cause of frustration especially in young families.

Natural herbal treatment for azoospermia or nil sperm count is mainly composed of natural herbs. These have properties similar with those of the hormones that enhance the sperm production. Tribulus terrestris is one of the herbs that cure azoospermia. It is used for many years in fertility related problems, low male libido and other sexual disorders like erectile dysfunction. Tribulus terrestris increases the level of estrogen and testosterone and also improves the blood circulation in the entire area, but mainly in the reproductive system and the urinary tract.