How does azoospermia ignite fertility hopes? Three operations realize fertility dreams

The Chinese people's insistence on inheriting the family line is beyond the imagination of men in other countries. The word "empress" makes many men bear great pain and weakness. With the development of science and technology, male patients with azoospermia can also successfully have their own babies through sperm tract reconstruction and treatment of test-tube babies.

Azospermia, as the name implies, cannot find sperm in the male semen after several tests. Azoospermia can be divided into obstructive azoospermia and non-obstructive azoospermia.

Obstructive azoospermia refers to the testicle producing normal sperm, but problems occur in the testis, vas deferens and ejaculatory ducts, causing obstruction. Normal sperm is obstructed in the testis, and cannot be ejected from the testis and vas deferens.

There are many reasons for obstructive azoospermia. First of all, patients with congenital malformations such as insufficiency of vas deferens, insufficiency of seminal vesicles, congenital obstruction of ejaculatory duct, and cyst of Mullerian duct are primary azoospermia. The second is azoospermia caused by inflammation, tumor, trauma and other diseases. The patient has sperm before suffering from the above diseases, and then gradually reduces the sperm completely.

Non-obstructive azoospermia belongs to testicular spermatogenesis dysfunction, which is caused by congenital gonadal dysgenesis, chromosomal lesions or unknown reasons, such as testicular dysplasia, bilateral testicular atrophy, etc., accounting for about 60% of azoospermia and 10% of male infertility. For this part of patients, there is no particularly good treatment method at present, because most patients are difficult to produce normal sperm in their body. The main method of treatment is to use sperm from the sperm bank to assist artificial reproduction or adopt children. At present, new research has found that the method of testicular micro-precipitation may exist in the testicles of these patients to a certain extent. As long as the sperm can be found for test-tube babies, there is a possibility of fertility. There have been successful cases reported abroad.

Final examination: testicular biopsy

After confirming that the patient is azoospermia, after knowing the history of the disease, endocrine tests such as seminal plasma biochemistry, six items of sex hormone, inhibin b, and secretory chromosome were used. Chromosome examination and ultrasonic examination were basically resistive, and the fertility plan was formulated for non-resistive azoospermia.

Only by finding the most basic source of the disease can we really achieve targeted treatment. Therefore, for patients with azoospermia, they must go through a very detailed examination and cannot be diagnosed. If the patient wants to be a test-tube baby, testicular biopsy should be considered if necessary. It is helpful for the final diagnosis..