Azoospermia Treatment Cost All Inclusive Medical Packages In India

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Published: 13th October 2009
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Azoospermia Treatment In India




Azoospermia is the complete absence of sperm in the semen and as such means that a man will be completely infertile. The diagnosis of azoospermia is sometimes still made even though as many as 500,000 sperm per ml of semen may have been seen because it is extremely unlikely that the man will be able to father a child naturally with this number of sperm...


 


What is azoospermia and can a person with azoospermia have biological children ?


In reality however, a semen analysis which shows the absence of sperm in the ejaculate does not remove the chance that sperm is being produced and not delivered to the semen, or that interventions may help the man produce sperm. Even in cases where after intervention there is still no sperm in the ejaculate, there may be a possibility of harvesting small amounts of sperm, which have been produced in the testes as a result of the interventions...


 


A Production Problem or a Delivery Problem ?


Investigations need to be carried out to discover whether the testes are simply not producing sperm, or are producing sperm but unable to deliver it in the ejaculate. If the testes are making sperm but none are in the ejaculate, the sperm must be retrieved by some other mechanism, either by restoring the normal flow of sperm or by circumventing it...


 


Evaluation of Azoospermia


Physical Examination


This is the simplest test. If the size of the testicles is severely diminished, this is an indication that the seminiferous epithelium is affected....


 


Hormonal Evaluation


Follicle stimulating hormone (FSH) is the hormone made by the pituitary, which is responsible for stimulating the testes to make sperm. When the sperm producing capacity of the testes is diminished, the pituitary makes more FSH in an attempt to make the testes do its job....


 


Genetic Testing


Screening for the genes that can cause cystic fibrosis is sometimes suggested. There are tests for specific genetic abnormalities on the male chromosomes that can cause azoospermia....


 


Transrectal Ultrasound


In order to rule out a blockage of the ejaculatory duct, an ultrasound of the ejaculatory duct and seminal vesicles is often performed....


 


Urinalysis


It is possible that ejaculation is occurring backwards, ie. the sperm is being pushed into the bladder, and then washed out when the man urinates after ejaculation....


 


Testicular Biopsy


Finally, if a primary testicular problem is suspected then a testicular biopsy can be undertaken....


 


 


 


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