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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 extrremely unlikely that the man will be able to father
a child naturally. In fact it is rare that a man has absolutely no sperm
at all and as long as some sperm are produced it is possible nowadays
to help couples through a procedure called ICSI.
So, if the doctor says you have azoospermia make sure you ask exactly
what the semen analysis results were.
Azoospermia occurs in about 2% of men in
the general population. So whilst not common there are plenty of infertile
men around - in the UK alone we would expect to find at least 300,000
men with azoospermia and many of these would appear extremely healthy
and have no indication that any problem might exist ! In addition around
10-20% of men attending infertility centers will probably have azoospermia
as well.
This means that if you and your partner
have been trying for a year or more to have a baby there is an increased
risk that you may have a problem.
Aspermia is an absence
of any ejaculate (semen) and is much rarer.
Note : The finding of azoospermia often
comes as a surprise for a couple since there often are no symptoms (there
frequently is an ejaculate and a normal ejaculation process). Whilst this
can be very distressing it is possible to offer treatment through a fertility
specialist in many cases so it is importnat not to just give up and think
there is no hope. If treatment does fail it is possible to help some couples
by using the new ICSI procedures.
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