Azoospermia is what is known as the medical condition of not having any sufficient measurable level of sperm in his semen. It is connected with very low fertility levels and is thought to mean there is no chance the man suffering from Azoospermia could ever conceive a child, as if there is no sperm how can conception happen? But this is not always the case. Absence of sperm in the ejaculate does not necessarily rule out the odds that some sperm is being produced and that it is just not being delivered to the semen or only extremely tiny amount of sperm are being produced.
Whatever the cause, the thought of never being able to father a child is devastating.
The Azoospermia condition has two forms:
Obstructive Azoospermia, where sperm are produced but is unable to be mixed with the rest of the ejaculatory fluid due to a physical obstruction and Non-obstructive Azoospermia, where there is a problem with spermatogenesis, (the process of sperm cell development) as in the condition of hyperploactinemia (abnormally high levels of prolactin in the blood).
Even if you have as many as 500,000 sperm per ml of semen in a semen sample, it is slim to none that you will be able to naturally father a child with this number of sperm so it is likely that the medical diagnosis will be that you are suffering from Azoospermia.
Tests will need to be conducted to confirm whether you do indeed have Azoospermia or some other problem, you may need to undergo a physical examination, where the scrotum, ductal structures and testicles are felt, to check for a diminished size (testicles) the presence of dilated veins (vaicocele) or the absence of the ductal systems. Hormonal evaluation and a transrectal ultrasound, urinanalysis and as a last resort; a testicular biopsy are sometimes required. These varieties of tests will tell you once and for all whether you are suffering from Azoospermia.
If you are diagnosed with Azoospermia, you need to determine from your doctor the exact cause, whether you have a very low sperm count so that you know you will at least make some sperm or no sperm whatsoever which of course is the last thing most men want to hear, but you need to be properly informed so that you can be made aware of any treatment options available.
Azoospermia is relatively unusual with only 2% of men suffering from the condition, however there are vast amounts of infertile men in the UK and it is calculated that at least 300,000 men are unbeknownst to them are suffering from Azoospermia. It is no indication on your general health, even the healthiest men suffer from Azoospermia.
Most men facing a semen analysis await the diagnosis of Azoospermia with trepidation. However, if that diagnosis is confirmed it does not automatically mean that the man produces no sperm or can never be made to generate any sperm and as a result, will never have a biological child. A precise diagnosis of Azoospermia is complicated and can be a process of elimination which can be lengthy. However, many of the causes can be rectified. Even then if there are no sperm in the ejaculate, sperm can often be harvested and used to achieve fertilization. So whatever the outcome, there is light at the end of the tunnel