Azoospermia is the medical term used when there are no sperm in the ejaculate.
Thank you for reading this post, don't forget to subscribe!It can be “obstructive,” where there is a blockage preventing sperm from entering the ejaculate, or it can be “nonobstructive” when it is due to decreased sperm production by the testis.
A cystic accumulation of blood in the spermatic cord. It is a most common anatomical abnormality of the veins, especially Pampiniform plexus.
Varicocele is mostly found as left sided where the spermatic vein empties in the left renal vein. In short, varicoceles causes insufficient drainage of the blood from the testes that causes excessive pooling of the blood resulting in higher intra-scrotal temperature, very rarely retrograde ejaculations occur into the urinary bladder in cases of:
Hodgkin’s disease (prior to retroperitoneal dissection)
Prostatectomy
Neurological dysfunction
What Causes Azoospermia ?
There are three main types of azoospermia:
Pretesticular azoospermia:
When testicles are normal, but patient’s body can’t get them to make sperm. It might happen because of low hormone levels or after patient had chemotherapy. (This type is very rare).
Testicular azoospermia:
Damage to the testicles keeps them from making sperm normally. It can happen because of:
- An infection in patient’s reproductive tract, such as epididymitis and urethritis.
- A childhood illness such as viral orchitis, which causes swelling of one or both testicles.
- A groin injury.
- Cancer or its treatments, like radiation.
- Genetic conditions such as Klinefelter’s syndrome.
Post-testicular azoospermia
- A blockage in the tubes that carry sperm from testicles to penis. This is called obstructive azoospermia.
- A vasectomy.
- Retrograde ejaculation, when semen goes into your bladder instead of out of your penis during an orgasm
About 40% of men with azoospermia have the post-testicular type.
Diagnosis of Azoospermia?
First, take samples of patient’s semen, If the lab examine show no sperm in patient’s semen on two separate occasions, then he has azoospermia.
Now try to figure out what’s causing the problem. A complete physical exam, medical history and blood test to measure patient’s hormone levels.
If hormone levels are normal then the patient should be referred for scrotal or transrectal ultrasound to look for an obstruction.
A MRI may confirm the diagnosis.
If patient don’t have a blockage, genetic tests can find out if he have a problem in his genes.
Treatments and Fertility
There are a few types of treatment that can help men with azoospermia .
In allopathic medicine, If patient have the obstructive type, surgery can remove the blockage. The more recent is the blockage, the more likely it is that the surgery will be successful.
Another way is the sperm retrieval can help men with nonobstructive azoospermia or those who have a blockage but don’t want surgery.
One way to do this is to use a tiny needle to draw sperm from patient’s testicle. Then use it later in vitro fertilization (IVF).
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Homeopathic Treatment
Nux Vomica has proved excellent in Oligospermia
Agnus Castus
Diminution of sexual power. The penis is small and flaccid; so relaxed that voluptuous fancies excite no erection. Feeble erections without sexual desire.
The testicles are cold, swollen, hard, and painful. Impotence, with gleet (especially with those who have frequently had gonorrhoea). Gleet, without sexual desire or erections. Emission of prostatic fluid when straining at stool; during micturition. Drawing along the spermatic cords. Pollutions from irritable weakness with prostatorrhoea. Itching of the genital organs. Yellow discharges from the urethra. Gonorrhoea, with suppressed sexual desire.
Argentum Nitricum
Cancre-like ulcer on prepuce. Ulcers on the prepuce; small, covered with pus; later, spreading, bowl-shaped, with a tallow-like coating. Impotence; erections but fail when coition is attempted. Want of desire, organs shrivelled. Coition painful, urethra as if put oil stretch or sensitive at orifice.
Painful tension during erection, chordee, bleeding from urethra, and shooting in urethra from behind forward. Urethra swollen, hard, knotty, painful.
Spasmodic contraction of cremaster muscle, testicle drawn high up. Pain in testes and scrotum as from pins and needles. Orchitis. Burning in spot in anterior of rectum (prostate gland).
Caladium and Tabacum
Excellent for smokers and tobacco chewers. Increases the sperm count rapidly, in smokers. Tabacum patient has frequent erections, flow of prostatic fluid, nocturnal emissions; until waking. Genital organs flabby; no erections or sexual desire. Varicocele. Masturbation and its consequences.
Conium Maculatum
Swelling of the testes (after contusion). Cutting pain through scrotum to root of penis. Lasciviousness. Impotence, insufficient erections, and absence of erections. Want of energy in coition. Erections imperfect, and of too short duration. Easy emission of semen, even without firm erections. Dejection, after coition.
Immoderate pollutions. Flow of prostatic fluid during evacuation, and after any mental emotion. With weakness of sexual organs, much sexual erethism, amatory thoughts, even emissions provoked by mere presence of women. Testicular injury Hydrocele, Varicocele, orchitis, effects of suppressed sexual appetite.
Dioscorea
Relaxation and coldness of organs. Pains shoot into testicles from region of kidneys. Strong-smelling sweat on scrotum and pubes. Emissions in sleep, or from sexual atony, with weak knees.
Phosphoric Acid
Lancinating pains in glans, fine pricking at point of penis. Burning cutting in glans with an out-pressing pain in both groins, feeling of heaviness in glans, especially when urinating. Tingling and oozing vesicles round fraenum. Sycotic excrescences with heat and burning.
Crop of warts on prepuce. A crop of pedunculated warts come round corolla glandis after taking Pho. ac. in summer drinks (agg.-R. T. C.). Condylomata. Eruption on penis and scrotum. Inflammatory swelling of scrotum. Pain in testes when touched, gnawing pain.
Swelling of testes (l.). while spermatic cord is enlarged, hard, and tightened. Absence of sexual desire. Frequent erections (in morning in bed; in morning when standing), without desire for coition. Weakness of sexual organs, with onanism, and little sexual desire. Exhaustion after coition. Frequent and very debilitating pollutions especially where the patient is much affected by the flow.
Onanism; especially when patient is much distressed by the culpability of the act. Discharge of semen when straining during an evacuation.
Titanium
Too early ejaculation. sexual weakness. Too, early ejaculation of semen in coitus.
Tribulus Terrestris
A very good medicine for patients in their mid 40’s having partial impotence caused by overindulgence. seminal weakness, ready emissions and impoverished semen. Prostatitis, calculous affections and sexual neurasthenia. It meets the auto-traumatism of masturbation correcting the emissions and spermatorrhoea. Partial impotence caused by overindulgence of advancing age, or when accompanied by urinary symptoms, incontinence, painful micturition, etc.
Lycopodium
It has proved its great value in sexual dysfunction (acquired and situational). Very effective in premature ejaculation.
Pain in the glans. Excoriation between scrotum and thighs. Dropsical swelling of genital organs. Immoderate excitement, or absence of sexual desire. Repugnance to coition, or disposition to be too easily excited to it.
Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Itching of the internal surface of the prepuce. Excessive pollutions, or absence of pollutions. Emission too speedy or too tardy during coition. Falling asleep during coition. Lassitude, after coition or pollutions. Flow of prostatic fluid, without an erection.
Tinospora Cordifolia
Proved its great value in antisperm antibody positive cases, it is an aphrodisiac, increases sexual potency, purifies sperm.
Selenium
Marked effects on genito-urinary organs and indicated in elderly men. Prostatitis and sexual agony. Patient easily exhausted physically and mentally. Loss of sexual power. Increased desire and decreased ability. Semen thin, odourless. Sexual neurasthenia. Hydrocele. Dribbling of semen during sleep. Irritation after coitus.
P. S : This article is only for doctors having good knowledge about homeopathy, and for learning purpose(s).
NoN of above mentioned medicine(s) is/are not the full/complete treatment but just hints for treatment; every patient has his own constitutional medicine along with these mentioned above.
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS) ; senior research officer Dnepropetrovsk state medical academy Ukraine; is a leading Homeopathic physician practicing in Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.
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