Azoospermia (No Sperm) – 2
Dr. K, I was told that I am azoospermic? What are my options for getting sperm out to have kids?
Azoospermia is simply a global term that means that no sperm are seen in your ejaculate. To be more specific, we classify azoospermia as either obstructive or non-obstructive. Obstructive azoospermia means that sperm are not in the ejaculate because the pipes are blocked somewhere in between your testicle and your penis. This is the situation for some men with cystic fibrosis and all men with vasectomies (for more information, please click on the Sperm Aspiration & Retrieval: After a vasectomy section). Non-obstructive azoospermia is where the testicle is not doing a good enough job making sperm. If this is your situation, you will definitely need to see a male fertility specialist to work through this situation since a careful evaluation is required (hormone studies, genetic tests, a possible testicular biopsy and a specialized procedure to look for sperm in your testicles called a MicroTESE (Microdissection Testicular Sperm Extraction).
For a more thorough discussion of non-obstructive azoospermia, please see the Azoospermia (No Sperm) section.