Hi my name is ajit 30 years of old. Married since 5 years. I have azoospermia which I found in the semen test done in last weeks. Also I did the blood test as a result the count of fsh level is 36.54. I knew it is not normal? Also I have done a sonography of my testis in that both testis are slightly small in size. So can you please tell me what option I have now? Can be cure by taking medicine only?

Dr. Karuna ChawlaHomeopath23yrs exp

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Azoospermia is the medical condition of a man whose semen contains no sperm. Azoospermia can be classified into three major types 1. Pretesticular? inadequate stimulation of otherwise normal testicles and genital tract. Follicle-stimulating hormone (fsh) levels are low. Examples include hypopituitarism (for various causes), hyperprolactinemia, and exogenous fsh suppression by testosterone, chemotherapy. Pretesticular azoospermia is a kind of non-obstructive azoospermia. 2. Testicular? in this situation the testes are abnormal, atrophic, or absent, and sperm production severely disturbed to absent. Fsh levels tend to be elevated as the feedback loop is interrupted. Causes for testicular failure include congenital issues such as in certain genetic conditions (e.g. Klinefelter syndrome), some cases of cryptorchidism or sertoli cell-only syndrome as well as acquired conditions by infection (orchitis), surgery (trauma, cancer), radiation, testicular azoospermia is a kind of non-obstructive azoospermia. Generally, men with unexplained hypergonadotropic azoospermia need to undergo a chromosomal evaluation. 3. Post testicular? sperm are produced but not ejaculated, the main cause is a physical obstruction (obstructive azoospermia) of the posttesticular genital tracts. The most common reason is a vasectomy done to induce contraceptive sterility.[6] other obstructions can be congenital (example agenesis of the vas deferens as seen in certain cases of cystic fibrosis) or acquired, such as ejaculatory duct obstruction for instance by infection. Ejaculatory disorders include retrograde ejaculation and anejaculation; in these conditions sperm are produced but not expelled. 4. Unknown? idiopathic azoospermia is where there is no known cause of the condition. It may be a result of multiple risk factors, such as age and weight.  

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