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Last Updated: Oct 23, 2019
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Azoospermia

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Dr. Fazal AhmedSexologist • 39 Years Exp.FFIM, B.U.M.S
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Azoospermia is the medical condition of a man not having any measurable level of sperm in his semen. It is associated with very low levels of fertility or even sterility. It occurs in 5% of infertile men. There are many causes, to evaluate this need through review of present and past medical problems, past surgery, medications, family history physical examinations etc. Need blood tests for testosterone and follicle stimulating hormone (FSH),  two semen samples are needed. With each sample, a standard semen analysis is performed. If no sperm are found, then the semen sample undergoes an additional evaluation in which the sample is “spun” down in a centrifuge to concentrate small numbers of sperm at the bottom of the tube. This “pellet” of the ejaculate is then examined thoroughly for sperm by an experienced lab technician. If 10 sperm or even 1 sperm is present in the pellet analysis, then conditions such as reproductive tract obstruction are painlessly disproved. If, based on the above evaluation, it is not entirely clear as to whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production. This can be done in several ways, but the classic approach is to perform a testis biopsy under local anesthesia. The other causes are Primary testicular failure, Klinefelter syndrome, Varicocele effect, Diabetes mellitus, Pituitary suppression, drug induced (anabolic steroids, alcohol, glucocorticoids), Sickle cell anemia, Testosterone supplements, Ejaculatory duct obstruction, Obstruction, congenital absence of the vas deferens (CAVD), Ejaculatory duct obstruction, Undescended testicles at birth, Sperm autoimmunity,Severe illness (cancer, kidney or liver failure), Vasectomy, Epididymitis,etc.

  • Treatment  depends on the causes above,but the most important is to maintain health by proper nutritious diet (to produce balanced hormones and healthy sperms), exercise, maintain healthy life style.
  • Beside these there are several herbs and fruits are very usefull.
  • 7 dry dates to be boiled in glass of milk and take every day morning after food.
  • Some Unani herbs. Gookhru, Mosli sufaid, Satawar, Khulanjan, Asgandh and Pamba dana are very usefull, make powder of these herbs with equal quantity and take one tea spoonful 2 times a day before food.
  • Avoid stress and mental tension and do proper exercise and early morning walk for half an hour.

 

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