No spermatozoids can be detected in my ejaculate. What can be done? Is it permanent?
The absence of sperm in ejaculate is called azoospermia and is generally caused by an obstruction in the seminal tracts or a problem with spermatozoid production in the testicles.
This could be a temporary situation or a situation that is evolving. For that reason we always require at least two samples for confirmation purposes.
If azoospermia is confirmed as the cause, further detailed study must take place (hormonal, genetic, and urologic) to be able to evaluate the origin and prognosis.
If testicular spermatozoid production is still active, or at least partially, one option is IVF with microinjection of spermatozoids collected from a testicular biopsy or sperm extraction using anaesthesia.