EXPORT CITATION

Chapter-28 Azoospermia: Evaluation and Management

BOOK TITLE: Principles and Practice of Assisted Reproductive Technology

Author
1. Javali Tarun Dilip
2. Nayak Arvind
ISBN
9789352705030
DOI
10.5005/jp/books/18020_29
Edition
2/e
Publishing Year
2019
Pages
14
Author Affiliations
1. MS Ramaiah Hospital, Bengaluru, Karnataka, India
2. St John’s Hospital, Bengaluru, Karnataka, India
Chapter keywords
Azoospermia, infertility, male infertility, infection, genital tract, increased scrotal temperature, endocrine disturbance, genetic abnormality, immunological factor, assisted reproductive technique, ART, microsurgical technique

Abstract

The aim of this chapter is to focus on the evaluation and management of Azoospermia. Infertility affects nearly 15% of the couples, who are unable to conceive after 1 year of unprotected intercourse. Male factor infertility accounts for nearly 20–50% of these couples. Of these men, nearly 15–20% is found to be azoospermic. The diagnosis of azoospermia requires the absence of sperm from at least two separate centrifuged semen samples. Men should be thoroughly investigated with a detailed history and physical examination after at least two semen analyses have confirmed azoospermia. Reduced male fertility could be due to congenital and acquired urogenital abnormalities, infection of genital tract, increased scrotal temperature, endocrine disturbances, genetic abnormalities, and immunological factors. Management of azoospermia has evolved with advances in ART and microsurgical techniques.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor