Thanks to our advanced treatments, some men with nonobstructive
azoospermia may experience the return of sperm to their semen—enough
so that unassisted conception is a real possibility. For many others,
we can identify pockets of sperm production in the testicles, even if
many areas are barren and our patients do not create enough to send
through their reproductive tracts.
Such success is possible because of our experience and expertise
with sperm extraction.
Your doctor will talk to you about your specific condition and make
treatment recommendations. For some men, the solution is fairly
straightforward: make a lifestyle change, swap out a medication or
start avoiding certain toxins. Also, the reproductive system is fairly
resilient if you have undergone chemo or radiation therapy—your body
just needs time to recover. But we may also recommend a more direct
intervention. In any case, you need to give your body 2-3 months to
make enough sperm afterward to see a clear benefit.
Depending on their existing levels, some men with nonobstructive
azoospermia benefit from treatment with certain hormones, coaxing
sperm back to their semen or increasing the likelihood of find sperm
during extraction. These hormones include:
Follicle-stimulating hormone (FSH)
Some men may have a varicocele, enlarged and widened veins on the
scrotum that can impede sperm production. During a microscopic
varicocelectomy, we use an operating microscope to identify and tie
off the offending veins while preserving important surrounding
structures (e.g., arteries, vas deferens, lymphatic channels). Up to
40 percent of men see sperm return to their semen with this procedure.
Those who are unsuccessful may opt to try sperm extraction. Learn more
about our sperm extraction.