It is often assumed that men with zero sperm count can’t have their own biological children, but this isn’t necessarily so.
With the help of assisted reproductive technology, and sometimes surgery, some men with azoospermia can have genetic offspring.Azoospermia is a condition where there are no sperms found in the ejaculate after orgasm. Affecting about one in 100 of the general population—but up to one in 10 of men with fertility problems—azoospermia is an uncommon but severe form of male infertility.
The best course of treatment depends on the specific cause along with the fertility potential of your partner or spouse. Your treatment plan will be based on whatever is the suspected cause for the zero sperm count. Obstructive azoospermia is when the sperm can’t get into the semen or ejaculate due to a blockage or issue with ejaculation while non-obstructive azoospermia is when the cause is primarily hormonal or an issue with the sperm development.Azoospermia itself—a lack of sperm in the semen—doesn’t have any specific symptoms. As a couple trying to conceive, you will experience infertility if you have zero sperm count.
A man without a vas deferens on both sides is said to have a congenital bilateral absence of the vas deferens. Sometimes, surgery in the general area—but not specifically on—the male reproductive tract can lead to unintentional scaring or injury. For example, surgery to treat an inguinal hernia can lead to injury to the testes or vas deferens.
When surgery can correct obstructive azoospermia, natural conception may be possible. Surgical treatments don’t correct the problem overnight, however. A semen analysis will be ordered three to six months post-surgery. Sperm cells extracted via TESE can only be used with IVF and ICSI— intracytoplasmic sperm injection—when a single sperm cell is directly injected into an egg. If successful fertilisation takes place , then the resulting embryo is transferred to the woman’s uterus.
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