Azoospermia refers to the situation where sperm is not found in multiple semen examinations (usually more than 3 times). This disease is one of the causes of male infertility. Necessary tests such as testicular biopsy, spermatogenic tract imaging, and endocrine hormone radioimmunoassay can be done to assist in distinguishing between obstructive azoospermia and congenital azoospermia. Azoospermia is often due to congenital deficiency, weak endowment, kidney essence deficiency, and weakened vital fire; or due to postnatal disharmony, excessive depletion, spleen failure in transportation, and lack of source of essence and blood; excessive damp-heat, stasis, and obstruction of the spermatogenic channels; or due to a previous mumps, the epidemic toxin of Shaoyang flowing to Jueyin, and the residual toxin lingering, making it difficult for sperms to be produced and leading to azoospermia. The first step in differentiation is to differentiate between deficiency and excess. Deficiency syndrome is often due to kidney deficiency, often accompanied by decreased libido, impotence, premature ejaculation, lumbar and knee weakness, etc. Excess syndrome is often due to stasis and heat, often accompanied by normal or increased libido, testicular swelling and pain, and hematospermia. The general treatment method is to invigorate the kidney and add essence, and clear heat and remove blood stasis.
Common causes of testicular spermatogenic dysfunction include: anorchia. The testicles are the only place to produce sperm. Without testicles, the production of sperm is unimaginable. Since there are no testicles, there is no treatment value, and there is no need to take any medicine; bilateral cryptorchidism. This condition is that the testicles have not reached the scrotum where they should be, but stay in the abdominal cavity due to the higher temperature than the scrotum, sperm cannot be produced, and azoospermia can also occur. This condition can be treated by surgery, and it should be noted that the earlier the treatment, the better the effect; congenital incomplete development of the seminiferous tubules (also known as Kline-Felter syndrome), which is also a developmental cause. Although there is no problem with the position of the testicles, there is still a problem with sperm production.
In real life, it should be avoided to increase the testicular temperature through all factors; consuming cottonseed oil. This oil contains a component called gossypol, which can inhibit sperm production. Therefore, it is used for male contraception. However, if a man who plans to have children eats too much of it, it can lead to a decrease in sperm, even to the point of disappearance. If too much cottonseed oil is consumed, it is difficult to return to normal even after stopping; varicocele. This condition can seriously affect the blood supply to the testicles, thereby affecting the spermatogenic function of the testicles, and can also lead to a significant decrease in sperm or even disappear. Timely surgery or medication (for mild cases) may hope to restore the reproductive function of most patients.
