Azoospermia Treatment In Ayurveda
Azoospermia is commonly called “ no sperm count”, is male infertility. It may be defined as the complete lack of sperm in the ejaculate of a male. Azoospermia occurs in 5% of infertile men. If a man is suffering from no sperm count, then one or both of two conditions may be present.
1) The problem in sperm production.
2) There is a blockage in the duct that hampers the production of sperm, although normal and cannot reach the ejaculate properly.
3) azoospermia treatment in ayurveda is one only solution for this disease.
There is one important point that needs to be considered that although no sperm is found in the ejaculate, there can be often the sperm found in the testis because not all the sperm that are made in the testis ejaculate in the semen. There is a “ threshold” effect in sperm production, such that if the production of sperm is high in the testis then sperm “ spill over” into the ejaculation of the male semen. However, if the critical level of sperm is not met for fertilization, there may be some nature sperm in the testis that does not come in the ejaculate. This is the concept for the basis for the statement that “sterility may beget fertility”.
It is essential to look at the medical problems of the patient, such as exposures, past surgery record and family history. These are all undertaken to help define the cause of Azoospermia. Then, a brief examination of the patient is performed, blood tests are taken that consists of the examination of testosterone and follicle stimulating hormone ( FSH ), fourth, if two smaples of semen are taken. With each of the sample, a standard semen analysis is performed and if no sperm are found, then the semen sample undergoes further analysis in which the sample is “ spun “ down in a centrifuge to concentrate small numbers of sperm at the bottom of the tube. The left sample is examined thoroughly for sperm by an experienced lab technician. If there is a finding that 10 sperm or even 1 sperm is present in the left semen, then condition of reproductive tract analysis is disapproved.
Causes for Azoospermia
There are one or the other reasons that cause Azoospermia. If the specific conditions that treat Azoospermia are carried out, it may reverse the process that may result in sperm production. This is true for the Azoospermia due to the hot baths or testosterone supplements. In other cases, genetic infertility, it is not possible and assisted reproduction treatment implements the best solutions to family building.
Conditions Causing Azoospermia
There are several reasons that can cause Azoospermia but the main cause are listed below
a) Unexplained gonadotrophin deficiency
b) Testosterone supplements
c) Severe illness.
d) Varicocele effect
e) Cancer treatment – chemotherapy and radiation surgery
f) Y- Chromosome micro deletions
g) Sperm autoimmunity
h) Diabetes mellitus
i) Young syndrome
j) Ejaculatory duct obstruction
Azoospermia due to Blockage
Clinically, it is very essential to know whether the man with Azoospermia has an obstruction as a main cause of the problem and it can be treated and reversed with microsurgery. If the production of the sperm is normal, after the determination of testis biopsy or FNA mapping, then the Azoospermia is caused by an obstruction. If an obstructed man without a proper reason for the problem is found, then a blockage can be found in the epididymis ( 65%) of the time, in the vas deferens 30% and in ejaculatory duct 55 of the time. The actual location and the cause of blockage can be augmented with microsurgery.
Azoospermia without Obstruction
In the case of nonobstructive Azoospermia where there is normal production of sperm, the nit is assumed that obstruction doesn’t exist. In a few cases, this condition can be treated medically. The main difficulty in the nonobstructive Azoospermia is that although the testis sperm recovery is not difficult in men with obstruction. In addition, there are certain recognized clinical features as testicular size, history of ejaculated sperm, seru7m FSH level, or biopsy reading. In case of Azoospermia with no blockage of sperm duct, termed nonobstructive Azoospermia, medical treatment can help men to develop ejaculated sperm. One of the difficult aspects of nonobstructive Azoospermia is only 50%-60% of men have usable testicular sperm. In addition, other clinical features like testicular size, history of the ejaculated sperm, sperm biopsy reading do not predict accurately whether the sperm can be recovered from the testis or not. Patient with blockage can undergo sperm retrieval and can also use assisted reproductive technology to conceive.