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Azoospermia - Vanad Clinic



Azoospermia is a condition in which there’s no measurable sperm in a man’s ejaculate (semen). Azoospermia leads to male infertility.

Here’s a quick lesson in how the body works: Sperm is made in the testicles. It travels through the reproductive tract and mixes with the fluid that’s found in the seminal ducts. Together, the sperm and this fluid make semen —- the thick, white ejaculate that comes out of the penis.

With azoospermia, the sperm is taken out of the equation. You may have ejaculate, but it doesn’t contain sperm.


  • Pre-testicular azoospermia (non-obstructive) is caused by impaired production of the hormones responsible for creating sperm.
  • Testicular azoospermia (non-obstructive) is caused by any abnormalities in the function or structure of the testicles.
  • Post-testicular azoospermia (obstructive) is caused by problems with ejaculation due to an obstruction of some sort in the reproductive tract.

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You may not have any symptoms or even know you have azoospermia until your efforts conceive are unsuccessful. Any other signs or symptoms you encounter may be more related to the underlying causes, like hormonal imbalances or genetic chromosomal conditions.
Otherwise, possible symptoms might include:

  • Low sex drive
  • Erectile dysfunction
  • Lump, swelling, or discomfort around the testicles
  • Decreased hair on the face or body

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The causes of azoospermia relate directly to the types of azoospermia. In other words, causes can be due to an obstruction or nonobstructive sources.
Obstructions that result in azoospermia most commonly occur in the vas deferens, the epididymus or ejaculatory ducts. Problems that can cause blockages in these areas include:

  • Trauma or injury to these areas.
  • Infections.
  • Inflammation.
  • Previous surgeries in the pelvic area
  • Development of a cyst.
  • Vasectomy (planned permanent contraceptive procedure in which the vas deferens are cut or clamped to prevent the flow of sperm).
  • Cystic fibrosis gene mutation, which causes either the vas deferens not to form or causes abnormal development such that semen gets blocked by a buildup of thick secretions in the vas deferens.

Nonobstructive causes of azoospermia include:

  • Genetic causes. Certain genetic mutations can result in infertility, including:
  • Kallmann syndrome: A genetic (inherited) disorder carried on the X chromosome and that if left untreated can result in infertility.
    Klinefelter’s syndrome: A male carries an extra X chromosome (making his chromosomal makeup XXY instead of XY). The result is often infertility, along with lack of sexual or physical maturity, and learning difficulties
    Y chromosome deletion: Critical sections of genes on the Y chromosome (the male chromosome) that are responsible for sperm production are missing, resulting in infertility.

  • Hormone imbalances/endocrine disorders, including hypogonadotropic hypogonadism. hyperprolactinemia and androgen resistance.
  • Ejaculation problems such as retrograde ejaculation where the semen goes in to the bladder
  • Testicular causes include:
  • Anorchia (absence of the testicles).
    Cyptorchidism (testicles have not dropped into the scrotum).
    Sertoli cell-only syndrome (testicles fail to produce living sperm cells).
    Spermatogenic arrest (testicles fail to produce fully mature sperm cells).
    Mumps orchitis (inflamed testicles caused by mumps in late puberty).
    Testicular torsion.
    Reactions to certain medications that harm sperm production.
    Radiation treatments.
    Diseases such as diabetes, cirrhosis, or kidney failure.
    Varicocele (veins coming from the testicle are dilated or widened impeding sperm production).

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Homoeopthic Treatment For Azoospermia –
  • Suphur – Frequent micturition, especially at night. Burning in urethra during micturition, Mucus and pus in urine; Stitches in penis. Involuntary emissions. Itching of genitals when going to bed. Penis is cold, relaxed and powerless.
  • Thyroidinum – Effective in undescended testicle in boys. Increased flow of urine.─Increased urination, usually with clear, pale yellow secretion.─Slight trace of albumen found in urine.─Albuminuria. Increased sexual desire
  • Bryonia – Urine Red, brown, like beer; scanty, hot. Stitching pains in testicles on taking a deep inspiration; very sensitive to touch. Shooting pain in the testes.─Stitching pain in the testicles while sitting.
  • Rhus Tox – Swelling of glands and prepuce-dark-red erysipelatous; scrotum thick, swollen, śdematous. Itching intense. Swelling and thickening of scrotum with intolerable itching. Erysipelas of scrotum. Hydrocele; from over-lifting. Scrotum flaccid and hanging low. Moist eruption on scrotum. Frequent erections at night, with want to urinate. Strong sexual desire in morning.

Ayurvedic Treatment For Azoospermia –

Panchkarma Therapy

Panchakarma therapies like Abhyanga (whole body massage) shirodhara and Nasya,Virechana,vasti provide great deal of physical and mental relaxation. A special panchkarma procedure known as Uttar basti or Uttara Vasti is very helpful for this condition, Uttar vasti should be given under the supervision of a trained ayurvedic doctor only.

Uttar vasti is an Ayurvedic procedure in which specific oil based medicine or decoction is administered in the urethra, through urethral meatus, with a syringe. After having few Purificatory procedures, Uttar vasti is carried out by an expert, under all aseptic precautions and sterilized medicine is used, so there are no chances of introducing any kind of infection into the urethra.

Vajikarana Therapy

In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse’s vigor, particularly the animal’s great capacity for sexual activity in the individual. Literally the Vajikaran is not exactly aphrodisiac but the current connotational meaning is same.

The main aim of Vajikaran is always successful copulation for healthy reproduction, with sexual pleasure being just an additional benefit; therefore it is considered a part of ‘eugeny.’

Disclaimer: Above information is only for knowledge purpose . Any medications should be taken only after consultation with qualified medical practitioner.

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