r If endocrine abnormalities cause azoospermia, it is usually incurable. If chromosomes are normal but lead to azoospermia, it is usually obstructive azoospermia, which can usually be cured.
1. Endocrine abnormalities of azoospermia: after excluding pituitary occupational lesions, a common hormone deficiency is hypogonadotropic hypogonadism. This disease can be stimulated by supplementation of gonadotropin-releasing hormone to stimulate spermatogenesis. However, in the case of testicular spermatogenic dysfunction, it cannot be cured, and the only way to produce the next generation is through artificial insemination or in vitro fertilization.
2. Obstructive azoospermia:
(1) Vas deferens and epididymal obstruction: most of the obstructive azoospermia can be cured by microsurgery.
(2) Ejaculatory duct obstruction: Transurethral ejaculatory vasectomy is usually used, the postoperative ejaculatory duct recanalization rate of this technique is 50%, and the newer method is to perform vesicourethrography and balloon dilatation of ejaculatory duct obstruction site.
(3) Congenital bilateral absence of vas deferens: If this is the case or the vas deferens and ejaculatory ducts can not be recanalized, in vitro fertilization can not be cured.
It is recommended that patients actively seek medical treatment.