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In the process of reproduction for couples of childbearing age, the participation of both sperm and eggs is essential. However, in clinical diagnosis and treatment, many women face ovulation disorders, and many men face the challenge of having no sperm. So, do men without sperm still have hope for fatherhood?
Dr. Nathan Zhang, a reproductive expert from IVF USA, states that to determine whether men without sperm can undergo IVF, it is first necessary to check if there are sperm cells in the man's body. Typically, if no sperm cells are found in the semen through routine examination three times in a row, further examination through testicular puncture is needed to check for the presence of viable sperm in the testes or epididymis.
Azoospermia usually falls into two categories. One is primary azoospermia, where due to the dysfunction of spermatogenesis in the testes, no sperm cells are produced, making it impossible to obtain sperm cells for IVF. The other is obstructive azoospermia, where the sperm cells cannot pass through the vas deferens due to blockages, resulting in no sperm in the semen, but sperm cells can still be found in the testes and epididymis. For patients with obstructive azoospermia, sperm cells can be obtained through testicular puncture and then assisted reproduction can be performed using IVF technology, helping the patient achieve pregnancy.
Mr. Huang is the founder of an internet company. He and his wife have always wanted a child but have been unsuccessful after many attempts. Since Mrs. Huang was already 32 years old, she worried it might be her problem, so she secretly went to the hospital for a check-up. The results showed that all her indicators were normal. She then urged Mr. Huang to go for a check-up as well.
Due to his busy work schedule, Mr. Huang delayed going to the hospital for two months. The final results showed that he had obstructive azoospermia. He was shocked when he received the report, as he never thought that his problem was the reason for their inability to conceive. He felt very guilty, especially knowing that his wife always wanted a child and considering their ages. He didn't know how to tell his wife.
By chance, Mr. Huang heard that Dr. Nathan Zhang from IVF USA is an expert in assisted reproduction, so he decided to seek help. After reviewing Mr. Huang's examination results in detail, Dr. Zhang suggested a percutaneous epididymal aspiration procedure, as sperm could not be obtained naturally due to this condition, but blocked sperm could be retrieved through the puncture. Following this, in vitro fertilization (IVF) was performed. Dr. Zhang also advised Mr. Huang to reduce social engagements, especially during the preparation for conception, and to quit smoking and limit alcohol intake, as these habits could severely affect sperm quality. Mr. Huang followed this advice, and he and his wife focused on preparing for pregnancy. Currently, their child is already one year old.
