Aspermia refers to the complete absence of ejaculate. In case of aspermia, the probability for a woman to become pregnant attain to the level of zero. The risk group for aspermia includes those men who suffer from diseases of the genitourinary system. In addition, the patient older than 45 years are twice as likely to develop aspermia than the younger men.
Risk factors of aspermia include, first of all, occupational (industrial) hazards. Besides, aspermia may occur upon exposure to adverse environmental factors. Among the most common causes of aspermia there are:
If you suspect any kind of spermatogenesis disorder, the first thing is visit a urologist and andrologist for comprehensive consultation and diagnosis. The necessary diagnosis steps are sperm analysis, genital infections analysis, blood tests and urinalysis. Besides the ultrasound of prostate and pelvic organs are necessary to find out the cause of aspermia.
One of the wide-spread reasons for aspermia is retrograde ejaculation ( the release of semen into the bladder). Retrograde ejaculation develops due to the weakening of the muscles of the sphincter of the bladder, which can be caused by several reasons:
Оbstruction of the seminal ducts can also cause aspermia. The blockage leads to a failure in ejection of semen, reducing the fertility of a man. Patency of the seminal ducts may be disturbed by the benign tumors or cysts.
The Clinic of Friedrichshafen offers the comprehensive diagnosis and complex treatment of aspermia. Special are of specialization is the treatment of retrograde ejaculation and obstruction management.
Aspermia therapy at the urological department of the Friedrichshafen clinic involves:
If a patient is diagnosed with retrograde ejaculation, the treatment is required to restore the functions of the organs of the reproductive system. The therapy implies taking drugs which normalize the work of the valve mechanism of the bladder. The primary goal of treatment is to prevent the release of semen into the bladder.
In case ejaculation is affected due to obstruction of the seminal tract, the patient may need surgery. This transurethral resection of the duct which is responsible for ejaculation is the most efficient method to treat aspermia due to the obstruction. With the help of an endoscope resection is performed at the level of obstruction. Needle biopsy of the testicles in males сan also help to retrieve healthy sperm. The retrieved sperm can be applied for further IVF or IСSI. In case of ICSI fertilization is carried out by single sperm. The cryopreservation technique allows to keep alive derived sperm for further use in IVF cycle. Frozen sperm retains the ability to fertilize up to 1 year. The effectiveness of needle biopsy of the testicle and IVF ICSI method is up to 75%.
As a rule, well-chosen therapy can lead to a complete cure. The specialists of Friedrichshafen Clinic would be glad to answer all your questions, concerning the fertile function. Don’t hesitate to call us for more information.