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 Home / Services / Male Sexual Health / Azoospermia

What is Azoospermia? 

It is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present:

There is a problem with sperm production.

There is a blockage such that sperm production, although normal, cannot reach the ejaculate.


Azoospermia Diagnosis:

One important point concerning this diagnosis is that although no sperm are found in the ejaculate, there are often usable sperm found in the testis, as not all sperm that are made in the testis actually make it into the ejaculate. There is a “threshold” effect with sperm production, such that if production of sperm is high enough in the testis, then sperm “spill over” into the ejaculate. However, if that critical level of sperm production is not met, there may still be mature sperm in the testis that do not make it into the ejaculate. Hence absent sperm in the ejaculate doesn’t mean there is no production of sperm in the testis.


Azoospermia Evaluation:

First, a thorough review of medical problems, exposures, past surgery, medications, and family history is undertaken in the office to help define causes of azoospermia. Then, a brief, well-performed physical examination is performed. Third, blood tests are taken that include testosterone and follicle stimulating hormone (FSH). Fourth, two semen samples are needed. With each sample, a standard semen analysis is performed. If no sperm are found, then the semen sample undergoes an additional evaluation in which the sample is “spun” down in a centrifuge to concentrate small numbers of sperm at the bottom of the tube. If 10 sperm or even 1 sperm is present in the pellet analysis, then conditions such as reproductive tract obstruction can be ruled out.

 Again, the value of finding even a small number of sperm in the pellet analysis is very significant because:

1) It means that complete obstruction is unlikely, and
2) It means that men may have the production of sperm intact and the homeopathic medications just need to stimulate and increase the sperm production above the threshold level.


Causes for Azoospermia:

If at all possible, treating the specific condition that is causing the azoospermia may reverse the process and lead to sperm production. This is especially true for azoospermia due to hot tubs or hot baths or testosterone supplements.

Conditions That Cause Azoospermia are:

Primary testicular failure Klinefelter syndrome

Y chromosome microdeletions

Genetic infertility due to abnormal chromosomes (karyotype)

Unexplained genetic infertility

Secondary testicular failure Kallman Syndrome

Unexplained gonadotropin deficiency

Hypothalamic/pituitary tumor


Cancer treatment (chemotherapy, radiation, surgery)

Varicocele effect

Pituitary suppression Drug induced (anabolic steroids, alcohol, glucocorticoids)

Testosterone supplements

Congenital adrenal hyperplasia

Severe illness (cancer, kidney or liver failure)

Diabetes mellitus

Sickle cell anemia


Sperm autoimmunity

Pesticide/toxin exposure (including hot tubs and baths)

Undescended testicles at birth

Obstruction Congenital absence of the vas deferens (CAVD)

Ejaculatory duct obstruction


Scrotal trauma or surgery

Young syndrome



Azoospermia Treatment:

The good news, Imranz Clinic Natural Essential Treatment offers Medicines for Azoospermiaand we have successfully helped men with zero sperm count to father their own child.If sperm are not found in the ejaculate, then there is either obstruction or blockage in the reproductive tract or sperm is not being made at levels sufficient to get into the ejaculate. A blockage can be due to prior infection, surgery, prostatic cysts, injury or congenital absence of the vas deferens (CAVD).At Imranz Clinic, we make a 360 degree evaluation of each couple visiting us for conception problem and devise a treatment protocol to target the root cause. We have experienced that a 6 months of treatment usually leads to a natural conception.


Our Mission Statement: 

Our mission is to share our valuable knowledge with other couples who are struggling with these problems. If you are in this situation, the most important thing to know is that you are the most powerful player in this game. What you can do for yourself is life changing. Only you have the chance to recover balance naturally.