At Janini IVF, we understand that a diagnosis of azoospermia, a condition where no sperm is found in the ejaculate, can be distressing. However, it does not mean the end of your fertility journey. With specialised testing, advanced laboratory procedures, and an experienced clinical team, there are viable paths to biological parenthood, even with zero sperm count.
Azoospermia can be classified into two main types:
Obstructive Azoospermia: Sperm is produced but cannot reach the semen due to a blockage in the reproductive tract.
Non-Obstructive Azoospermia: The testes are unable to produce sperm or produce very few sperm.
Proper classification is critical to determining the appropriate treatment.
Our approach begins with a detailed fertility evaluation, which may include:
Semen Analysis: Confirming the absence of sperm.
Hormonal Profile: Evaluating testosterone, FSH, and LH levels.
Scrotal Ultrasound: Identifying blockages or varicoceles.
Genetic Testing: Ruling out Y-chromosome microdeletions or other abnormalities.
Testicular Biopsy: Used in specific cases to assess sperm production within the testicles.
These tests help identify whether sperm retrieval is feasible and guide treatment decisions.
If sperm is being produced but not present in the ejaculate, Janini IVF offers microsurgical sperm retrieval methods:
TESA (Testicular Sperm Aspiration): A minimally invasive procedure where sperm is aspirated from the testes.
TESE (Testicular Sperm Extraction): A biopsy-based retrieval performed under anaesthesia.
These procedures are commonly combined with Intracytoplasmic Sperm Injection (ICSI), where a single retrieved sperm is injected into a mature egg to facilitate fertilisation.
In cases where no viable sperm can be retrieved, Janini IVF provides a donor sperm program. All donor samples are thoroughly screened in accordance with medical and ethical guidelines, ensuring safety and transparency for the recipient couple.
Janini IVF’s team includes fertility specialists and senior embryologists with extensive experience in male infertility. Our laboratory follows international protocols for sperm handling and fertilisation, ensuring the best chance of success for each patient.
We are committed to guiding you through every stage—from diagnosis to advanced treatment—with clinical accuracy, compassion, and confidentiality.
FAQs
Q: Is zero sperm count treatable?
A: In many cases, yes. Depending on the type of azoospermia, sperm may be retrieved through procedures like TESA or TESE and used with ICSI.
Q: What if no sperm is found during retrieval?
A: Janini IVF offers a donor sperm program with medically screened options to help patients achieve parenthood.
Q: How is sperm used after retrieval?
A: Retrieved sperm is used in ICSI, where it is injected directly into an egg for fertilisation.
Q: Can azoospermia be caused by hormonal issues?
A: Yes. Hormonal imbalance is one of several causes. Proper testing is required to confirm the source of the problem.
Q: How do I begin treatment at Janini IVF?
A: Start with a consultation. We’ll guide you through the diagnostic tests and discuss appropriate treatment options based on your results.
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