Spermatoschesis - Causes, Symptoms and Treatment .MF .
spermatoschesis - a term that refers to the complete absence of ejaculate.Although the national health care is the name often used to refer to the results of clinical sperm analysis, which resulted in a biological fluid men are not able to identify the sperm.According to the latest criteria of the World Health Organization, released in 2010, one adult male sperm per milliliter is normal should contain about 18 million active sperm.It is this concentration of germ cells provides fast and efficient fertilization.
Photography through the microscope.Normal sperm picture.When aspermia spermatozoa are completely absent.
Actually aspermia reasons can be many.But it is important not only to separate them, but also to determine which ones may be reversible, and which are not.For example, if we talk about this because of how old age, probably, all the arguments about its treatment are meaningless because spermatoschesis in old age is quite physiological, and therefore irreversible.
much more important to treat or even better to prevent problems such as infectious diseases, sexually transmitted.After all, they can become a cause aspermia in most cases.Launched no treatment of diseases of the genitourinary system can cause a lack of sperm in the ejaculate in a very young age, which would entail not only erectile dysfunction, and infertility.
Needless to talk about the fact that birth defects (aplasia, agenesis of testis, cryptorchidism) may be the direct cause of this disease.However, even if they were found not-so-young, do not be upset and neglect using a urologist.Indeed, experience shows that some types of birth defects very well to treatment at any age.
deserves special attention traumatic factor in aspermia development.Most often it occurs against the backdrop of operations ever carried out on male urogenital system.In most cases, this happens if such operations were carried out in childhood, when the internal genitals the boy is not yet fully formed.Exactly in the same way there can be problems with injuries pelvic or genital organs themselves.
very large group of causes that can contribute to aspermia are psychological problems.In this case it is not necessary that these problems relate to the sexual life of the patient.Naturally, most spermatoschesis occurs against the background of an unsuccessful first sexual experience or other traumatic factors, joint with sexual intercourse.But medicine is also known a situation where problems of sexual nature were associated with stress at work or family life.
spermatoschesis nervous genesis can occur not only in psychological disorders, but also serve as the consequence of a traumatic brain injury or spinal cord injury stem.This irritates the nerve endings, which can then have a negative impact on the work of the urogenital system and cause a variety of disorders, including spermatoschesis.
In addition to these direct causes, perhaps, is to provide and risk factors, which, although not certain, but it may contribute to the development of this disorder.Such factors include prolonged contact with paint products or products of oil refining.Although a direct link has not been proved, but statistics show that it is the patients with occupational hazards aspermia suffer more than others.
possibility of fertilization at aspermia
The probability of a woman becoming pregnant from a man whose sperm analysis result is spermatoschesis, attain to the level zero.The fact that in order to occur normal fertilization, the sperm must be sufficiently active, and in case they are absent aspermia in man the biological fluid.In fact, in such a situation, the substance which is released during semen ejaculation can not be called because it is at 100% consists of prostatic secretions.
Nowadays, the situation began to be used for the purpose of commercial gain.In the context of a surgical hospital men carried out special operations, which in the future exclude the possibility of fertilization, while outwardly it looks as before.That these men ejaculate and recorded spermatoschesis.
Tactics at aspermia
As already mentioned, the reason aspermia can not be organic and functional pathology, which means that after a certain time, semen analysis can independently go back to normal.So, seeing in its own analysis spermatoschesis, do not immediately get upset.If the results in the re-analysis, you checked all the rules, you will see the absence of sperm, then it is necessary to address urgently to the urologist to clarify the causes and subsequent treatment.
treatment of this disease - a rather long and sometimes useless process.But in order to determine the nature of the disease and the possibility of its treatment, it is necessary to pass an urgent consultation urologist.That he will be able to determine the tactics of treatment and for this purpose to refer you to another specialist.
For example, if the cause aspermia is a psychological disorder, the patient work with the likes of psychotherapists.They have developed special training programs that allow patients to regain confidence.If spermatoschesis occurred against the backdrop of a sexually transmitted disease, such patients are transferred into the hands of dermatologists, whose task is the selection of appropriate antibiotic therapy.
causes such as trauma of sexual organs or congenital anomalies of their development, are considered directly by urologists, they also determined the tactics of future treatment.Suffice it rarely there are cases when conservative treatment is indicated for similar pathologies.In most cases, these patients are subject to surgery.
probability bring semen to normal depends on the individual case.For example, if we talk about serious crippling injury, it is clear that for any improvements can be considered.But if it was the cause of aspermia venereal disease, then there is every chance to hope for a favorable outcome.
In the case of an unfavorable outcome of treatment with a strong desire to have a child pair possible partner insemination with donor sperm.
Ed.urologist, sexologist-andrologist Plotnikov AN