Azoospermia Treatment in India

Azoospermia means a complete absence of sperms in the semen. Azoospermia affects nearly 3% of males. It is a severe problem that may cause a loss of self esteem due to the failure to impregnate a woman. Azoospermia is not the same as low sperm count as there is no sperm in the semen.

If your male partner is diagnosed with azoospermia and you’re striving to conceive, you should consult one of the best doctors for azoospermia treatment in India. Dr. Hrishikesh Pai is one of the proficient fertility experts who focuses on giving the best azoospermia treatment in India. Dr. Pai aims to provide the most effective azoospermia treatment in India to help a couple achieve a successful pregnancy.

Dr. Hrishikesh Pai is the Founder & Director of Bloom IVF Group. It is one of the best IVF centre in India, holding eight IVF centres across India. He has 40+ years of experience handling cases related to obstetrics, gynaecology, and infertility. Moreover, Dr. Pai is best known as one of the best IVF doctor in mumbai, India.

Keep on reading to know more about azoospermia, its types, symptoms, causes, diagnosis, and treatment for azoospermia.

What is Azoospermia?

Azoospermia is a form of male infertility in which there is no sperm in a man’s semen, it necessitates extensive tests and treatments to help him achieve a successful pregnancy.

Azoospermia is one of two types:

  1. Obstructive Azoospermia: A blockage in the tubes of the reproductive tract that pass the ejaculate can obstruct the delivery of the sperm.
  2. Non-obstructive Azoospermia: In non-obstructive cases, sperm production in the testicle is very low or merely detectable. Here, the ejaculatory tubes are open, but the level of sperm production is very low.


Symptoms of Azoospermia

Semen analysis is the only way to diagnose azoospermia accurately. However, there are a few signs that can indicate abnormal sperm conditions.

  • The colour of semen such as yellow, green, red, or brown is a symptom.
  • There could be blood traces in some cases.
  • The consistency of the semen may be thicker or thinner than it should be in other situations.
  • In some cases, the semen can have a distinct odour and be less in quantity.

Causes of Azoospermia

The causes of azoospermia are of two types: sperm development problems and blockage problems. They can be defined as follows:

  • Blockage in the ejaculatory tubes
  • Injuries within the genitalia
  • Tobacco use and heavy alcohol intake
  • STDs, Varicocele, and other male sexual infections
  • Unidentified triggers
  • Genetic factors
  • Hormonal imbalances, stress, and trauma
  • History of surgery, especially of male reproductive organs

How much is the azoospermia treatment cost in India?

The azoospermia treatment cost in India depends on the tests, medical, surgical, and assisted reproductive treatments required to achieve a successful pregnancy. If medications fail to achieve desired results, fertility doctors can use sperm retrieval methods and assisted reproductive techniques like IUI, IVF, or ICSI to conceive.

  • Diagnosis of Azoospermia: Our fertility expert can diagnose Azoospermia when a couple receives infertility treatment. They may detect the condition with the help of
  • Semen Analysis: It is a male infertility test that examines the semen and checks for the presence of sperms, their quantity, shape, and motility.
  • Blood tests: Your fertility expert will order a blood test to screen the male partner for any illnesses, disorders, or infections that might be affecting their sperm count.
  • Magnetic Resonance Imaging (MRI): It is the most effective method of detecting any issues in the body. We can view the body organs through a magnetic field and radio wave energy.
  • Biopsy: A sample of the male’s genitalia cells is taken to diagnose the problem.
  • Other tests: Ultrasonography, genetic screening, and imaging scans are other ways to diagnose Azoospermia.


Azoospermia treatment in India

Dr. Hrishikesh Pai is considered one of the best doctors for azoospermia in India. He aims to provide efficient zero sperm count treatment in India through medications, surgical procedures, and assisted reproductive technologies.

  • Hormone treatment: It is one of the standard non-obstructive azoospermia treatments in India. After increased levels of hormones like FSH and HCG, some men with azoospermia develop more sperms in their semen.
  • Microsurgery: A blockage in the epididymis, ejaculatory duct, or vas deferens may cause azoospermia. We can treat this condition by removing the blockage. Our fertility doctor can use microsurgical vasovasostomy (VVA) or vasoepididymostomy (VEA) to restore fertility in the case of obstructive diseases that block the sperm flow. The more recent the blockage, the higher the chances of a complete recovery.
  • Sperm retrieval: Sperms would be present in the ejaculated semen after a successful VEA. Some people conceive naturally, while in others, fertility experts recommend IUI or ICSI to conceive. IVF is one of the widely used techniques for Azoospermia Treatment in India.The couple will have to go through a series of tests and treatments to help a man ejaculate and develop sperms. The best treatment for all forms of female and male infertility treatment in India is IVF. ICSI, sperm donation and IUI can be used to help a woman conceive.

If the VEA fails to obtain sperm in the ejaculated semen sample, PESA or TESA may be used to remove sperm from the testis, followed by ICSI. In these patients, fertility doctors can conduct TESE rarely. If the condition is non-obstructive or the patient wants to avoid surgery, we can extract sperm through various procedures.

The fertility doctor can perform the following three procedures in case of non-obstructive azoospermia:

We can do TESE to retrieve sperms. If it fails to produce sperm, we may use micro TESE at the same time. If it fails and the couple does not want to use donor sperm, the eggs can be frozen and tried again later with the ejaculated sample.

If eggs are frozen and one has not found sperms on TESE, then the partner can give a repeated sperm sample. Next, the centrifuged sample is observed under high power inverted microscope. Usually, the partner is requested to produce two semen samples at 2 to 4 hours intervals. In an occasional ejaculate, we can only get a few sperm.

To freeze these few sperms, we can use a specialized new sperm freezing system called Sperm VD. After freezing enough sperms with sperm VD, we can thaw the oocytes and sperms and perform ICSI. At our IVF centre in Mumbai, we have achieved the first pregnancy using sperm VD freezing in India.

  • Varicocelectomy: In some instances, a microscopic Varicocelectomy can reverse the process and restore healthy sperm production in men who have an enlarged varicocele, leading to azoospermia or other types of infertility impeding sperm production.
  • Vasectomy reversal: Surgical procedures such as vasectomy performed in the past may also cause azoospermia. Vasectomy reversal procedure can restore sperm flow into the semen when the patient wishes to schedule a pregnancy.

Azoospermia may result from a genetic disorder, such as Klinefelter’s syndrome. In such cases, we cannot recover fertility. However, ICSI may be used to induce pregnancy in their spouse after carefully removing sperm cells from the testicles using sperm retrieval technique

Frequently Asked Questions

Does it take longer to achieve successful results from azoospermia treatment in India?

Whether you’ve had chemo or radiation therapy, your reproductive system is pretty resilient—your body needs time to heal. However, we can propose a more direct intervention. In any case, you’ll need to wait two to three months for your body to produce enough sperm to see a clear benefit.

At what age do the males stop producing sperm?

Every day, most males produce millions of sperms. But men above 40 have low sperm count than younger men. Between 20 and 80, the volume of semen and sperm motility can decrease gradually.

What is the colour of healthy semen?

The colour of semen is typically whitish-grey. Changes in semen colour could be temporary and harmless. It could also be an implication of an underlying ailment that needs to be investigated

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