Azoospermia
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| Azoospermia Classification and external resources | |
| ICD-10 | N46. |
|---|---|
| ICD-9 | 606.0 |
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Azoospermia is the medical condition of a male not having any measurable level of sperm in his semen. It is associated with very low levels of fertility.
Azoospermia has two forms:
- obstructive azoospermia, where sperm are created, but cannot be mixed with the rest of the ejaculatory fluid due to a physical obstruction, and;
- non-obstructive azoospermia, where there is a problem with spermatogenesis, as in the condition of hyperprolactinemia.
- congenital azoospermia, where azoospermia is a manifestation of cystic fibrosis due to agenesis of vas deferens.
Azoospermia is a reported side effect of androgen drugs and corticosteroids because they suppress the hypothalamus release of GnRH and therefore FSH. This causes azoospermia in males and amenorrhea in females.
Compare with aspermia.
Differential Diagnosis
- 5-alpha reductase deficiency
- Anabolic steroid hormone abuse
- Androgen resistance syndromes
- Congenital anorchism
- Cryptorchidism
- Drugs
- Ejaculatory duct obstructive lesion
- Epididymis obstructive lesion
- Gonadotoxins
- Hemochromatosis
- Hypogonadotropic hypogonadism
- Hypothyroidism
- Impaired nerve function (retrograde ejaculation)
- Mumps
- Neurologic disease
- Other bacterial infections
- Postoperative conditions (retrograde ejaculation)
- Prior urologic surgery
- Psychosexual dysfunction
- Sertoli only syndrome
- Syphilis
- Testicular Tuberculosis
- Testicular tumor
- Torsion
- Traumatic damage
- Varicocele
- Vas deferens obstructive lesion
- Vasectomy [1] [1]
References
See also
de:Azoospermiefr:Azoospermie
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

