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What could be the treatment of azoospermia?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have attached the analysis of a report. Please advise if this is obstructive or non-obstructive azoospermia. What type of biopsy will be required? Is there any type of medicine that can be used?

Thank you.

Answered by Dr. Dattaprasad Balasaheb Inamdar

Education:

MBBS

Professional Bio:

Dr. Dattaprasad Balasaheb Inamdar is an Obstetrician and Gynecologist specializing in women's medical care and treats the disorders affecting the reproductive system, such as the vagina, ovaries, and uterus. He also specializes in infertility management, IVF, and advanced reproductive techniques.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern. From the reports (image hidden to protect the identity of the patient), it appears to be obstructive azoospermia. However, reports alone are never sufficient to make the diagnosis. It needs to be interpreted in conjunction with local examination findings. Your doctor will do that and decide the mode of treatment. If it is obstructive azoospermia and the epididymis is palpable, retrieving sperm through TESA (testicular sperm aspiration) and going for ICSI (intracytoplasmic sperm injection) is the best option. There is a possibility of Sertoli cell-only syndrome, where such findings can sometimes be present even in nonobstructive azoospermia. TESA, TESE, or ICSI will be required in that case. Your doctor is the best judge in either case.

I hope this helps you.

Thank you.

Regards.

Medically reviewed by iCliniq medical review team
Published At January 24, 2024
Reviewed At October 15, 2025

Education:

MBBS

Professional Bio:

Dr. Dattaprasad Balasaheb Inamdar is an Obstetrician and Gynecologist specializing in women's medical care and treats the disorders affecting the reproductive system, such as the vagina, ovaries, and uterus. He also specializes in infertility management, IVF, and advanced reproductive techniques.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Dattaprasad Balasaheb Inamdar is an Obstetrician and Gynecologist specializing in women's medical care and treats the disorders affecting the reproductive system, such as the vagina, ovaries, and uterus. He also specializes in infertility management, IVF, and advanced reproductive techniques.

This doctor is not available for online consultations on the platform anymore.

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