When a couple’s ability to have children is delayed, both of them are subjected to medical examinations that help identify the problem. Through these examinations, we have learned that some men may have zero sperm, which has a rate of 15 million sperm for conception.
As to this, Dr.
Mohamed Al -Imbaby, a consultant male and sterile diseases at the Faculty of Medicine of Qasr Al -Aini, explained the most important and important information of zero cases of sperm, and also for those who had previously made a sample of the testicle or a microscope inspection and sperm was not found:
1. The advancement of diagnostic and therapeutic tools during the previous time period has made it possible to succeed following a proper diagnosis, treatment that activates the testes, and the application of more sophisticated microscopic inspection methods.
2. The tissue examination must be done first to determine the nature of the cells inside the testis, such as whether they are only Sertoli Cells or Spermatogenic Cells, and if sperm cells are present, the point at which production ceases.
3. Chromosome analysis, Carmelomic gene analysis, kariotyping, and azf microdetection should all be performed if they haven’t already.
4- Duplex X-ray, which can be used to find varicocele.
5- Use the most recent international medical guidelines for choosing the best protocol and modern hormonal analyses to identify the right therapy dose for each case.
6- Microscopical examination at a facility that specialises in accurately extracting sperm from sperm cells and in cell examination, with the aid of a cutting-edge surgical microscope.
What the spouse should do if the analyses show “zero sperm”
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