Male Infertility
Aspermia
Jan
Aspermia
Aspermia is known as a condition where males do not produce enough or no semen at all and it is mainly connected with male infertility. This condition usually lets a male reach orgasm and feel the sensation of ejaculation but is unable to actually release semen; this only means that there is zero semen released from the males body.
Causes of Aspermia
Aspermia is commonly caused by two conditions and these are obstruction of ones ejaculatory duct and the retrograde ejaculation. The retrograde ejaculation is when a males semen is discharged from the body through the urethra that streams right into the bladder. This form of ejaculation usually happens as a result of the malfunctioning of the bladder sphincter due to weak muscles. It is also caused by the distorted response of the nerves that are found in the sphincter muscles.
When it comes to the EDO or ejaculatory duct obstruction , it is an acquired or congenital pathological condition that is usually defined by the blockage of one or both of the males ejaculatory ducts; because of male infertility or pelvic pain, the discharge of semen is impossible for males with this condition.
Symptoms of Aspermia
Aspermia is considered as rare compared to other male infertility conditions which are not really that many; however, these conditions have extremely apparent signs and the following are some of the most noted symptoms of the condition:
1. Absence of semen during ejaculation which is commonly known as dry ejaculation.
2. After reaching the intercourses peak, the male releases hazy urine which is a result of semen leakage in the bladder; this is most likely due to an obstruction in the area.
3. Pelvic pains right after ejaculation.
4. When only a small amount (oligospermia) of semen is discharged.
5. The inability to father a baby or having male infertility due to the lack of semen entering the womans vagina during intercourse.
Diagnosis of Aspermia
The diagnosis of Aspermia all depends on the factors that cause the disorder, so once a male consults their doctor; he or she will advise the patient to take certain types of tests to confirm the condition, and to also provide proper and adequate medications and treatment procedures.
Patients History
The presence of a detailed history of the patient is vital so the doctor can better understand the conditions that are related to the disorder.
Physical Exam
This involves the assessment of the testicles and genitalia to make sure that all these vital parts are present, especially the vas deferens or tubules.
Post-Ejaculate Urine Analysis
This procedure is necessary since it determines if there is semen present in a males urine, conforming that the retrograde ejaculation is the reason for Aspermia.
Blood Tests
Blood tests are for follicle-stimulating testosterones and hormones in the blood; when a male has Aspermia, the results will exhibit decreased levels of follicles due to the very low semen.
RIA or Radioimmunoassay
RIA is used to determine the levels of sexual hormones that are present in the blood; during Aspermia, results will also show low levels of follicle-stimulating hormones and testosterone while the levels of luteinizing hormones increase.
Wright-Gemma Stain
The Wright-Gemma Stain is necessary to check the morphology of sperm in males with Aspermia.
Microscopic Sperm Examination
This examination is vital for the diagnosis of the condition Aspermia.
Chemical Analysis of the Semen
The chemical analysis of the semen is a test that will show if there is a drop in the concentration of fructose and if the level of pH is low.
Imaging Studies
Imaging studies include a magnetic resonance imaging and transrectal ultrasound that is done to examine if there are any damages on the prostate glands and seminal vesicles of the male.
Ways to Treat Aspermia
Treating Aspermia is usually focused on alleviating the conditions causes and under normal circumstances and it is treated via conventional means. However, if the Aspermia is more serious, then it is necessary to perform an operation to treat this.
Here are some of the best Aspermia treatment options:
Orasl Therapy
Here, the neck of the bladder will be constricted during ejaculation, allowing the semen to flow right into the urethra. The patient will be given certain drugs to help restore damaged nerves.
Assisted Reproduction
This is one of the procedures done when a male with Aspermia wishes to have children.
Surgery
During severe cases of Aspermia, surgery is one of the best options to try and correct the condition.
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