IVF - In Vitro Fertilization in TURKEY.

Azoospermia

Azoospermia

Azoospermia is the condition describing a complete lack of sperm cells in the ejaculate. There is a 1% incidence in all men and 10-15% incidence in infertile men. Azoospermia is divided into three categories: pre-testicular, testicular and post testicular. Pre testicular azoospermia usually has endocrinological causes which affect spermatogenesis. Hypogonadotrophic hypogonadism can cause azoospermia but can be treated with hormone replacement therapy. Primary testicular failure applies to problems relating to the testicles specifically. Post testicular problems usually relate to ejaculation dysfunction or obstruction in the ducts. Incidences of this nature are found in 40% of the cases.

Pre and post testicular abnormalities are treatable. Testicular failure is irreversible. Varicocele is excluded from this group however. Another way of categorizing azoospermia is by dividing up groups based on whether or not the ducts are blocked. Obstructive azoospermia: Although there is sperm production in the testes, the ducts which move the sperm are blocked (e.g. due to a previous infection). These patients can have cells removed from their testes or surrounding ducts with the help of an injector and fine needle. Non-Obstructive Azoospermia: In this case there is no sperm production, or tissue biopsy indicates immature cells do not complete the maturation process. This type of azoospermia maybe due to several reasons: undescended testicles, genetic or environmental reasons are some. Doctors take small samples of tissue from the testicles by making small incisions or using a fine needle to aspirate. The samples are then examined for sperm cells.

  • TESA: TEsticular Sperm Aspiration
  • TESE: TEsticular Sperm Ekstraction
  • PESA: PErcutaneousr Sperm Aspiration
  • MESA: Microsurgical Epydydimal Sperm Aspiration

Normal semen analysis values
Volume: between 1.5-5ml
Concentration: 15 million /ml
Motility: over 50%.
Morphology: over 30% according to WHO or 14% and over according to Kruger’s Strict Criteria.
Progressive motile: must be over 20 %

Varicocele and Azoospermia:
Some studies suggest that azoospermic men with clinical type varicocele might benefit from varicocele surgery. According to research results 50% of patients show resumption of spermatogenesis and 20% report spontaneous pregnancy. Testicular biopsy done before or during surgery will give the doctors an idea of the sucess of the procedure. Men who have immature sperm cells may start sperm production but patients who had no spermatogenesis, previously, do not start producing sperm after varicocele treatment. Consequently azoospermic patients with varicocele who have begun infertility treatment, and have sperm cells found in testicular biopsy, should be treated for varicocele even if they get pregnant through IVF.

Our Patient's Reviews

Please click the button to write a review

Excellent Doctor and the service is high level. No waiting hours and very caring doctor. Unfortunately my age and chance were not good enough for IVF. If you choose Dr Selim I assure you will never regret. He is the best doctor ever. He didn’t charge for appointments and explained everything very...

...

Sar*** **** / US

Excellent services. Higher Success rate. Reasonable cost....

...

Ray*** **** / Saudi Arabia

We had a terrible experience with another clinic in New York City. My husband had a three million sperm count, yet doctors told us we are not eligible for IVF. We were forced to get sperm donations. We refused. The other clinic doctors are very rude and disorganized. They have lost several times our...

...

Tan*** **** / US

Very happy I found this clinic. Got successful on the 2nd attempt. My daughter turned 7 months a couple of days ago. Dr Selim was great as were the nurses. Everything was explained to us properly and in a professional manner that made the whole process a lot less stressful for us. I highly recommend...

...

*** **** /

Very good clinic, very friendly and attentive. At least so far....

...

Lev*** **** / Georgia

...

Excellent services. Higher Success rate. Reasonable cost....

*** **** / Saudi Arabia

...

...

*** **** /

...

...

*** **** /

My husband and I came to Dr. Senoz from the United States where IVF treatment is very expensive. We highly recommend this doctor and his team. Dr. Senoz is an excellent doctor with over 25 years of experience. He cares a lot about his patients and is very hands on and professional with his care and ...

...

Nas*** **** /

I am writing to let you know how very pleased and impressed we have been with our experience with DR. Selim Senoz and his stuff.My husband and I have struggled with infertility for over 5 years. We went through a very difficult and unsuccessful of three IVF cycle in addition to three rounds of artif...

...

Lul*** **** / US