Varicocele and non-obstructive azoospermia – where to start?

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چکیده

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Obstructive and Non-Obstructive Azoospermia

Azoospermia is defined as the complete absence of spermatozoa upon examination of the semen [including capillary tube centrifugation (CTC), strictly confirmed by the absence of spermatozoa issued in urine after ejaculation]. The presence of rare spermatozoa (<500.000/ml) in seminal fluid after centrifugation is called "cryptozoospermia". The complete absence of spermatozoa should be confirmed w...

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The role of varicocele treatment in the management of non-obstructive azoospermia

The literature on male reproductive medicine is continually expanding, especially regarding the diagnosis and treatment of infertility due to non-obstructive azoospermia. The advent of in vitro fertilization with intracytoplasmic sperm injection has dramatically improved the treatment of male infertility due to nonobstructive azoospermia. Assisted reproduction using testicular spermatozoa has b...

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Medical management of non-obstructive azoospermia

Non-obstructive azoospermia is diagnosed in approximately 10% of infertile men. It represents a failure of spermatogenesis within the testis and, from a management standpoint, is due to either a lack of appropriate stimulation by gonadotropins or an intrinsic testicular impairment. The former category of patients has hypogonadotropic hypogonadism and benefits from specific hormonal therapy. The...

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Despite the advances in the management options [1-3], no adequate sperm retrieval can be achieved in a considerable proportion of non-obstructive azoospermia (NOA) patients [4]. Besides the technical improvements, optimization of the patient’s clinical status is one possible means by which the outcomes of sperm retrieval procedures could be improved. For example, lifestyle changes and habitual ...

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ژورنال

عنوان ژورنال: Andrology and Genital Surgery

سال: 2017

ISSN: 2412-8902,2070-9781

DOI: 10.17650/2070-9781-2017-18-4-77-80