Therapy in Secretory and Obstructive Azoospermia

Abstract

AbstractAzoospermia is defined as the absence of sperm in the ejaculate. All etiologies can be categorized in secretory and obstructive azoospermia. Some conditions of obstructive azoospermia are suitable of surgical recanalization to restore natural fertility. Conversely, in cases of nonobstructive etiologies, untreatable obstructive azoospermia, and when female factor is present, sperm retrieval techniques for intracytoplasmatic sperm injection (ICSI) represent the only therapeutic option to reach paternity. The role of the clinical andrologist is to offer to the couple the best treatment option: medical or surgical treatment or sperm retrieval for ICSI.