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Getting pregnant with obstructive azoospermia

Couple who got pregnant after obstructive azoospermia

Obstructive azoospermia affects the male reproductive system, as sperm cannot travel from the testicles to the ejaculation. It does not directly affect sperm quality, which means it is possible to get pregnant with obstructive azoospermia. Continue reading to learn how.

What is obstructive azoospermia (OA)?

Obstructive azoospermia, also called OA, is a type of azoospermia (absence of sperm cells in the ejaculation), where a blockage prevents the sperm from reaching the penis and being ejaculated.

What is the difference between obstructive azoospermia and non-obstructive azoospermia?

The difference is that men with obstructive azoospermia can have normal sperm production, but a blockage prevents the sperm from being ejaculated. In non-obstructive azoospermia, the problem lies within sperm production, causing no healthy sperm cells to be produced.

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What causes obstructive azoospermia?

Various factors can cause obstructive azoospermia. The most common ones are:

  • Physical obstructions: Cysts, lumps, or tumours can cause a physical blockage in the male reproductive system.
  • Previous infections: Inflammation or scar tissue from previous infections or diseases can also cause a blockage.
  • Current infections or diseases: Untreated infections or diseases can also stop the sperm from being ejaculated.

Does obstructive azoospermia affect male fertility?

Depending on the severity, obstructive azoospermia can result in no sperm cells present in the ejaculation, making it difficult for a man to conceive.

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4 ways to get pregnant with obstructive azoospermia

Luckily, men with obstructive azoospermia have various options to get pregnant despite their struggles. The treatment form depends on the sperm quality and the severity of the obstruction.

Surgical treatment

As obstructive azoospermia is caused by a blockage in the delivery process from the testicles to the penis, surgery can be an effective treatment method. In surgery, fertility doctors remove the cause of the blockage, hopefully restoring the ability to deliver sperm from the testicles to the penis.

Fertility treatment with TESE

TESE is a surgical procedure where a fertility doctor retrieves sperm cells directly from the testicles for fertility treatment. If the doctor cannot remove the blockage through surgery, TESE is an option, as many men struggling with obstructive azoospermia have normal sperm production; the only problem is the deliverance. Read more about each treatment type here:

Fertility treatment with donor sperm

Another way to become a father for men with obstructive azoospermia is by using a sperm donor. Through treatment with donor sperm, you maintain a genetic relation between your child and your partner. If you consider using donor sperm and have questions regarding the process, feel free to contact our dedicated Customer Care Consultants.

Follow the link to read Johan's story of how a sperm donor helped him become a father.

Adoption

Adoption is another option to enter parenthood for men unable to use their own sperm.

 

FAQ about obstructive azoospermia

How to know if azoospermia is obstructive?

To determine whether the azoospermia is obstructive or not, you can use the following methods:

  • Semen analysis: If no sperm cells are present in your semen, you may have azoospermia. Further tests are required to determine whether it is obstructive or non-obstructive.
  • Sperm retrieval: Retrieving sperm from the testicles can help diagnose the type of azoospermia. If the sperm is healthy, the issue is likely that something is blocking the sperm from reaching the ejaculation.
  • Scrotal ultrasound: Lumps, blocks, and cysts are visible through an ultrasound of the scrotal area.

No matter whether you suspect obstructive or non-azoospermia, we recommend consulting a doctor.

Can you still have children if you have OA?

Yes, it is possible to become a father despite struggling with obstructive azoospermia. Many couples use fertility treatments with TESE or donor sperm to fulfil their dream of a child.

How to treat obstructive azoospermia naturally?

You cannot treat obstructive azoospermia naturally, as only surgery can remove lumps or scar tissue. However, through a healthy lifestyle, it is possible to improve overall fertility and to increase the chances of conceiving.  

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