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Why sperm is missing
Why sperm is missing
Aspermatism is male infertility. This disease is due to the absence of ejaculation, while there are no pathologies with potency and the production of seminal fluid. This problem is very rare.
The causes of aspermatism and its varieties
The absence of ejaculation is of two types: false and true.
- In true form during intercourse, orgasm never comes. The main reason for this condition is the psychological impact on the man.
- With a false form - orgasm occurs, but there is no release of sperm.
Why is there no sperm with false aspermia?
- Reverse ejaculation (in the other direction);
- Obstruction in the vas deferens.
With reverse ejaculation, semen does not come out, but is thrown into the ureter. Ideally, this is when, during the eruption of seminal fluid, the urea sphincter spasms. In this case, the semen does not penetrate into it, but passes to the urethra, going out.
The development of retrograde ejaculation occurs due to the weakening of the smooth muscles of the urethral sphincter for some reason:
- damage to nerve roots due to some pathological processes;
- diabetes;
- postoperative complications of textiles, prostate, as a result of some diseases of the urinary and genital tract;
- spinal cord injury.
In some cases, the absence of sperm is a side effect after the use of certain medications.
Obstruction of the seminal ducts occurs due to certain diseases in the urinary and genital area:
- prostatitis;
- cystosis;
- false or true aspermia;
- prostate tuberculosis.
In some cases, the pathology is complicated by surgery. In this case, the appointment of therapeutic therapy depends on the factor of the onset of pathology. This requires detailed diagnostics.
Detailed examination of aspermia
Spermogram is considered the main type of research in case of suspicion of aspremia. It is recommended to take urine and blood tests, dopplerography of the vascular system in the genital area is prescribed. Determination of the reason why there is no sperm during ejaculation is also carried out on an ultrasound machine. An ultrasound of the prostate, testicles is done, tests are taken to identify a sexually transmitted infection.
The attending physician takes into account all the information collected, including the fact whether there have been such manifestations before. This is the only way to prescribe an effective, curative therapy.
The attending specialist must receive all truthful answers from the patient to the questions asked, this will allow him to make an accurate diagnosis of the existing pathological processes. Sometimes it is required to undergo a physical examination to detect the pathological structure of the genital organ.
With an unsuccessful spermogram, a simple method, due to the fact that there is no semen output, to obtain the results, you will need to study urine. Urine is obtained immediately after ejaculation. When the urine contains sperm, it means that the semen enters the ureter.
Curative therapy for aspermia
What to do if aspermia is diagnosed? The treatment method is selected by a specialized specialist. Usually, when choosing a treatment regimen, the cause of the pathology is taken into account. With the correct diagnosis. When the found out reason is in the use of some drugs, then their reception is simply canceled.
In cases of the ingress of semen into the ureter, special-purpose drugs are prescribed, which are aimed at eliminating the pathological process. Such methods of treatment are ineffective, positive results of therapy can be achieved only in a third of men suffering from this disease.
In situations where the disease is caused by an infectious pathology, an antibacterial course is prescribed.
Sometimes patients, coming with complaints, say when I finish sperm, no, and the infection has not been identified - how to eliminate the pathology. Sometimes obstruction of the vas deferens is found in men, then the specialist suggests surgical intervention.
The operative method is carried out by the method of transnurental canal resection, which is responsible for the ejaculation of semen. Medical manipulations are performed under general anesthesia.
An endoscope is inserted into the urethral canal, before that, a blue tinting agent is injected to the seminal vesicles. The endoscope is used for resection. If the operation was carried out correctly, then fluid should come out through the urethral canal. Inpatient treatment does not last long.
Folk ways to get rid of aspermia
Patients treat folk methods with more confidence than medical ones. This is due to the fact that they do not provide for the intake of chemicals and mechanical effects on the genitals.
Good results of treatment were shown by the use of sage, rose hips, tincture of barvnik is taken.
- Barvnik is poured, 5 liters of vodka, aged for a week and a half in a sunny place. The medicine is taken before meals.
What to do when therapy fails
Any man has a moment of desire for fatherhood. When modern medicine is powerless to treat reproductive organs, sperm can be harvested from urine collected after orgasm.
Before carrying out such procedures, men undergo special treatment courses to increase the pH of urine. Most often, sperm collection is carried out in laboratories. In some patients, urine is extracted from the urea. The procedure is carried out by inserting a catheter, then the urinary tract is washed, and then a special culture medium is introduced into the bladder. This is necessary in order to maintain sperm motility and active viability as long as possible. Then they resort to artificial ejaculation. When the urea is emptied into a special container, sperm are released from the urine.
In the absence of seminal fluid, the greatest danger is the inability to conceive naturally. In order to eliminate the pathology, adequate treatment is needed, which is aimed at clarifying and eliminating the factors that provoked this phenomenon. A detailed establishment of pathological factors is carried out by careful research. If, nevertheless, all the efforts were in vain, then you cannot do without artificial conception.
Why is aspermia dangerous?
The pathology under consideration does not threaten the life of men, but this phenomenon affects the quality of the introduction of sexual activity. Ignoring this kind of symptomatology will lead to a protracted course of the disease. As you know, any pathology is easier to eliminate if treatment is started on time.
When the pathological process is provoked by the cause of the inflammatory process, then in the absence of therapeutic therapy, the pathology may transition to another disease.
In such cases, it will be possible to cope with the normalization of the functioning of the organs of the reproductive system only with a long-term approach to therapeutic manipulations. Sometimes you even have to carry out surgery.
The consequences of not having an ejaculant are due to the following factors:
- the onset of infertility;
- pathologies of a psychological nature;
- an acute process of existing diseases;
- impossibility of natural fertilization.
For many married couples, artificial insemination is the way out for creating a full-fledged family. Before IVF, men are given therapy to improve sperm quality. The patient must be carefully examined, and only on the basis of all positive factors can artificial fertilization of the egg be carried out.
Sometimes it happens that the reason for the lack of sperm is the very mood of the man. In this case, it is enough to take a course with a psychotherapist and recover on your own - by the power of thought.