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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    What causes azoospermia?

Hello Dr.Dilip
I am suffering from the absence of semen altogether. Other words, I totally miss it. I can totally feel Sexually excited and erection happens normally , but I do not see the semen. only few drops of transparent liquid comes out. it seems like some drops of water or lubricator .
I had ignore this problem since maturity.

age: 23
Weight :78
length : 167 cm
Single & never had sex
MALE
Smoke
Does not take any medications and there is no History of serious illness at all, or any previous surgery
Notes: no problems and no suffer from erection and sex ecxited.
i had the following lab investigations and Hello Dr.Dilip
I am suffering from the absence of semen altogether. Other words, I totally miss it. I can totally feel Sexually excited and erection happens normally , but I do not see the semen. only few drops of transparent liquid comes out. it seems like some drops of water or lubrication .
I had ignore this problem since maturity.

age: 23
Weight :78
length : 167 cm
Single & never had sex
MALE
Smoke
Does not take any medications and there is no history of pathological at all, or any surgery
Notes: no problems and no suffer from erection and i am normally sex excitation.
I had the following lab medical investigations and Medical radiations :

1- Fertility Hormones (taken at night)
- Estradiol E2 = 7.44 pg/ml
- Prolactin = 5.5 ng/ml
- free testosterone = 36.1 pg/ml

2- Scotral Duplex Ultrasonography :
-Both testes and epididymides show normal size and echo-pattern with no focal lesions.
-Right testicular mesures 42 X 24 mm
-Left testicular measures 43X 25 mm
-Normal calibar of pampiniform plexuses of viens at both side with o reflux of flow on straining.
- No evidence of vaginal hydrocele
- Normal intratesticular , capsular , and spermatic vessels flow with no evidence of testicular torsion
- Conclusion: normal scrotal sonographic and duplex examination.

3- Transectal Ultrasonography:

- The prostate is average of size measures 4.3 X 3.4 X 2.9 cm in diameters corresponding to a calculated weight 21gm.
- Both transitional and peripheral prostatic zones are homogenous, uniform, in texture with no focal lesion.
- Normal sonographic appearance of seminal vesicles.
- Ejaculatory ducts are not dilated.
- No pelvic masses.
Conclusion: normal Study

I hope that you can help me to make the right step , and i am ready to supply with any other information , thank you very much for your time and help.
Thu, 28 Nov 2019
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Sexologist 's  Response
Hi,

Azoospermia can be due to hormonal imbalance, obstructions and anatomical issues. Take tests for ultrasound abdomen, pelvis and scrotum.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. S. R. Raveendran, Sexologist
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