Sometimes a man remarks that there is no sperm in ejaculation. This pathology occurs in 1-3% of the stronger sex. The causes of pathology are different. It is necessary to consult a specialist who will prescribe the necessary treatment. If treatment does not pass, then the man becomes sterile. With such a problem, conception is impossible. If the patient has noticed the absence of seminal fluid, then he needs urgent medical treatment.
Causes of absence of seminal fluid
Sperm can be absent only in two kinds of pathologies:
- Retrograde ejaculation;
- Compression of the vas deferens.
Aspermia can develop with retrograde ejaculation. The process is accompanied by the excretion of fluid into the bladder cavity. This is due to disruption of the sphincter. With the right ejaculation, the man is contracting the sphincter during sexual contact. Due to various reasons, some men do not. The sphincter remains relaxed. Sperm does not enter the urethral canal, which is compressed by the tissues of the penis, but into the bladder.
Compression of the vas deferens can be of various origins. They can develop spikes or be damaged due to various injuries.
There is a violation of excretion of seminal fluid. Sperm can not leave the testes. The process is accompanied by a rapid loss of sexual arousal. A man can not reach orgasm. Pathology can only be cured by a surgical method.
Retrograde ejaculation
In this pathology, the patient does not have sperm. The seminal fluid enters the bladder. In this case, the patient does not experience any discomfort. The development of retrograde ejaculation is influenced by such pathologies as:
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Inflammatory diseases of the genitourinary system; - Inflammation of the prostate;
- Diabetic lesion;
- Development of various complications after surgery.
Inflammation in the urinary system can lead to an adhesion process. In this case, there is a violation of excretion of sperm. The liquid can not pass through the obstruction and enters the bladder. If the pathology is not eliminated, the urinary canal overlaps completely.
A frequent cause of sperm absence is the chronic inflammatory process in the prostate gland. The prostate increases in size and puts pressure on the sphincter of the bladder. It changes the location. Overlapping the neck of the bladder is broken. Sperm enters the cavity of the bladder.
Diabetes mellitus has a pathological effect on the health of the whole organism. Many patients have such a complication as the impairment of the transmission of the nerve impulse from the sacral spine to the nerve endings of the reproductive system.
The sphincter does not receive the required signal. Thus, it does not overlap the neck at the right time when excited. Pathology is not always amenable to treatment. Many patients need artificial sperm taking.
Some men after surgery in the genitals develop scar tissue or rupture of nerve endings. If the sperm is absent because of the scar, then the pathology can be treated with medical treatment. If the outflow of fluid is broken due to a rupture, then treatment is impossible.
Obstruction of the seminal tract
The problem is a complication of certain diseases of the genitourinary system. The compression of the vas deferens can be affected by such pathologies as:
- Bacterial diseases of the pelvic organs;
- Unsuccessful operations;
- Cysts of different etiology.
Bacterial diseases of the genitourinary system have a negative effect on the condition of the vas deferens. Many bacteria feed on healthy tissue cells. When bacteria enter the vas deferens, necrosis of the walls of the affected area occurs. The dead cells accumulate, inflammation develops on the canal wall. After removing the acute form of pathology, the walls narrow. Sperm withdrawal through the channels is difficult.
Cysts of different etiology affect the condition of the tissues of the organ in which they are located. After eliminating the cystic process, a scar remains on the affected area, which tightens the walls of the vas deferens. The process must be treated in hospital settings.
Diagnosis of aspermia
To determine the reasons for the absence of sperm, the patient must undergo a medical examination. The examination includes the following activities:
- Ultrasonic diagnosis of pelvic organs;
- Study of sperm analysis;
- Collection of urine for research;
- Inspection of blood vessels.
Ultrasound diagnostics help to establish a localization pathology specialist. The causes can be the inflammation of any pelvic organ.
In the absence of sperm, it is necessary to study the composition of urine. Retrograde ejaculation is accompanied by the ejection of seminal fluid into the urine. If the secretions of secretion of sperm, germ cells are found in the liquid, the diagnosis is retrograde ejaculation.
Treatment of pathology
Therapy depends on the reasons that affected the lack of sperm. Doctors use such methods as:
- Operational impact;
- Treatment with medicines;
- Conservative therapy.
The main method of eliminating the absence of sperm is the operational effect. The operation depends on the causes of the problem. With retrograde ejaculation, the patient is assigned the restoration of the location of the sphincter and its suturing. When obstructing the vas deferens, they must be resected. The clamped portion of the canal is excised, the remaining walls are sewn together. Recovery of the patient occurs within 7-9 days.
In some cases a special endoscope is used. It is introduced into the urethral canal. Through it, a catheter is inserted into the prostate gland. The secretion of the prostate is derived from the catheter. After cleansing the prostate, the catheter is removed.
If a man has paid attention to the absence of seminal fluid during ejaculation, he should visit a doctor. The expert will tell you why there is no sperm.
