What to do when husband ejaculate only water?

02/04/2022 15:38 GMT+7

According to Dr. Cao Huu Thinh – Tu Du Hospital, Ho Chi Minh City In the case of male patients who ejaculate without sperm, assisted reproductive interventions are required.

On average, every day, Dr. Thinh encounters 3, 4 cases of infertility due to the husband and most of the men are ejaculate without sperm.

For example, a young couple from Vinh Long went to Ho Chi Minh City for a checkup because they have not had children after 6 months of marriage, even though the couple did not use any contraception. According to the patient’s wife, the couple still have regular sex, both of them are very comfortable, but for unknown reasons, they are not pregnant.

As a result, when the doctor let the patient take his own sperm as a semen sample, the sperm was as thin as water and there were no sperms swimming in it. The doctor concluded that he did not have sperm and wanted to have a child, he needed to go to medical facilities to do assisted reproduction methods with patients with no sperm.

Illustrated photo.

Or another case, a couple named Thom and Long (Bien Hoa, Dong Nai, both 25 years old) work here. The two have been married for more than 2 years and have no children. Due to the difficult economic epidemic, the two people did not go to the doctor.

When going to the doctor Thinh’s place, the results showed that both husband and wife had diseases that cause infertility. The husband ejaculated semen, there are no sperm inside.

The wife has a flat ovary. The doctor’s ultrasound showed no eggs. This is a special case, Dr. Thinh said that other infertility cases are mainly caused by one side, and with this pair of workers, it is caused by both people.

The husband had to go to the hospital to have sperm removed from his testicles. If sperm is present, it will be frozen. And the wife has to go ask for eggs. If an egg is obtained, the husband’s sperm will be used for in vitro fertilization.

Dr. Thinh said this couple is risky because normally no one can ask for both eggs and sperm. The patient only chooses 1 of 2 options. Therefore, if the husband does not have sperm, the doctor also accepts it.

Thinh, cases of men ejaculating without sperm are not uncommon. These cases often ejaculate with only water and cannot have children.

For those who do not have sperm to have children, patients need to perform assisted reproductive techniques with sperm obtained from the epididymis or testicles.

A small number of cases can be treated with endocrine therapy if the cause of pituitary hormone deficiency. Cases that can be treated by surgery such as anastomosis or varicose vein surgery have a low success rate, should only be applied to young, easy-to-get pregnant women.

Reproductive measures such as sperm injection, in vitro fertilization, the doctor conducts assisted reproductive methods as follows: Percutaneous epididymectomy (PESA); Microsurgery to extract sperm from the epididymis (MESA); Surgery to remove sperm from the testicles (TESE); Microsurgery to remove sperm from the testicles (Micro-TESE).

If the cause of azoospermia is genetic and can be passed on to children, the doctor may recommend that the patient have a genetic analysis of the sperm before taking supportive measures. assisted insemination.

The diagnosis of azoospermia is difficult to detect through external symptoms.

The patient was diagnosed with a semen analysis. The male semen sample will be examined using a centrifuge or under a microscope. In cases where the volume of semen is low, the doctor must conduct a search for more sperm in the urine after ejaculation.

The rate of fertilized oocytes after injection of sperm taken from the epididymis or testis can be up to 70-80%. The resulting embryos are then cultured and selected to be transferred to the uterus.

The cost of in vitro fertilization is about 80-90 million VND.

Khanh Chi