Medicina v Kuzbasse (Aug 2022)

MANAGEMENT OF A PATIENT WITH A SECRETORY FORM OF AZOOSPERMIA

  • Алексей Дмитриевич Бушмакин,
  • Константин Александрович Луговой,
  • Евгений Владимирович Помешкин,
  • Алексей Геннадьевич Тришкин,
  • Лилия Владиславовна Курганова,
  • Галина Павловна Зуева,
  • Антон Игоревич Лесников,
  • Асмик Гербертовна Бочкарникова,
  • Светлана Ивановна Елгина,
  • Вадим Гельевич Мозес,
  • Елена Владимировна Рудаева,
  • Кира Борисовна Мозес

Journal volume & issue
Vol. 21, no. 3
pp. 115 – 121

Abstract

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Violation of male reproductive health is one of the most urgent problems for scientific research at the present time and is both a reflection of the quality of medical care and an indicator of overall well-being. One of the most difficult for the diagnosis and treatment of pathospermia is azoospermia. This pathological condition manifests itself in the complete absence of spermatozoa in the ejaculate during a two-time examination of centrifuged sperm with a targeted search for spermatozoa. Azoospermia is detected in approximately 7-10 % of all patients with impaired reproductive function. This clinical case clearly illustrates the tactics of differential diagnosis of a patient with azoospermia, and shows the importance of histological conclusion for predicting the effectiveness of therapy and achieving clinical pregnancy. In this case, a testicular biopsy served as a reason for prolonging therapy, and allowed to achieve a clinical pregnancy. Correctly chosen tactics allowed.

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