Defining Aspermia: Its Causes, Signs, Diagnosis, and Effective Treatment Options

Overview – What is Aspermia?

Aspermia meaning refers to a fertility issue in men when they fail to produce any semen during ejaculation. It is different from azoospermia, in which semen is produced but lacks sperm. It makes conception difficult. A small fraction of men are affected by this condition, but exact numbers are unknown. It is a less common problem than poor sperm count or motility. It directly affects a man's fertility. Many men do not know about the condition until they find it difficult to start a family. Therefore, it is important to treat this condition as soon as possible if they want to start a family. Proper medical guidance and treatment can help men suffering from aspermia to overcome the problem and improve the chances of conception.

Aspermia vs Azoospermia – Understanding the Difference

Most people believe that aspermia and azoospermia are the same. But these two conditions are different from each other. Both conditions are responsible for male infertility. Let’s understand “Azoospermia Vs Aspermia”.

• Aspermia is a condition in which no semen is released during orgasm. For example, a man reaches orgasm, but no fluid comes out. Azoospermia is a condition in which semen is produced without sperm. For example, a man ejaculates semen, but on semen analysis, it shows zero sperm count.
• Aspermia is mainly caused by retrograde ejaculation, nerve damage, or blockage, and azoospermia is caused by hormonal problems and blockages.
• Oligospermia is another cause of male infertility in which semen is produced and contains a low sperm count.

All these cause male infertility, but each condition is different and needs the right diagnostic approach and treatment plan.

Symptoms of Aspermia

Aspermia has many symptoms that help to diagnose the condition. Knowing the symptoms will help in early diagnosis and getting the treatment.

• Complete absence of semen during ejaculation.
• Some men feel pain in the pelvic region and testicles during ejaculation.
• Facing difficulty in achieving conception even after having normal intercourse for a year.
• Reduced sense of satisfaction or incomplete ejaculation during sexual activity.
• Cloudy urine after orgasm due to retrograde ejaculation, in which semen enters the bladder.

Treatment of Aspermia

Different treatments of aspermia are recommended depending on the underlying cause. The doctor may use the following treatment methods:

• For mild cases, the doctor may recommend medications to stimulate ejaculation.
• Hormone replacement therapy can help men effectively correct any hormone imbalances that prevent them from achieving sexual and reproductive capabilities.
• In cases where an obstruction exists, the ejaculatory duct may require surgical intervention to restore the ability of men to ejaculate.
• Lifestyle modifications for men will include reducing alcohol consumption, quitting smoking, managing chronic medical conditions, increasing intake of nutrient-dense foods, and choosing antioxidant-rich foods.
• If aspermia is caused by retrograde ejaculation, the doctor may give medicines to enhance the strength of the bladder neck muscles.
• Counselling is recommended for men who suffer from anxiety and depression due to ejaculation problems.
• In some cases, ejaculation is difficult to restore, and doctors recommend adopting assisted reproductive techniques to help couples conceive.

Complications and fertility outcomes

• The most important complication is infertility because ejaculation is necessary for conception.
• Men may experience mental stress, anxiety, and depression due to infertility and poor sexual performance. Inability to achieve conception can lead to low self-esteem.
• There is a risk of a low success rate of achieving conception even after taking treatment, which can make men feel mentally disturbed.

Prevention and management tips

Some prevention strategies are given here that can help to lower the risk of aspermia:

• Manage diabetes and high blood pressure effectively, as these problems can cause nerve damage involved in ejaculation.
• Consult a doctor before taking any medications to discuss any side effects on sexual function.
• Avoid consuming alcohol, smoking, and recreational drugs as these products impact the nerves and sexual function.
• If you experience stress or anxiety, consult with a doctor to address the problem with counselling.
• Use protection during sexual activity to reduce the risk of infection and inflammation of the sexual organs.

Conclusion

Aspermia is a serious medical condition in males where there is no production of semen (ejaculate). Diagnosis and treatment of this condition must be completed accurately and quickly to improve recovery chances, as well as restore fertility. Determining the cause of the aspermia helps to get the right treatment. Therefore, you must consult with the best fertility specialist at Indira IVF if you face any problem in ejaculation or fail to conceive even after trying regularly for a year.