{"id":13781,"date":"2024-02-29T16:22:13","date_gmt":"2024-02-29T15:22:13","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/no-em-quedo-embarassada\/causes-dinfertilitat\/azoospermia\/"},"modified":"2025-06-27T12:20:50","modified_gmt":"2025-06-27T10:20:50","slug":"azoospermia","status":"publish","type":"page","link":"https:\/\/www.dexeus.com\/fertility\/ca\/no-em-quedo-embarassada\/causes-infertilitat\/azoospermia\/","title":{"rendered":"Azoosp\u00e8rmia"},"content":{"rendered":"\t\t
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Azoosp\u00e8rmia<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tCauses d\u2019esterilitat en homes<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tPre-testiculars<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTesticulars<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tPost-testiculars<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tProblemes d\u2019ejaculaci\u00f3<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Causes d\u2019esterilitat<\/span> en homes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Les causes d\u2019esterilitat en l\u2019home s\u00f3n m\u00faltiples i una d\u2019elles \u00e9s la azoosp\u00e8rmia<\/span>, que \u00e9s l\u2019abs\u00e8ncia de producci\u00f3 d\u2019espermatozoides. Es divideixen en quatre grups:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>1<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tPre-testiculars.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>2<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tTesticulars.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>3<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tPost-testiculars.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>4<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tProblemes d\u2019ejaculaci\u00f3.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Pre-testiculars<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Entre les causes pre-testiculars<\/strong> es troben els problemes del sistema de regulaci\u00f3 hormonal, que s\u00f3n responsables aproximadament del 10% dels casos d\u2019esterilitat masculina<\/strong>.<\/p>

    Les malalties que afecten l\u2019hipot\u00e0lem o la hip\u00f2fisi comporten un d\u00e8ficit d\u2019hormones gonadotropines<\/strong> que condicionen una escassa producci\u00f3 d\u2019espermatozous (oligozoosp\u00e8rmia) o una abs\u00e8ncia de producci\u00f3 (azoosp\u00e8rmia<\/span>)<\/strong>.<\/p>

    Aquesta condici\u00f3 hormonal es coneix com a hipogonadisme hipogonadotr\u00f2pic, i es pot solucionar mitjan\u00e7ant l\u2019administraci\u00f3 d\u2019un tractament hormonal substitutiu amb gonadotropines<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Testiculars<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    El mal funcionament del mateix testicle<\/strong> en la producci\u00f3 d\u2019espermatozous \u00e9s la m\u00e9s freq\u00fcent, i representa un 55% dels problemes d\u2019esterilitat de l\u2019home<\/strong>.<\/p>

    Per poder respondre adequadament a l\u2019est\u00edmul hormonal, el testicle ha de ser capa\u00e7 de generar espermatozous; si per alguna ra\u00f3 l\u2019espermatog\u00e8nesi es veu afectada o danyada, la resposta ser\u00e0 disminu\u00efda.<\/p>

    Aquest problema es pot deure a una gran varietat de causes entre les quals trobem:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>1<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tS\u00edndrome de Klinefelter<\/strong> (malaltia heredit\u00e0ria).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>2<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tFalta de descens d\u2019un o tots dos testicles en n\u00e9ixer<\/strong> (cong\u00e8nita), sobretot si no es va diagnosticar i corregir el problema durant els primers anys de vida.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>3<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tVarius de les venes del testicle<\/strong> (varicocele).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>4<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tInfecci\u00f3 del testicle (orquitis) per galteres (parotiditis) o per bacteris en infeccions de vies urin\u00e0ries.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>5<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tCops i ferides que lesionin greument els testicles (traumatisme).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>6<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tExposici\u00f3 a calor excessiva.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>7<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\u00das de drogues que danyen les delicades c\u00e8l\u00b7lules que formen els espermatozous (alcohol, drogues).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>8<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tExposici\u00f3 a radiaci\u00f3 o a agents quimioterap\u00e8utics per al tractament de problemes oncol\u00f2gics (c\u00e0ncer).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
    • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tGroup<\/title><\/circle>9<\/tspan><\/text><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tMalalties sistem\u00e0tiques com insufici\u00e8ncia renal o hep\u00e0tica.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      *Per tant, el tractament i les probabilitats de curaci\u00f3 s\u00f3n molt variables, d\u2019acord amb l\u2019origen del problema.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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      Post-testiculars<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Les causes post-testiculars<\/strong> representen el segon grup m\u00e9s freq\u00fcent de causes. Es refereixen principalment als problemes d\u2019obstrucci\u00f3 dels conductes per on els espermatozous s\u00f3n dirigits fins a les ves\u00edcules seminals<\/strong>, on s\u2019uneixen al l\u00edquid seminal i d\u2019all\u00e0 passen a la uretra a trav\u00e9s de la pr\u00f2stata, per donar lloc al semen.<\/p>

      Aquestes obstruccions es poden deure a:<\/strong><\/p>

      • Malformacions cong\u00e8nites.<\/li>
      • Infeccions.<\/li>
      • Cirurgia (postvasectomia).<\/li>
      • Traumatismes.<\/li><\/ul>


        Altres causes posttesticulars s\u00f3n els desordres de la mobilitat o funci\u00f3 de l\u2019espermatozou, que es classifiquen en:<\/strong><\/p>

        • Cong\u00e8nits<\/strong>, com els de la cua de l\u2019espermatozou, que ocasionen poca o nul\u00b7la mobilitat<\/strong> d\u2019aquest (per exemple, a la s\u00edndrome dels filaments imm\u00f2bils o s\u00edndrome de Kartagener).<\/li>
        • Adquirits<\/strong>, com quan despr\u00e9s de la reversi\u00f3 de la vasectomia, es presenta una disfunci\u00f3 de l\u2019epid\u00eddim i no s\u2019activa la mobilitat dels espermatozous o no se\u2019n completa la maduraci\u00f3<\/strong>, o quan per infecci\u00f3, cirurgia o traumatisme es trenca la barrera hematotesticular (sang) i es produeixen anticossos contra els espermatozous, que n\u2019afecten la funci\u00f3 i en disminueixen la capacitat de fertilitzar<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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          Problemes d\u2019ejaculaci\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          Dins dels trastorns d\u2019ejaculaci\u00f3<\/strong>, el m\u00e9s freq\u00fcent \u00e9s l\u2019ejaculaci\u00f3 retr\u00f2grada<\/strong>, \u00e9s a dir, que el semen en lloc de dirigir-se cap a l\u2019exterior se\u2019n va cap enrere, a la bufeta. D\u2019aquesta manera, \u00e9s impossible la desc\u00e0rrega dins de la vagina<\/strong> i, per tant, l\u2019embar\u00e0s.<\/p>

          Es presenta en trastorns neurol\u00f2gics com lesions de columna, en diab\u00e8tics amb neuropatia diab\u00e8tica o per cert tipus de medicaments.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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          \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

          Causes d\u2019esterilitat en homes Pre-testiculars Testiculars Post-testiculars Problemes d\u2019ejaculaci\u00f3 Causes d\u2019esterilitat en homes Les causes d\u2019esterilitat en l\u2019home s\u00f3n m\u00faltiples i una d\u2019elles \u00e9s la azoosp\u00e8rmia, que \u00e9s l\u2019abs\u00e8ncia de producci\u00f3 d\u2019espermatozoides. Es divideixen en quatre grups: Group1 Pre-testiculars. Group2 Testiculars. Group3 Post-testiculars. Group4 Problemes d\u2019ejaculaci\u00f3. Pre-testiculars Entre les causes pre-testiculars es troben els problemes […]<\/p>\n","protected":false},"author":1,"featured_media":6877,"parent":13773,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13781","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nAzoosp\u00e8rmia: Causes, S\u00edmptomes i Tractaments | Dexeus Fertility<\/title>\n<meta name=\"description\" content=\"L'equip m\u00e8dic respon els teus dubtes sobre l'Azoosp\u00e8rmia, causes i tractament. 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