Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, fields questions from a reader who is stressing out for not having any luck for babies despite enjoying an active appetite between the bed sheets with his wife.
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NewsTranscript
00:00Hello there, welcome to the final episode of putting Dr G on the spot in the month of March
00:05where we're discussing various ejaculatory disorders. Although today's topic is not
00:10strictly about ejaculatory disorder, however although ejaculation is normal,
00:15but the content is normal because it's a condition called Azoospermia.
00:19Azoospermia actually just stands for ejaculation that actually is seedless or contains no sperms at
00:32all. How can that be the case? If you just imagine that ejaculate contains between four to six mils
00:39of liquid and out of that liquid only one percent is contributed by the testicle itself that has
00:46content of sperms. So people who underwent a vasectomy clearly has Azoospermia, however
00:54naturally men can also ejaculate a normal looking semen without the content of sperms.
01:02So how can that be the case? So Azoospermia can be divided into obstructive and non-obstructive
01:09Azoospermia. Obstruction can be caused by vasectomy or scarring as a result of chlamydia or gonorrhea
01:18infections. In a different circumstance, scarring or obstruction itself can also be induced by a
01:26congenital condition called Congenital Bilateral Aplasia of the Vastefrans. This is a genetic
01:35disorder that actually will stop the passage of sperms into the seminal fluid resulting in
01:44Azoospermia. So the men themselves will function normally, however when they start having setting
01:51up families that is impossible because the sperms just doesn't go through. Apart from the obstructive
01:58nature of Azoospermia, there's also a non-obstructive nature. For example if somebody
02:04who has acquired non-obstructions of Azoospermia such as chemotherapy, mumps, testicular cancer,
02:12then these patients will produce semen that contains no sperms. But there is also another
02:20congenital condition actually called Spermatogenesis Arrest and this is a genetic
02:26condition that the sperm itself are not being produced in the testicle resulting in semen that
02:32is produced without sperms. For the month of April, we're discussing interesting facts about various
02:38forms of infections. We can start with cystitis, then talk about urethritis, prostatitis,
02:45pyelonephritis. There's various forms of infection that affect both men and women. So if you are
02:51interested, obviously stay tuned for next week's Putting Dr G On The Spot.