Table 1. Etiologies for non-obstructive azoospermia & obstructive azoospermia.
Etiology class | Pituitary or hypothalamic mediated NOA | Testicular mediated NOA | OA |
---|---|---|---|
Genetic & congenital | Kallman syndrome | KS (XXY); Y-chromosome microdeletion (AZF a, b or c); cryptorchidism | CBAVD (CFTR mutation) |
Acquired | Pituitary tumor, radiation, extirpation; exogenous androgens | Testicular cancer; malignancy; chemotherapy; abdominal or pelvic radiation; orchitis; testicular torsion; varicoceles | Vasectomy; ejaculatory duct obstruction; epididymitis; iatrogenic: orchidopexy or hydrocelectomy (with obstructing suture or compression), inguinal hernia repair, spermatocelectomy |
NOA, non-obstructive azoospermia; OA, obstructive azoospermia; KS, Klinefelter syndrome.