Distinguishing obstructive from non-obstructive Azoospermia involves hormone tests and anatomical assessments. Elevated FSH and LH with low testosterone indicate a testicular issue, while low FSH and LH with low testosterone suggest a pituitary problem. Imaging scans can confirm the diagnosis.

Anatomically, blockages in the sperm’s pathway from the testis to ejaculation can cause Azoospermia. Symptoms like reduced testis volume suggest a production problem, while normal volume with sperm absence indicates obstructive Azoospermia.

Treatment for obstructive Azoospermia often involves surgery or sperm retrieval for assisted reproduction. Non-obstructive Azoospermia may require sperm extraction techniques for fertilization. Understanding these differences guides treatment strategies for fertility issues.

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