Are very severe oligozoospermia and azoospermia the same?

No. Even if oligospermia is extreme, sperm are always found on the semen analysis or seminogram. In contrast, in Azoospermia there are no sperm in the ejaculate.

In order to achieve a pregnancy with Azoospermia, it is necessary to do a testicular biopsy to see if it is possible to obtain sperm from the testicle directly. If this is not possible, there is only the option of using a sperm donor to become a father.

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