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types of no sperm count or zero sperm count causes :

1. conginital : which is by genes and since birth , and this condition will be hardly cured and there is less effective ways to treat it 
2. by dieases and life style conditions such as Varicocele , and in this case there is highly effective ways to treat it 

what is the usual treatment used for no sperm count of zero sperm count :

1. first you have to consult fertility doctor to do the needed medical examnation and determine the treatment pathways 
2. have healthy life style and paying attention to food , exercise , sleep patterns 
3. avoid stress and anxeity 
4. treating any underlying non-related medical condition if possible , or stick to medications and control it such as DM 
5. first line of treatment would be by medications such as increasing testesterone hormone and may include other medication such as antibiotics and steroids depending on the cause
6. second line of treatmenr would be by surgery such as Varicocele which lead to obestruction to sperm pathway and lead to infertility 

possible causes of zero sperm count :

1. Klinefelter syndrome
2. Kallman syndrome
3. Unexplained genetic infertility
4. Hypothalamic/pituitary tumor
5. Hyperprolactinemia
6. Cancer treatment (chemotherapy, radiation, surgery)
7. Varicocele effect
8. Congenital adrenal hyperplasia
9. Severe illness (cancer, kidney or liver failure)
10 .Diabetes mellitus
11. Sickle cell anemia
12. Sperm autoimmunity
13. Ejaculatory duct obstruction

needed medical examnation :

1. clinical check by doctor 
2. blood and blood chemistry 
3. sperm test
4. biopsy of Testicles
5. surgical check to ejaculation duct 
6. CT scan or mri to productive system 
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