Finding out your husband has an azoospermia diagnosis is shocking and sad, especially since female fertility problems are often more expected than male infertility issues. These tips will help you cope with your husband’s diagnosis of azoospermia, and give you hope for moving forward.

If you’re searching for male infertility products, look into Baby ASAP for Men: Premium Male Fertility Supplement. It offers support for low sperm count, low sperm motility, and sperm morphology. Baby ASAP supports sperm health by using clinically proven ingredients to boost sperm count, quality, and function. This male fertility supplement won’t necessarily reverse a diagnosis of azoospermia – it depends on the cause of your husband’s zero sperm count.

Sperm are very sensitive to a variety of influences – and a difference of three months can change the results of a sperm test. We’re continually exposed to environmental toxins and stress, which has a direct effect on our fertility levels. The toxins in our water, air, and food include glyphosates, pesticides, heavy metals and plastics. Daily stress, which is also a type of toxin, weakens our reproductive systems by increasing our free radical load and chronically elevating our stress hormones. The result is a decrease in the quality and quantity of healthy sperm. In Abnormal Sperm – Azoospermia and Oligospermia I share an overview of how azoospermia, oligospermia, and asthenospermia and other sperm health problems affect pregnancy.

It’s important not to lose hope, even if your husband has been diagnosed with azoospermia! Sperm are regenerated every three months, so poor sperm results on one male fertility test doesn’t necessarily mean your husband won’t produce any sperm at all in the future.  If you’ve recently done a home sperm test to detect azoospermia or other types of male infertility, read How to Understand the Results of Your Semen Analysis.

What is Azoospermia?

Simply put, azoospermia is when men don’t produce sperm. One of my most popular articles is 5 Foods to Increase Sperm Count, Production, and Motility – but if your husband has azoospermia, it doesn’t matter what he eats.

Azoospermia is the complete absence of sperm in a semen sample, due to a failure in sperm production or a physical obstruction. If an obstruction is causing the sperm problem (obstructive azoospermia), it may be treated in some cases with surgical procedures. If a spermanalysis or a sperm test indicates azoospermia, your doctor will likely pursue follow up tests to determine the cause.

The causes of no sperm or azoospermia could be genetic, lifestyle, illness, or even prescription medications.

Severe cases of azoospermia in men

In the most severe form of male infertility, men do not make any measurable levels of sperm. This condition, called azoospermia, affects approximately 1 percent of the male population and is responsible for about a sixth of cases of male infertility.

Often men with azoospermia don’t know the underlying cause of their condition. But new research from the University of Pennsylvania suggests that mutations in an X chromosome gene called TEX11 are responsible for an estimated 1 percent of cases of non-obstructive azoospermia, which is a significant number of cases of infertility in men.

When Your Husband Has Azoospermia

I have personal experience with male infertility; we found out my husband has azoospermia after we’d been trying to get pregnant for a couple of years. It’s been about seven years since my husband was diagnosed with azoospermia, and I still have moments of grief occasionally.

Here are a few ideas for coping when your husband has azoospermia, plus my prayers for all couples coping with infertility.

Grieve your loss

Allow your husband time to grieve the shocking news. Finding out he has azoospermia is a huge disappointment in his life, and it’ll take time to go through the stages of grief. Remember that we’re all little children inside, and we’re vulnerable. Our husbands may look tough, strong, and able to cope with anything – even an azoospermia diagnosis – but they may feel bewildered and depressed.

Take time to grieve your loss as a wife, as well. I remember the excitement of pregnancy tests, the hope that this month I’d be pregnant, the thrill of trying to get pregnant, the daydreams of babies and love. Finding out that your husband has azoospermia is devastating. It’s not something that can be shrugged off.

Give your husband time to accept the azoospermia diagnosis

When Your Husband Has Azoospermia

When Your Husband Has Azoospermia

There are other ways to get pregnant and start a family, but if your husband has just been diagnosed with azoospermia it may be too soon to start exploring different options for couples coping with infertility. He may be dealing with shame and embarrassment, and his masculinity may feel threatened.

Reassure your husband that he’s still a vibrant, healthy, robust, strong man to you! Stroke his ego; help him through his feelings. Your husband may not talk about how he feels about being diagnosed with this type of male infertility, but I can guarantee he’s thinking about it.

Take special care of your marriage

Azoospermia is a health issue that can cause relationship problems. My hope is that you and your husband are able to draw closer through this experience. May you and he allow yourselves to be honest and vulnerable with each other. I pray for God’s protection over your marriage and conversations, and for His comfort as you deal with your husband’s diagnosis of azoospermia.

Reach out for help and support

Don’t slog through the grief and pain alone. It’s not easy to say “my husband has azoospermia” – and it’s even more difficult for a man to say “I have azoospermia.” Adjusting to this diagnosis takes time. Acceptance and peace with an infertility diagnosis doesn’t happen overnight. But, with the right type of support, you will work through this.

May you find resources to help you and your husband cope with the azoospermia diagnosis and getting pregnant. Talk to counselors who specialize in fertility issues, read books about infertility, find blogs that encourage you to stay faithful to God and your marriage. You might even join an infertility support group or online forum for couples coping with infertility.

If you’re struggling with your faith, read Trusting God When You Can’t Get Pregnant.

I welcome your thoughts on husbands with azoospermia. I can’t offer advice, but you may find it helpful to share your experience with this type of male infertility.


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8 thoughts on “What to Do When Your Husband Has Azoospermia”

  1. My husband has azoospermia. I had two rounds of IVF with donor sperm. My embryos didn’t implant. I was completely broken. To this day I can’t believe I can’t have a baby of my own. It’s been 2 years since our second set of embryos didn’t implant….and it was also the last time my husband and I had sex. After a lot of grieving and feeling broken for a long time, I have eventually gone on with my life.

    Now that I’m ready for things to go back to normal, my husband never feels like being intimate. He never feels in the mood. It’s our situation that has caused my husband to withdraw. He is an overachiever and for the first time in his life, he feels like he failed at something he set out to do…his manhood is broken and he feels responsible. Azoospermia is the worst possible diagnosis for a man who wants a family. Any thoughts would be appreciated.

  2. Hi! Nice article. My husband was diagnosed 12yrs back . It’s been so tough especially where I come from, where having children determines the future of your marriage. After seeking medical advise, we had to opt for a donor after 6yrs. But unfortunately , the child had genetic issues, and this got me so worried.
    At the moment , am struggling with multiple fibroids which is over 7cm in size( the biggest).So scared of going for surgery cos what are my chances of being able to conceive after. Especially as I approach 40years of age.
    I would appreciate advise

  3. I am kind of surprised at how angry you guys sound. My husband has infertility and the way I see it this could have easily been me with the infertility. I just hope my husband would be understanding as I have been. We will look to adoption or other means but I love him dearly and would never trade him for any other fertile guy in the world.

  4. What about women suffering from male-related infertility and how to live with it? I’m 35, married to my 52 yr. old husband who had a vasectomy after having 3 children in a previous marriage. I didn’t know about his vasectomy and was on contraception for 3 years when we were living together untill his eldest daughter told me by accident when we were engaged, nearly married. I nearly fainted I was so shocked and hurt by the news. I am commited to my husband but am left feeling so empty and gelous of why my husband’s a father to his 3 (teenage)children and as IVF is far too expensive for us to even start why I can’t live my dream of ever being a parent? Although I respect his time with his kids, it’s so hard to constantly watch him with them at birthdays and christmas, etc. I’m so scared that i’m going to feel worse as I get older and as his kids have kids of thier own! Any tips on how to servive this? and I’d be interested to hear of anyone else’s similar circumstances.

  5. Kat. I totally understand your frustration. My husband and I married when we were thirty. Two years later he was diagnosed with severe male factor infertility. At the age of thirty five I am still struggling with his inability to father a child. I guess he has come to terms with but I haven’t. He just doesn’t get it. Nieither of us have children. I often wonder if our marriage will survive this.

  6. Hello Laurie,

    Thank you for sharing your struggles with infertility, specifically azoospermia. My husband was diagnosed with azoospermia in October and it has been really hard on both of us. This is a different kind of heartbreak. I’m having trouble finding any support groups or reading material on dealing with azoospermia so when I found your blog I felt relieved. I certainly don’t rejoice in the pain of others and wouldn’t wish azoospermia on anyone, but it sure is comforting to know that I’m not alone.

  7. Thank you for your She Blossoms blog; specifically, the articles on male infertility. My husband and I found out about a year ago that he has azoospermia. Like you, I’ve been dealing with this heartbreaking form of infertility. It’s very hard to find support for this specific type of issue online, so I was extremely grateful when I stumbled upon your blog and learned you dealt with something very similar.

    We are only 30 and have been married for two years, so a lot of our friends are starting their families and having babies. It’s sad and disappointing to learn about azoospermia and I know we have a long road ahead. But we believe God will helps us find our way.

    Thanks again for your blog. It gives me hope and a small window into how God can use suffering to touch other’s hearts and help them heal.

    – Nan

  8. Male fertility has an equal contribution to the successful pregnancy. I do appreciate the efforts put through to help infertile couples, especially sharing what to do if your husband has azoospermia. It’s great if we can keep removing toxins that can affect the fertility levels!