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Azoospermia

Definition

The absence of spermatozoa from ejaculated semen, resulting from obstructive causes (vasectomy, ductal blockage) or non-obstructive causes (testicular failure). Azoospermic semen contains full levels of PSA, so PSA immunoassay correctly identifies these samples as semen even when sperm microscopy is negative.

Definition
Absence of sperm in semen, congenital or acquired
Common causes
Vasectomy, spermatogenic failure
Forensic impact
Differential extraction cannot isolate sperm; recovery depends on epithelial cells
Global prevalence
Approximately 1% of men

Common questions

What does azoospermia mean in a forensic context?+

Azoospermia is the absence of sperm in semen, either from birth or acquired (like after a vasectomy). In forensic investigation, this matters because standard sperm-based DNA extraction won't work. Instead, examiners must rely on epithelial cells from the perpetrator to build a DNA profile.

Can you still find semen from an azoospermic person?+

Yes. Even without sperm, semen contains other cells and fluids. A sperm-negative result under the microscope doesn't rule out semen from someone with azoospermia. Forensic examiners use alternative recovery methods focusing on epithelial cells rather than spermatozoa.

How common is azoospermia?+

Azoospermia affects roughly 1% of men globally. It can result from obstructive causes like vasectomy or non-obstructive causes like spermatogenic failure (when the body fails to produce sperm).

Related terms

Differential Extraction
A two-step DNA extraction procedure used when a stain contains both sperm cells and non-sperm epithelial cells. The first step lyses epithelial...
ABAcard P30
A lateral-flow immunochromatographic strip manufactured by Abacus Diagnostics and validated by the Scientific Working Group for DNA Analysis Methods (SWGDAM) for forensic...
Acrosome
A cap-like organelle covering the anterior half of the sperm head. It contains hydrolytic enzymes used in oocyte penetration. Forensically it appears...
Christmas Tree Staining
A two-step differential stain using Nuclear Fast Red (Kernechtrot) to stain the sperm head red/pink and Picroindigocarmine to stain the midpiece and...
Double-Swab Technique
A collection method for dried biological stains in which a moistened swab rehydrates and lifts the stain from the surface, followed immediately...
Epithelial Cell Fraction
The non-sperm cellular material in a sexual assault sample. Contains skin and mucosal cells from both victim and any perpetrator who made...
Ghost Head (Decapitated Spermatozoon)
An isolated sperm head separated from its tail, commonly found in aged or dried stains. The head retains its oval morphology and...
Lateral-Flow Immunochromatographic Assay
A rapid, single-use immunoassay format in which sample extract migrates along a nitrocellulose membrane past a detection zone loaded with antigen-specific antibody...
Prostate-Specific Antigen (PSA)
A serine protease glycoprotein (also called p30) secreted in high concentrations by the prostate gland into seminal plasma. The primary immunological marker...
PSA / P30
Prostate-specific antigen, a kallikrein-family serine protease secreted by prostatic epithelium. Present in seminal plasma at 0.5 to 2 mg/mL. The standard confirmatory...
RSID-Saliva
Rapid Stain Identification of Saliva. An immunochromatographic lateral-flow assay using monoclonal antibodies specific to human salivary amylase. More specific than Phadebas, with...
Salivary Alpha-Amylase
An enzyme (EC 3.2.1.1) secreted by the parotid, submandibular, and sublingual glands. Digests starch and is present in saliva at concentrations of...

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