When deciding how to treat azoospermia, we should pay attention to the type of azoospermia we are dealing with, as azoospermia can be either secretory (non-obstructive) or obstructive.
There are many cases of irreversible azoospermia, entailing an abolute impossibility of the testes to produce sperm, either by congenital problems or by a posterior disorder.
In patients with stress or drug-induced azoospermia, ceasing the administration and having a waiting time is all that it takes to produce sperm again. The same applies during stressful times.
In Latin America the Andean maca (Andes radish) is a well-known afrodisiac that helps fertility, as it allegedly improves testosterone levels.
On the other hand, if azoospermia is not temporary, not caused by stressful events or induced by a drug, there are no natural medicines that help the testes to produce sperm or unblock the efferent ducts.
Patients with secretory azoospermia with no testicular problems diagnosed and low FSH values, azoospermia can be treated with the administration of the FSH hormone, as the pituitary somehow does not secrete enough quantity to produce sperm.
There are few cases of secretory azoospermia due to low FSH levels, mostly by problems in the testicles and sperm production cannot be recovered or settled back to its normal levels by direct treatment.
Obstructive azoospermia it is produced by blockages in the ejaculatory ducts, the seminiferous tubules or the epididymis. A surgical intervention is, in most cases, enough to repair the vessels or ducts. Men that want to reverse vasectomy can also undergo surgery.
If the operation goes successfully, and after a prudential time, the man will expel sperm in the ejaculate again; in fact, in 80% of the cases he will be able to conceive naturally, without resorting to assisted reproduction techniques.