Men with azoospermia will not show any noticeable symptoms such as pain, swelling, etc. Therefore, the only way to diagnose azoospermia is when the male has a semen analysis.
For this reason, many patients do not know they have azoospermia until they try to become fathers naturally and do not succeed. At this point, they go to a specialist and, after performing a seminogram, the absence of spermatozoa in the ejaculate is detected.
However, there are cases in which azoospermia can be accompanied by erection problems or sexual alterations related to some hormonal irregularity, which has led to secretory azoospermia.
It is also possible, although complicated, for the male to intuit azoospermia by a change in the color or appearance of the semen, since the absence of spermatozoa can make it somewhat more watery, light and transparent.
In any case, changes in the semen are not a determining symptom of azoospermia, since they can also be due to other reasons such as prostate or seminal vesicle alterations, eating habits, testicular pathologies, etc.
