Does azoospermia have to do testicular puncture?

Actually, it is not. Testicular biopsy is a commonly used examination technique in recent years, but there are some loopholes. Testicular puncture is to take a part of the testis for examination. The whole testis of a man is capable of producing sperm. Because puncture biopsy is only a part of the examination, it cannot be concluded that it is azoospermia. I suggest you go to the hospital for scrotal exploration. Scrotal exploration is a technique combining examination and treatment. Scrotal exploration makes up for the deficiency of traditional diagnosis, avoids the wrong treatment direction caused by misdiagnosis of testicular biopsy, and has made a successful breakthrough in the treatment of many infertility patients caused by testicular spermatogenesis disorder.