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Azumah Nelson had a total of six losses in his professional boxing career — four of them in title bouts and two in non-title bouts. He suffered his first loss against Salvador Sánchez via 15th round TKO on July 21, 1982, which ended his 13-fight win streak. He has been stopped once and lost five times via decision.
Jeff Fenech, Genaro Hernández, Jesse James Leija, Pernell Whitaker, and Salvador Sánchez are the five boxers who have beaten Nelson.
This is the first loss in Azumah Nelson's career. Nelson lost to Mexican boxer Salvador Sánchez via 15th round TKO on . He was fighting for Sánchez' featherweight WBC and The Ring titles, he was 24 years old with a record of 13-0. Sánchez was 23 years old with a record of 43-1-1.
On Nelson lost to American boxer Pernell Whitaker via 12 round unanimous decision. He was fighting for Whitaker's lightweight WBC and IBF titles, he was 31 years old with a record of 31-1. Whitaker was 26 years old with a record of 21-1.
On Nelson lost to American boxer Jesse James Leija in the rematch via 12 round unanimous decision. He was defending his super-featherweight WBC title, he was 35 years old with a record of 36-2-2. Leija was 27 years old with a record of 27-0-2.
On Nelson lost to American boxer Genaro Hernández via 12 round split decision. He was defending his super-featherweight WBC title, he was 38 years old with a record of 38-3-2. Hernández was 30 years old with a record of 34-1-1.
On Nelson lost to American boxer Jesse James Leija in a rematch via 12 round unanimous decision in a non-title bout. He was 39 years old with a record of 38-4-2. Leija was 32 years old with a record of 36-3-2.
On Nelson lost to Australian boxer Jeff Fenech in a rematch via 10 round majority decision in a non-title bout. He was 49 years old with a record of 38-5-2. Fenech was 44 years old with a record of 28-3-1.