<s>[INST] hello doctor... i am from panipat i got married last year now we are planning to increase our family.but after simen test my husband get nil sperm count pls find the below report.Fine needle aspiration smears both  testes show sertoli cells and few Leydig cells. NO GERM CELLS OR MATURE SPERMATOZOA ARE SEEN in the material examined.  The findings are suggestive of SERTOLI  CELL ONLY.  Biopsy confirmation is advised pls advise me is it possible to treatment for this ????? do we have any type of treatment ??? pls advise me ASAP [/INST] Hello,Don't worry, your husband may be having testicular male infertility probably. Many causes for it like hormonal imbalance or trauma or alcohol or cryptorchidism or infection like mums etc. Please consult your physician / infertility specialist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist </s>