<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here... Dear sir iam pradeep patil from surat since 14 years of marriage but we was no child due to my low sperm counts and azoosermia, pus cells present in my report sperm count-only a very fewnormally & abnormally developed,but all inactive sperm detected.fsh-6.09 miu/ml serum prolactine -10.98 ng/ml serum testosterone-6.98 ng /ml severe oligoasthenoteratozoosermia befor some month i had done IVF ICSI DONE USING LP but fail PESA negative .TESA done. Rt testes did not shows any tubule.Lttestes show tubules with no sperm found pls advice me [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since testicular biopsy is done and no sperm were seen in it. It may be better to go ahead with donor sperm. IUI  if your wife is normal. Hope I have answered your query. Let me know if I can assist you further. </s>