### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was born in a remote village with bilateral UN-descended testicles. Due to lack of awareness, my parents did not know the seriousness of the problem and also the local doctor in the small town did not advise them to get my testis descended through surgery well in time. On occasions while I was playing or running during my childhood and adolescence , I used to have swelling and pain on the sides of the root of penis where the testicles were probably stuck. The local doctor advised to rub Iodine ointment and relax. Ultimately I used to get relieved. Anyway, both the testicles were descended one by one through surgeries when I was 28. I got married at the age of 29 and was not aware of my problem as I did not face any erection problems and used to have night falls occasionally. After one and half year of our marriage without pregnancy, we approached our family GP to discuss the issue. I was asked to go through a semen analysis and it was revealed that I have zero sperm count. Following the physical examination of my testis, I was explained by the doctors that the size of the testis is small and that biopsy might not be very helpful. Their conclusion based on their experience was that the azoospermia may be irreversible. As I was following up developments in male infertility on some of the related websites and forums on the Internet, I was very happy when come to kmow from your website that there have been some successes in similar cases l. recently have semen s analysis but no sperms were observed.please let me know what tests report i should send u

### output:

Hi, I understand your problem. Following is my reply : 1) Unfortunately. Your descended testis may not give any sperms even if you do biopsy as they are small size. 2) even if you are not satisfied and want to get tested, toucan get tested by doing biopsy. 3) if any sperms are found during the biopsy or FNAC, you can undergo IVF / CSI treatment. 4) If you still have descended testis, i advice you to get your testis removed because there are chances of descended testis undergoing cancer in the future.regard, Chat Doctor. IVF specialist