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

### input:
I am 30 yrs old, got married at the age of 29 and my wife is 21. We wanted to have a baby, so we tried for it for almost 8 months after 1 year of our marriage. After 6 months, my wife stopped her period and after going to doc, it turned out to be just amenorhea but not pregnancy, doctor started her on folic acid and started follicular scanning for 2 months and still did not conceive and for the third month, doc asked me to undergo male fertility test and the result was azoospermia , I was shocked to see the result and then I approached fertility specialist, who suggested another male infertility test and the result was again the same and he asked me to do to 2 more tests, karyotyping and male Y deletion tests, which were both negative without any problem. After a week of these results, I was diagonsed as tuberculosis lymphadenitis. For the first 2 months, I was on AKT4 tablets and streptomycin injections 3 injections weekly for 2 months. Now, I am on AKT3 for the third month and doc has prescribed to take it for another 6 months. After I saw the answer give by one of doc in this forum, I see that TB is the cause of my azoospermia. Should I wait for this AKT3 tablets to be finished and then try for baby or just go for IUI . PLs reply me.............

### output:

Hello, Thanks for the query, Tuberculous epididymo-orchitis is one of the cause of infertility in males. It causes blockage of the passage (no sperm enters the semen because the tract is blocked). Management of tuberculous infertility consists of two parts.1. Treatment with anti-tubercular Chat Doctor. 2. Reconstructive surgery followed by assisted reproductive techniques like CSI, MESA, TEST.  In the majority of cases, the presentation is late and antitubercular therapy does not improve the fertility status. Infertility here usually results from anatomic obstruction. What I recommend is to repeat your semen analysis since you have already taken AKT for 2 months. If semen analysis shows azoospermia, Go on for assisted reproductive techniques like CSI, TESA, MESA. Continue AKT for 6 months to treat primary tubercular infection. Hope this helps, regard,