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

### input:
786MY NAME IS RAHIMULLAH:I am 30 years old when I born from my mother I had undesinded testes when I become 14 years old I operation it right site and I operation left site when I become 26 years old I get marred tow years ago I have no children and I have azoospermia I must mention that both site became hol with its self .Rahimullah My email add is :( YYYY@YYYY )My skype name is (rahimullah100)And my phone no is: 0000 and 0000Can I have care or no? If yes how and where?  if in India how much money is need send email or add me in skype to chet and I understand youI well be faward to your answerI eat deferent kind of medsen such us fertile m , proveron , vitamin e , testosterone inj ,  Thanks rahimullah

### output:

Thanks for posting your question on Chat Doctor! I can understand your problem regarding infertility. You had descended testes on both the sides. Normally the testicles are formed in the abdomen during fetal development. During the last couple of months of normal fetal development, the testicles gradually descend from the abdomen through a tube-like passageway in the groin (inguinal canal) into the scrotum. In order for testicles to develop and function normally, they need to be slightly cooler than normal body temperature. The scrotum provides this cooler environment. If the testicles do not descend they remain in the abdomen or in groin. In order to prevent the complications of descended testes like infertility and testicular cancer later, a surgical operation (orchiopexy) is done to correct their position and fix them in the scrotal sac. This is usually done between 3 months to 12 months of the age to reduce the risk of complications. Low sperm counts, poor sperm quality and decreased fertility are more likely to occur among men who've had an descended testicle. Since the surgical operation was delayed in your case, that could be reason behind azoospermia. You are advised to consult your doctor for the follow-up. Best regards!