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

### input:
I am a 36 years old male from India I went for SA( Semen analysis ) and as per the result the sperm count is 0 ie I have azoospermia . Detials of SA report are as follows 1) Volume - 2.5 ml 2) Colour - Whitish 3) Reaction - Alkaline (pH - 8.4) 4) Viscocity - Normal 5) Liquification Time - Normal 6) PUS Cell - 20-22/HPF 7) Epithelial Cells - 0-2/HPF 8) RBC 1-2 /HPF 9) Sperm Count - 0 I went for Scrotum USG (Doppler) and Hormone Test and results are as follow A Scrotum USG No Varicocele or Hydrocele . A small Cyst in Right Epydidymal Head. Spermatic cords are normal Testicular Size - Right - 3.29X1.53X2.32 cm Left - 2.9 X 1.55 X 2.47 cm B Results of Blood Test for Hormones are as 1) FSH - 8.29 mIu/mL 2) LH - 2.96 mIU/mL 3) Testoterone- 2.98ng/ml Based on these information could you please let me know 1) Whether my problem is due to testicular Failure 2) Whether my problem is related to some kind of infection. Additional Info - 1) I am not a drinker but a smoker 2) I never had Chicken pox or Malaria but sufferred from mumps when I was 9 years old 3) Sufferd from high fever and allergy. 4) I have type 2 Diabetes.However it is currently in control fasting sugar 87 and HBA1C - 6.2 Thanks in advance

### output:

Hello, I am not certain why you have posted your question in the Allergy forum, but it is obvious that you have low testosterone levels that can be secondary to diabetes. Overweight, stress, lack of sleep, alcohol, It A/D def, uncontrolled diabetes are some causes of low testosterone (among many others). Did the previous mumps episode affect your genitalia? Please get in touch with an Endocrinologist for further management. Thanks.