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

### input:
Hi doctors can i have our reply and and advice about using the injections .My Uncle(Mr.Khaled ) is 40years old and his wife(Mrs.Mariam) is 32years old and they are from YEMEN .I am his Nephew and working in a company in capital city and I want to help my uncle .My uncle is suffering from the low and weak flow of sperms .So he sell many of his properties of farms and So the encryption doctor  prescribed him injections for one year(one injection once per week(Choriomon 5000 U.V) and another three injections(MERIONAL 75 I.V) per week ).My uncle do about that two months only and could not continue the injections to many reason of being living in village and he tired of injections . So is there any alternative for these injections as  as tablets or capsules .The prescribed injections are (CHORIOMON 5000 IU )&(MERIONAL 75 IV) These injections are for IBSA switzerland company . So please can you advice us if there is  alternative for injections as tablets and capsules have the same medication purpose and result . I am his I would be very much thankful for your kind help and advice .I hope your cooperation and early reply ,Best regards ,Mr. Abdulmalek Alaklan (Nephew for the patient Mr.Khaled)mobile :+0000   email:  YYYY@YYYY              YYYY@YYYY

### output:

Hi greetings. I understand your situation and helplessness. I think your uncle is having hypogonadotrophic hypogonadism and his testis may not be producing sperm because proper hormones are not secreted by his pituitary gland in the brain. That is why he is given that hormones of pituitary gland. It has to be taken some time for more than 2 years to see the response.AM SORRY TO SAY THAT THESE HORMONES ARE AVAILABLE AS INJECTION ONLY.no tablets will help him. If he cannot take injections then he will not produce sperm. Then only option is donor semen GUI or IVF.hope you are convinced. Regards