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

### input:
Hello sir, We have been married for 2.5 years, now when we started triying for a baby did we discover that there was a problem with me. My 1st Semen Analysis showed nil sperm count. The 2nd analysis was done at a specialized lab of a big hospital - they said Azoospermia with Infection ( WBC content was high). I then went to a Urologist, he did physical examination and advised that physically everything seems normal. Finally, he suggested a FNAC of both testes and Fertility Profile (LH, FSH , Prolactin and Testostorone).The fertility profile was normal. However, the FNAC results were not good. It shows presence of scattered sertoli cells & germ cells upto spermatids. Leydig Cells are also found. But mature sperms could not be found. The urologist says it is a case of Maturation Arrest / Hypospermatogenesis. 1) Please suggest if that is the only possible scenario? 2) What are the alternatives we have to be parents?

### output:

HI, Welcome to Chat Doctor, I am Chat Doctor First, you are suffering from the maturation arrest of the sperms. That means that there is no normal mature sperm in your ejaculation.  For in vitrofertilization we need a mature, motile, healthy sperm which is not available in your case.  So, first you have to take multivitamins and micronutrients a co-enzyme q10 which will definitely increases your sperm count and morphology and motility. Then invited fertilization will be an option. But before that or if the treatment fails to improve the condition, you have some options like artificial insemination using donor sperm. But that depends on your choice.