<s>[INST] i am shanmugam sir affected from azoospermia. my speam report speam nill i already some doctor get my report no improve i take ayevertChatDoctoredicin no improvement my question is improve count and which doctor consult the treatement sir please give me a solution [/INST] HelloThanks for query. Your semen analysis has revealed Azoospermia (Absence of sperms in semen). The absence of sperms can be either of the dues to two reasons1) Testicles are not producing sperms at all2) There is blockage in the passage of transmission of sperms from epididymis to Urethra. Consult qualified Urologist for clinical examination. He would ask for a test called Testicular biopsy to confirm whether your testicles are producing or not, If there is a spermatogenesis he will do a radiological test Vast Nanogram to rule out /confirm the blockage in tube (Va's Difference)If the azoospermia is detected to be due to blockage in Va's Difference it can be corrected by surgery. There is no medicine that can cure azoospermia due to absence of spermatogenesis activities by Testicles. Chat Doctor.  </s>