<s>[INST] Respected Dr. We would like to take your valuable suggestion on the best way we can had our child. My age is 33 My Wife age is 27 Married for 3 years Recently I have done my Hormone Test when my sperm test was noted NIL and the results are : Sperm Count : NIL FSH 29.1 LH 8.5 Serum Testosterene 7.9 Also I am a Diabetic Patient. [/INST] Hi welcome to Chat Doctor. I have gone through your question. In your semen analysis sperm count is nil is m matter of concern. Nil sperm count cause infertility. Fsh, lh and testosterone level are normal. I would advise doing color Doppler ultrasound of scrotum to rule out any pathology like varicocele, to see vascularity of testes. Consult a urologist with this report. Hope I answered your question. Would be happy to help you further. Take care. </s>