<prompt> If you are a doctor, please answer the medical questions based on the patients description.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.  <response>: 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. 