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Even if you have no sperm in your ejaculate you may be making some and they are in your tissues. You need to find a urologist specializing in male infertilityInfertility Infertility - resources Primary infertility. They should measure your FSH levels among other things, which gives them an idication of your sperm production. They can do a surgery in which they open up the testicle and remove the fatty tissue that produces sperm and they may be able to find a few. If none are found, then your option is to use a donor.