Will he become a father?

Basavarajappa has travelled a long distance to see us. He has come all the way from Gadag in north karnataka to show a letter of reference and some reports. His problem- he wasn't a father yet. He is married for 10 long years and his wife has been much rediculed for not having become a mother yet. The cruel social stigma first points out the finger at the wife and in this case, it took ten long years for him to realise that the fault was not with her. The doctor there finally told him that he had no sperms in his semen.
He turned up at our OPD and we looked at his reports. Everything was fine with him expect of course, the sperm count. We ruled out various causes through a thorough history and examination. Primary infertility? Testicular failure? Maybe. Next stop: Aspiration biopsy of the testis.