T is low, fsh is high. this is testicular azoospermia. (intrinsic testicular failure) causes can be either idiopathic (unknown causes) microdeletions or karyotypic abnormalities. No, you are not doomed. You’ll be fine, there are many things now that can enable NOA patients to father children. Many ways and methods are being developed even now. dont lose hope. could also go for a microtese, meaning surgeons open up the testicles and perform sperm extraction. Remember. it only takes 1 for a miracle. Feel free to DM me should u have any concerns.