If someone couldn't ejaculate, could the sperm be removed from the testicles to make a baby? or is there a process for the sperm to go through to make

Here are some...: First, one has to understand the underlying causes for being perceived as no ejaculation, which could be done by detailed history stressing sequence of events + physical exam + testing as needed. Second, decide how feasible to acquire sperms - from bladder after orgasm or with artificial ejaculation or microscopic procurement from testes. So, ask local available doctors - specialists.