Ejaculation & Sperm
Anejaculation refers to failure to release the sperm
rather than the quality of the sperm. If you have sperm in your testicles, then you can have a biological child.
You may need the help of ivf after aspiration or surgery to recover the sperm from the testes. You need an evaluation by a urologist to learn why you cannot ejaculate. Sometimes psychologists can help too. Best wishes.