###Human: I have erection problem and dry orgasm with a history of diabetes. Please help. ###Assistant: Hello. I understand your concern. I saw your examination report (attachment removed to protect patient identity), and there are some factors that affect your fertility and some abnormalities. First, varicocele may affect your fertility, a dilated vein can be the cause of your oligoozospermia (dry orgasm). Second, semenogram at least 40% of spermatozoids must be motile (in your only 1%) and there are abnormalities in your mophology too, 30% must be normal, in your case, there are 0% with normal morphology. Diabetes may cause abnormalities in your morphology and motility of the semen. Because the characteristic of semen may vary over time and undergone normal biological variability, it is best to repeat the test at least once. If abnormalities persist you should have a urologic exam. I would recommend a urologic exam and consult a fertility specialist.