Our expert says:
Both the presence of a varicocele and/or presence of persistent infection in the semen would contribute to affecting fertility. What you need to find out if any of these has affected the parameters that are important to allow for fertilization to take place namely, is the sperm volume and concentration normal, are the sperms motility normal and is the morphology normal. If the semen analysis is normal and conception is still not taking place then I would suggest that you look for other causes in the female such as fallopian tube problems, endometriosis or ovulatory problems. If there are no female factors and there is a problem with your husband’s semen analysis then you will require assisted reproductive techniques such as intrauterine insemination or in vitro fertilization to help achieve a pregnancy.
Answered by: Dr. Y. Dasoo
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