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General physical examination and medical history This includes examination of your genitals and asking questions about any inherited conditions, chronic health problems, illnesses, injuries or surgeries that could affect fertility.

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Some men have no sperm in their semen at all.

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Even if you have enough sperm, other factors are important to achieve a pregnancy, including normal sperm movement motility.

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Transrectal ultrasound.

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Increasing the frequency of sex.

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Semen samples can be obtained in a couple of different ways.

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These tests are rarely performed and often do not significantly change treatment recommendations.

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A blood test can reveal whether there are subtle changes in the Y chromosome — signs of a genetic abnormality.

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Anti-sperm antibody tests.

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