If the doctor observes no surviving sperm or no sperm at all, the cervical mucus will then be cultured for the presence of infection. The emotional burden on the couple is considerable, and some planning is helpful:. Urol Clin North Am. The patients will provide the doctor with a detailed history of any medical or sexual factors that might affect fertility:. Various microsurgical techniques are used for retrieval. It is a common misconception that if a couple has sex to often the male will produce less sperm, thus decreasing the possibility of conception. Infections that may affect fertility include prostatitis inflammation in the prostate gland , orchitis in the testicle , semino-vesculitis in the glands that produce semen , or urethritis in the urethra , perhaps by altering sperm motility.
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