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A Couple Comes in for an Infertility Workup,having Attempted to Achieve

Question 1

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A couple comes in for an infertility workup,having attempted to achieve pregnancy for 2 years.The woman,37 years of age,has always had irregular menstrual cycles but is otherwise healthy.The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago.The man has had two normal semen analyses,but the sperm seem to be clumped together.What additional testing is needed?


A) Testicular biopsy
B) Antisperm antibodies
C) Serum prolactin level
D) Examination for testicular infection

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