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Semen analysis isn't the fertility answer you think it is, and here's why male infertility evaluation is still stuck in the dark ages. We don't have diagnostics that tell us if sperm will actually fertilize an egg or identify the root causes of infertility. The tests we use can't predict which sperm are functional or why conception isn't happening at the molecular level. Fertility is a two cell problem, sperm and egg, and we still don't fully understand the genetic factors that determine whether
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