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Abnormal semen analysis — DRCOG MCQ

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HardSubfertilityAbnormal semen analysisDRCOG

A couple attends after 13 months of trying to conceive. The male partner's first semen analysis shows low sperm concentration and reduced motility. He had a febrile illness 5 weeks before the sample. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Repeat semen analysis after an appropriate interval

An abnormal semen analysis should be repeated, particularly after recent febrile illness, because spermatogenesis can be temporarily affected. Investigating the female partner alone misses a possible male-factor contribution. The pearl is that semen abnormalities should be confirmed before definitive counselling.

Reference: NICE Fertility problems guideline