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Sanders DB, Stalberg EV

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Male infertility can result from inadequate spermatozoa concentration or absence, and aberrant spermatozoa morphology and motility due to testicular failure (Klinefelter’s syndrome, chemotherapy, radiation therapy, undescended testicles, or varicocele—enlargement of the venous plexus in the scrotum), hormonal imbalances and use of anabolic steroids, detection of antisperm antibodies, sexually transmitted diseases, or ejaculatory obstructions, including cystic fibrosis (often presenting with bilateral absence of the vas deferens) (35, 36)