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It
is well known that even men who have numerically abnormal
semen analyses can impregnate their partners. Moreover, not
infrequently, a man having a normal semen analysis will fall
to fertilize eggs In Vitro. Therefore, the traditional semen
analysis based on the World Health Organization (WHO) criteria
is not always predictive of male fertility. The biological
functions of sperm necessary to actually fertilize an egg
are not reflected in a semen analysis, nor are any of the
other tests of sperm function infallibly indicative of a man's
fertility potential. In the actual fertilization process,
the sperm must first have enough energy to penetrate the mass
of cumulus cells surrounding the egg, bind on to the egg's
outer surface and then burrow through the zona pelludica to
reach the center of the cytoplasm to deposit its genetic material.
Abnormalities in any of these areas may be present, so the
inability to fertilize can occur at many different levels.
Consequently, tests of male fertility such as the Hamster
Egg Penetration Test lack validity and should be abandoned.
The only positive proof of normal sperm function is a fairly
recent history of fathering a child or fertilization of eggs
In Vitro.
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