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For couples experiencing infertility due to an extremely low (or zero) sperm count, no ovulation or completely blocked fallopian tubes assisted reproduction is the only way a pregnancy is possible.A  Couples with subfertility have a chance of becoming pregnant naturally, but the chance is reduced by factors such as low sperm count, irregular ovulation, endometriosis, scarring of the fallopian tubes, fibroids or the increasing age of the woman.

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