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Surgery
In a couple for treatment of infeility from the last four years, female paner is normal. Male paner has 0.8 ml semen volume per ejaculate on two repeated samples and absent fructose, with no sperms on examination under microscope. What is the next line of management?
Per-rectal examination to check ejaculatory duct obstruction
Give antioxidants
Testicular biopsy
Transrectal ultrasound to detect duct obstruction
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