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General Medicine General 0c55c8fd

A couple complains of inability to concieve in spite of staying together for 4 years and having unprotected intercourse, all tests in wife are normal. Semen analysis shows a volume of 0.8ml, sperm count is 0, fructose is absent, what is the next best step ?

A
Testicular FNAC
B
Ultrasound for obstruction
C
Local palpation of Vas
D
Karyotyping

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