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It includes: Concentration: How many sperm are present in each millilitre of semen Motility: How well sperm move to reach the egg Morphology: The shape and structure of sperm DNA integrity: The genetic health inside the sperm head All four parameters influence the chances of natural conception, IUI/IVF success, embryo quality, and miscarriage risk

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It seems to me that the problem might best be tackled on the basis of a plan extending over fifteen or twenty years, which would take maximum advantage of the currently available knowledge of future internal population shifts