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Studies have shown that cases of fertility are common in both men and women. As such, either Beth or Bob could be having a medical condition that may be making it hard for the couple to conceive. There are various fertility issues that are faced by men. Oligospermia, also referred to as low sperm count means that there are fewer than normal sperm cells in the male ejaculate. This could mean that only few sperms are released or the issue could also be as a result of a partial blockage. Azoospermia refers to a condition where there is total absence of sperm in semen. Additionally, previous vasectomy can lead to future problems that may hinder conception (Dada & Bisht, 2017).

On the other hand, there are many possible causes of infertility in women. Women above the age of 45 years usually experience problems with conception. Additionally, infrequent ovulation and menstruation problems due to an irregular cycle may have a significant impact on the ability of a woman to conceive. More specifically, endometriosis, a condition where the endometrial lining of uterus grows outside the uterus, can hinder conception. Furthermore, tubal diseases and fallopian tube blockage hinders the process of fertilization hence limiting the chances of conception (Paulis, 2014).

However, there is still hope for Beth and Bob as there are various approaches to infertility treatment (Child, 2016). Assisted Reproductive Technology utilizes hormonal therapy and fertility drugs to increase the chances of conception. Additionally, In Vito Fertilization involves artificial insemination and contributes greatly to treatment. Moreover, medical therapy involves administration of special drugs to women experiencing problems with ovulation. In conclusion, the couple should consult a specialist to obtain expert advice on the most suitable option for them among the ones listed.


Child, T. (2016). Treatment of male and female infertility. Textbook of Clinical Embryology, 161-168. doi:10.1017/cbo9781139192736.019

Dada, R., & Bisht, S. (2017). Oxidative Stress and Male Infertility. Male Infertility: Understanding, Causes and Treatment, 151-165. doi:10.1007/978-981-10-4017-7_10

Paulis, G. (2014). Chromosomic Causes of Infertility. Clinical Management of Infertility, 63-77. doi:10.1007/978-3-319-08503-6_8