How significant is the relationship between poor sperm quality and recurrent miscarriage? How is it treated?

Patient's question:

How significant is the relationship between poor sperm quality and recurrent miscarriage? How is it treated? I have checked the five tests for fertility and folic acid, and they are all normal. My husband had a sperm test, with A+B accounting for 38% and the abnormality rate at 57%.

Doctor's answer:

Hello, there are many reasons that can lead to miscarriage: including genetic factors, anatomical factors, endocrine factors, immune factors, infectious factors, pregnancy and childbirth history, maternal systemic diseases, environmental factors, and abnormal semen. Both partners need to be tested simultaneously to identify the cause and then receive targeted and effective treatment. Don't worry too much—identifying the cause and treating accordingly is the key to ensuring a smooth next pregnancy.

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