How can the cause of sperm survival rate after intercourse be determined through a test?

Patient's question:

The test was conducted five hours after I stayed in the room. The doctor took a cervical mucus test, and the results were: Cervical canal: 0% sperm survival rate, 0~4/HP sperm count, d sperm motility. Posterior fornix: 0% sperm survival rate, 0~3/HP sperm count, d sperm motility. Why aren't the sperm surviving? Is this the real reason for infertility? His sperm test results were normal. Is this treatable? The doctor said to have me ovulate and then undergo assisted reproduction (in which sperm is directly injected into my uterus with a device). Will I have to do this every month? I have had an antibody test, which was normal, and my fallopian tubes and ovulation are also normal. What else do I need to check? I am at this hospital.

Doctor's answer:

Hello: This indicates poor fertilization ability of sperm, and the cervical environment can also directly cause infertility. You can further examine to clarify the condition and treat it promptly with targeted therapy. You can first consider not pursuing assisted reproduction, as the success rate is low. Wish you health!

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