What causes epididymal malformation?

Patient's question:

I don't have any bad habits, and I look quite healthy. I've been married to my wife for several years and have been trying to get pregnant, but for some reason, it just isn't working. Also, I have some cysts in my epididymis, but I don't have any other symptoms. People say infertility is caused by epididymal malformation. What should I do?

Doctor's answer:

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