This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Absent fructose content in the seminal fluid suggests 
Select and explain. 
A. Congenital absence of seminal vesicle, B. Partial duct obstruction, C. None, D. Both
D: Both
Answer: D: Both 
Explanation: Absence of fructose suggests congenital absence of seminal vesicle or portion of the ductal system or both.

PESA-percutaneousepidydymal sperm aspiration
ICSI-intracytoplasmic sperm injection