Earlier quoted context omitted.
How do you determine that? As far as I have heard from people working in fertilization clinics, they can help pretty much all couples that have problems with conceiving due to male fertility issues. You need to go there in the first place, but once you request help, you get it.
So that's your take? "This thing that humans have done for eons without medical assistance now requires it and that's totally fine. Nothing to see here." Really?
You can extrapolate this on pretty much all human existence.