A 42-year-old woman inquires about the possibility of becoming pregnant again after having a tubal ligation surgery 13 years ago, and how to assess and improve her fertility.

Whether males with chromosomal abnormalities can reproduce depends on the type of abnormality; it is recommended to consult a doctor based on individual circumstances.

Abnormal 46XY chromosomes may affect fertility, and patients should pay attention early on and seek appropriate treatment.