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Low Sperm Count or Low Testosterone (Hypogonadism)

Introduction

Low Sperm Count and Fertility

When a man ejaculates, normally anywhere from 15 million to 200 million sperm per milliliter are released. If the semen contains fewer than 15 million sperm per milliliter or 39 million sperm per ejaculate, the sperm count is considered to be low.

When the sperm count is low, the chances of fertilizing your partner’s egg are decreased. This does not necessarily mean that you cannot father a child. Many men with this condition are still able to impregnate their partner. Several factors can contribute to this condition.

Low testosterone, or hypogonadism, can also affect sperm count. When testosterone levels are lower than normal, fertility can be affected. The lack of this hormone can decrease sperm cell production. It can also affect sexual performance. Men with low testosterone levels experience a reduced sex drive and may have erectile dysfunction.

Symptoms

Low sperm count is a main cause of the inability to conceive a child. Other symptoms may include:

  • Low sex drive
  • Erectile dysfunction
  • Pain, swelling, or a lump in the testicle area
  • Decreased facial or body hair
  • Other signs of a chromosome or hormone abnormality

If the passage of sperm is blocked for some reason, such as by a tumor or swelling, it can affect the number of sperm found in the ejaculate.

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Causes

There are several reasons why an individual may have a low sperm count. Medical, environmental, and lifestyle factors can affect the quantity and quality of sperm. The production of sperm requires normal functions in the male reproductive system. This includes the testicles, hypothalamus, and pituitary glands. These glands in the brain produce the hormones that trigger sperm production. After the sperm are produced in the testicles, they are transported through small tubes to mix with semen and then ejaculated out of the penis.

If the system has problems, fewer sperm may be produced or ejaculated. Often, the exact cause of a low sperm count is not readily identifiable. Risk factors can also increase the likelihood of a lower sperm count.

Risk Factors

Several risk factors contribute to the development of this condition. They include:

  • Tobacco use
  • Drinking alcohol
  • Using certain illegal drugs
  • Obesity
  • Depression
  • Infection
  • Exposure to toxins
  • Overheated testicles
  • Trauma to the testicles
  • Being born with a fertility disorder
  • Tumors
  • Chronic illness
  • Cancer treatment
  • Vasectomy or major abdominal or pelvic surgery
  • A history of undescended testicles

You can lower your risk of a low sperm count by maintaining a healthy lifestyle and managing stress levels effectively. Depending on the cause of your condition, various treatments are available. If you suspect you have a low sperm count and are concerned about conceiving a child, contact Neway Fertility. We do in-house sperm analysis and offer a variety of treatments and solutions for issues of infertility. Contact us today to schedule a consultation appointment with one of our doctors.

Why choose neway?

Starting a family is an exciting adventure, regardless of the journey taken. Welcome to Neway Fertility, we are an NYC Fertility Clinic that specializes in customized treatment plans to address your specific fertility needs. You will feel right at home in our warm, friendly environment where we offer the best of patient-centered care.

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  • Dr. Wang is truly amazing

    Dr. Wang is truly amazing. He is the most compassionate, patient, and understanding doctor I have ever encountered. He takes the time to explain everything, making sure you feel comfortable and informed every step of the way. Compared to my consult at NYU, the experience at Neway was completely different. I felt at ease, never rushed, and always cared for. One of the best things about this clinic is how efficient they are, there is no waiting during appointments, and you get seen very quickly, which makes the whole process even smoother. If you are looking for a fertility clinic where you will feel supported and genuinely cared for, I highly recommend Dr. Wang, Dr. Lee, and the entire team at Neway.
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  • Dr. Wang is the best IVF doctor in the country

    Dr. Wang’s care is unmatched. He personally performs every scan, retrieval, and transfer, and his gentle touch made my recovery seamless compared to past experiences. His nurse, Cecilia, and the rest of the team are equally incredible—organized, supportive, and attentive to every detail. If you’re searching for a doctor who truly cares, offers personalized protocols, and provides VIP care—especially if you’re older or have endometriosis—Dr. Wang is the best IVF doctor in the country. He made my dream of becoming a mom a reality, and I will forever be grateful for him!
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  • He is an incredible doctor!

    I had tried 3 other clinics before finding Neway through a recommendation in a Facebook group. As soon as I met Dr. Wang my whole experience with infertility changed. I felt respected and taken care of which was far from my experience at other clinics. Dr. Wang is so friendly and compassionate, answers every email within depth explanations and personally sees you at every appointment. He is open to your input at every step of the way. He is an incredible doctor! I am so happy I found him. I couldn’t recommend him more highly.
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  • Dr. Wang and his staff are just amazing!

    Dr. Wang and his staff are just amazing! I received very good care at this clinic. They are very prompt and everything always runs on time. Specifically, Dr. Wang is very knowledgeable and takes a step-by-step approach based on your specific case rather than follow a cookie cutter approach!
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  • Neway Fertility is top notch

    Neway Fertility is top notch, if you are searching for a clinic for you, Neway is the one. You are in the best hands with Dr.Kort and Dr. Wang. They will guide you in the best direction according to your specific case. They fully listen to your personal needs and concerns and do whatever it takes to make you feel comfortable. The Nursing staff is phenomenal; Lindsay Blackburn will address any concerns/needs that may surface. She responds to every inquiry you may have, via email/phone. She never misses a beat! Erica Pagan is also terrific at financially coordinating your needs. I have had a wonderful experience with Neway Fertility and if you are looking for personal, dedicated care during this process, Neway Fertility is for you, you will not be disappointed!
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    Because of the doctors at Neway Fertility, we have a month old baby! The Staff is amazing. They were very attentive and available all the time. I used to go to Midtown location.
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  • I was incredibly grateful for the experience, thoughtfulness, and care provided by the team at Neway

    IVF is not a journey anyone wants to take. It is a roller coaster of emotions that is only made easier with a wonderful support system. We found that at Neway – with Dr. Zimmerman and the entire nursing team. Ours wasn’t an immediate success story – it took multiple cycles to become pregnant. But I was incredibly grateful for the experience, thoughtfulness, and care provided by the team at Neway. I cannot recommend them highly enough for anyone on this journey.
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    Jennifer H.

  • I thank God that i found this doctor!

    I thank God that i found this doctor! I highly recommend Neway to you. Neway’s doctor is so sweet and they explains everything! They didn’t rush although they had other customers. Amazing staff also!
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