Medical Questions > Womens Health > Fertility Forum

Low testosterone and sperm count ?

User Profile
My husband has low testosterone which we have been working on getting treated for at least the last two years. He was placed on injections which started to help, then placed on androgel which did not help, and now is back on the injections. He is reaching 40 and we would like to have a baby together. I am 31. If he ever returns to some sort of a sex drive, does having low testosterone effect his sperm count? Do injections effect his sperm count? What options do we have for getting pregnant? Looking for direction.

Did you find this post helpful?
First Helper elb1078

User Profile
replied May 4th, 2010
Fertility Answer A11724
Hi, and thanks for your medical question on eHealth forum!

Some common low testosterone symptoms are decrease in sex drive, ejaculation problems, shrinking testicle, fatigue, loss of body hair, difficulty gaining or maintaining muscle, depression, and loss of strength. With therapy there will be improvement in all these parameters with time. Also there may be improvement in sperm count if the testis is intact. If the testicular function is not intact then sperm count will not improve. In this case artificial insemination is the only choice.

The cause of low testosterone has to be found out and treated. The various causes include side effects of drugs, testicular dysfunction, and raised adrenal hormone cortisol. Problems such as chronic illness (mumps in childhood which damaged testis), aging (not in your case), starvation, head injury, surgeries in testicular area, cancers, infections, and alcoholism are also among the causes of low testosterone levels. Please consult an endocrine specialist and an urologist.
Hope this helps. Take care!

Did you find this post helpful?
Must Read
If you're experiencing difficult conceiving, you are not alone. Learn how doctors define infertility and how infertility affects both men and women here....
Many things cause fertility problems. Learn common causes of infertility for men and women here, plus info on factors that affect the ability to conceive....
Sometimes fertility do not manifest any symptoms. Other times there are definite signs. Learn to identify possible problems and know when to ask for help....
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Fertility , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.