Gynaecologist, Obstetrician
HI,
The simple answer is "Yes" but also "It depends".
Men with low sperm count still have a chance of having children - it just decreases the chances. Sometimes, fertility specialists increase the chances by intrauterine injection (IUI) of processed sperm. Sometimes the sperm count is only low temporarily and things like stopping smoking, reducing alcohol, avoiding hazardous chemicals can improve sperm count - so it is worthwhile repeating the sperm count after a few months of changes, if this has not already been done.
Of course, this is assuming that the sperm is normal. There may be a reason for the low sperm count that also make any remaining sperm abnormal, which can make fertilisation particularly difficult or impossible.
After trying four years, it is best to consult your GP or gynaecologist or a fertility specialist, if you are not already doing so. Only they will know your full history to make a proper individualised plan.
All the best.
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If a man is low in sperm count, does it follow he has no libido? or it slows his urges?
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