What to do next if my sperm count is low?
Your next step should be to evaluate levels of hormones like testosterone, LH, and FSH and MRI of brain
Low sperm count may be due to low or absent testosterone levels
Total testosterone should be measured between 8 and 10 am in th mornings only. The value changes during different times of the day.
Free Testosterone should also be tested from the same sample. It is the component of testosterone that is freely circulating in the blood.
FSH, LH and Prolactin are the other three hormones whose levels should be checked
Fsh or (Follicle Stimulating Hormone). If its concentration is high, combined with a low testosterone value, then it points to a testicular/genetic cause.
If its value is high together with a low testosterone value it means that the testes are not producing testosterone in response to stimulation from the pituitary in the brain.
An excess of this hormone can interfere with testosterone production. It may be increased due to an overgrowth in the pituitary gland in the brain.
This may be advised to check for overgrowth in the pituitary glands