Anyone’s DH have low testosterone but normal sperm count?

posted 2 weeks ago in TTC
Post # 2
Member
147 posts
Blushing bee
  • Wedding: July 2017

I think it’s totally reasonable for him to retest his testosterone and get a SA done.  It’s embarrasing, sure, but his doctor is a professional.  He will just have to get over it.  Just an FYI that testosterone replacement therapy (like androgel, etc.) can harm sperm production so he shouldn’t go on any tesosterone replacement.  Doctors should ask about family planning for younger men going on those meds. There are meds that boost testosterone production but do no harm sperm counts.  I’d see a fertility specialist if the screening shows issues with his SA and tesosterone.

Post # 3
Member
151 posts
Blushing bee
  • Wedding: June 1993

He needs to suck it up and go get a semen analysis done. Period. It’s not exactly fun for you to go get pelvic exams and a whole crap ton of other tests that were done or will need to be done before you can start infertility treatments. Thankfully, my RE ordered a semen analysis when he ordered all of my tests. I told my husband that he had to get a SA and that we were doing IUI (your husband will obviously have to collect a sample for that too) . My husband said “Hell NO” at first, and I told him that he WILL be doing a SA and that was that! He voluntarily went on his own because he knew that I wasn’t playing. Like I said, it’s only fair considering that I had to do a very painful HSG, lots of exams and vaginal ultrasounds, plus take injections, get the IUI, deal with the side effect of the infertility meds, etc. Trust me, having a little rendezvous with a cup is the easy part!

Now to answer your question, my husband had low T and had a borderline low sperm count of 9 million sperm. My RE said that it was ok, but pregnancy rates were a bit lower with that count. I put my husband on a bunch of supplements that help increase count and quality (zing, magnesium, pycnogenol, red panax ginseng, l-carnitine, l-arginine, Macca root, flaxseed oil, vitamin c, b-12). He took the supplements for the 6 weeks we had until our IUI. I had him drink orange juice and eat foods high in vitamin c for 48 before the IUI (gives sperm energy to swim). His count jumped up to something like 65 million and our first IUI was successful.

The bad news for you is that the testosterone gel can permanently lower sperm count. It can also cause zero sperm count. Sperm count doesn’t always come back after the gel is stopped. It’s really important for your husband to get a SA done. If the clinic is close enough to your house (I think within an hour drive), your husband can collect at home. You can buy a special condom to use to collect the sample during sex if that’s easier for your husband. There is a drug store test (I think Amazon sells it too) that your husband can use to check his semen count at home. However, it’s honestly a waste of time and money. It only gives you a count. It doesn’t tell you if the sperm are formed correct or if they can swim correctly. Your husband could have 50 million sperm with 2 heads that swim in a circle. It’s really important to have all of the information that a real SA gives you, especiall since you already know for a fact that your husband has low T.

Lastly, I just want to warn you that TTC will most likely be very frustrating for you both. You will feel pressured (self imposed) to have sex several times during the week of ovulation. It seemed like the best day for us ovulation wise always ended up being the worst day for my husband to perform on. After 1 year of ttc, I was so tired and frustrated. The IUI cycle was honestly a relief because I knew that we for sure had the peak day of my cycle covered.

I understand that this is a sensitive subject for men. I knew to tread cautiously with my husband. However, I also knew that my husband was a grown man and mature enough to handle the truth. I was sensitive about the sex, and matter of fact when it came to infertility stuff. I had trouble with ovulation. We spoke candidly about testing and treatment options for my issue. Why should his low sperm count be treated any differently?

Post # 5
Member
1486 posts
Bumble bee
  • Wedding: November 2018

Get a SA right now. If he wants a kid and knows anything about fertility, he’ll understand. He has low T, you’re already 35, you need to know what you’re dealing with.

(Btw I got pregnant at 35 on the first cycle we tried, and based on all the research, you probably have a couple years before your fertility really is affected much by age – but still, it’s different than being 25!!)

Post # 6
Member
1813 posts
Buzzing bee

There is no reason to not “try” but I wouldn’t waste a lot of time trying before getting a SA.  It’s cheap and painless and if it’s low you know to move to IUI or IVF sooner.  Though you can get pregnant with low sperm numbers too it just isn’t as likely.  My husband had low T, slightly below normal on all the semen analysis stuff.  We spent over a year going through trying naturally, IUI, him taking meds, me taking meds, and ended up getting pregnant with IVF.

Post # 8
Member
5247 posts
Bee Keeper

highstrungmomtobe :  there is no reason to wait to start trying until he gets the test – you can TTC and nag him to get it done at the same time lol. “Trying” really just means having sex with your husband and that should be fun! 

Post # 9
Member
1813 posts
Buzzing bee

OP – You don’t necessarily have to focus on the prior low T and get all worked up when discussing it with him.  Just tell him since you are older you want to start trying now but at the same time get all the easy fertility testing including the SA done asap so you don’t waste time if you need some medications or interventions.  You could also let him know that the usual protocol for people over 35 is to try naturally for 6 months and then do the testing but why wait 6 months for something easy and painless and that you could spend those six months treating instead of trying in vain. 

Post # 11
Member
147 posts
Blushing bee
  • Wedding: July 2017

highstrungmomtobe :  Did the doctor who prescribed him testosterone gel in the past discuss with him the negative effect it can have on sperm production?  If not, that’s something I would complain about if the SA has bad results.  

Post # 13
Member
5247 posts
Bee Keeper

highstrungmomtobe :  totally. I did IVF to have my daughter so I understand what you’re afraid of (infertility sucks), but until you take a deep breath and have a ton of sex you don’t know if you’ll have trouble or not. A friend once gave me amazing advice and she said “do not practice your emotions”. You’re worried that you might have trouble before you actually are having trouble. It’s SO hard I know, but try to take it one day at a time – you’ll feel so silly for worrying about nothing if you go have sex tonight and get pregnant! 

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