The main sign of low sperm count is the inability to conceive a child. There may be no other obvious signs or symptoms. In some cases, an underlying problem such as an inherited hormonal imbalance or a condition that blocks the passage of sperm may cause signs and symptoms. Low sperm count symptoms may include:
Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction)
Pain, swelling or a lump in the testicle area
Decreased facial or body hair or other signs of a chromosome or hormone abnormality
When to see a doctor
See a doctor if you:
Are unable to conceive a child after a year of regular, unprotected sexual intercourse with your partner
Have erection or ejaculation problems, low sex drive or other problems with sexual function
Have pain, discomfort, a lump or swelling in the testicular area
Have a history of testicle, prostate or sexual problems
Have had groin, testicle, penis or scrotum surgery
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