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From there, care is tailored to each patient through personalized dosing, regular monitoring, and thoughtful adjustments as the body changes

Consider seeing a urologist or reproductive endocrinologist if: Semen analysis shows significant abnormalities Youve been trying for 12 months (or 6 months if partner is over 35) without success You have a history of testicular problems, surgery, or injury Youve had cancer treatment You have symptoms of low testosterone (low energy, reduced libido, erectile dysfunction) Theres varicocele (enlarged veins in the scrotum) on examination The Bottom Line Male fertility is modifiable