This would depend on many factors. We typically would need to perform an initial evaluation including a physical examination as well as obtain testing such as a semen analysis and blood work. We would also evaluate various lifestyle factors that you're experiencing including various substances, obesity, as well as work exposures and habits. From this we can usually give you several recommendations which can improve your sperm count. Also depending on the results of your testing you may require additional tests and may or may not benefit from surgeries or medications.