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"Doctor, I'm only 28. How can my sperm count be low?" I hear this sentence, or some version of it, almost every week. Usually it comes out quietly, after the patient has already spent weeks Googling alone, terrified to say the words out loud to his wife, his parents, or his friends. Here's the truth I want every young man reading this to hear first: you are not broken, you are not alone, and you are not too late. But you are not imagining the problem either it is real, it is