u/NoAssistant8318

Both 29 and generally healthy. No smoking, no hot tubs, normal-to-low alcohol. We’ve been trying to conceive for 13 months.
My first semen analysis after 2 days of abstinence:
Volume: 2.4 mL
Concentration: 12.1 million/mL
Motility: 21%
Kruger morphology: 3%
Total motile sperm: 6 million
pH: 7.5
WBC: <8
My left testicle is somewhat smaller than my right, so I’m wondering if a varicocele could be contributing.
For anyone who has had similar results, what did you do next? Did you repeat the analysis, get hormone testing or a scrotal ultrasound, see a reproductive urologist, or make lifestyle/supplement changes? Were you eventually able to conceive naturally?
We don’t have insurance, so I’m trying to figure out what’s most worth prioritizing.