You are a smoker
You have an obesity problem
You have history cancer or cancer therapy
You have history of gonadotoxin
exposure
You smoke marijuana
You use testosterone
You use chronic opioids
You have an endocrineopathy/hormonal problem
You have abdominal fat, ie a large belly
You have gynecomastia, ie man-boobs
You may a varicocele-dilated veins of the spermatic cord
You have a testicular mass
You have small testicles
Any questions? Contact me