<s>[INST] hi me and my husband been trying to get pregnant and everything on my part is good, and dr even put me on fertility to up our chances, heres the thing. My husband is 45 and never got anyone pregnant and did not even use condoms, of course I made him get tested when we got married over a year ago. Im 22, and my dr said everything with me is good. We been trying and I noticed my husbands sperm is kind of clumpy. Is that normal? He does think he might have low sperm count but does not want to check it out something about his man hood. Anyways, do u think its low sperm count? He also smokes a lot and drinks once in awhile. [/INST] Hai, Definitely low sperm count will lead to infertility. Sperm count can be done under laboratory investigation only. By seeing a seminal fluid we can't assess low sperm count. As per your quote your husband lifestyle indicates more chance of infertility. Because smoking and chronic Chat Doctor. We need your husband semen analyzed with that report we can have a clear status of his reproductive organ (testes and other related organs) functional level. With that report kindly consult an infertility specialist for further treatment. Thank you Hope I answered your query. </s>