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Lifestyle changes help, but they cant fix everything, especially when theres an underlying male infertility cause: Varicocele (enlarged veins in the scrotum) Hormonal imbalance , including low testosterone Diabetes Obesity , beyond what diet alone resolves Ongoing smoking or substance use Infections affecting the reproductive tract Genetic causes of low sperm count or quality Advanced paternal age If any of these are involved, lifestyle changes alone usually arent enough, and a fertility specialist may recommend targeted treatment alongside them